Sivasakthi R

Senior Executive Medical Coder with 4 years of expertise in medical coding, specializing in Hierarchical Condition Category (HCC) coding. Demonstrates exceptional accuracy and compliance in coding practices, leveraging advanced proficiency in industry-standard tools such as Data rap, Salesforce, and EMR systems including EPIC, Kelsey-Seybold, Athena, Touch works AS, and eClinical Works. Skilled in auditing, quality assurance, and maintaining high coding standards, with a strong commitment to professional growth and process optimization.

Seeking a Senior Medical Coder, Quality Analyst, or Team Coach role to apply my experience and drive excellence in a progressive healthcare environment.

Senior Executive Coder - Corro Health Infotech Private Limited - Bangalore

(2025-08)

• Experienced in concurrent, prospective and retrospective audits ensuring accurate medical coding
• Worked on Centene MA and ACA projects and successfully handled Mercy and Duly health projects involving complex inpatient and outpatient charts with emphasis on coding accuracy and audit quality
• Strong understanding of payer-specific guidelines, risk adjustment models and client based coding policies for Centene MA, ACA, Mercy and Duly accounts

Executive Coder - Optum Healthcare Technology India Private Limited - Chennai

(2023-02 - 2025-05)

• Performed as a Level 2 Auditor, overseeing and ensuring the quality and accuracy of coding by auditing charts reviewed by Level 1 coders
• Specialized in Hierarchical Condition Category (HCC) coding for three year
• Played a key role in multiple high-profile projects, including HCP-FL, HCP-Wellmed, Wellcare, and Kelsey, Aetna CRA, Anthem CRA, SMA and Nevada showcasing adaptability and project-specific expertise
• Contributed as a member of the Updates and Guidelines Team, reviewing client-provided coding updates and guidelines, developing comprehensive learning documents, and distributing them across the coding team to maintain compliance and quality standards
• Ensured adherence to industry regulations and best practices, promoting continuous improvement in coding workflows

Junior Coder - Episource India Private Limited - Chennai

(2021-10 - 2023-02)

• Began as a Junior Medical Coder, quickly establishing a reputation for accuracy and efficiency in coding assignments
• Demonstrated exceptional attention to detail and compliance with industry standards, specializing in HCC
• Consistently maintained high-quality work, exceeding performance metrics and quality benchmarks
• Promoted to Medical Coder within one year in recognition of outstanding performance and dedication to excellence
• Took on additional responsibilities in coding audits, guideline updates, and mentoring junior team members to enhance overall team productivity and quality

Bachelor of Physical Therapy - Physical Therapy - Mother Teresa Post Graduate & Research Institute of Health Sciences (2016-06 - 2021-09) Puducherry, India