Amani Amro
Risk Adjustment & HCC Coding Specialist
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About
AHIMA-certified Coding Specialist (CCS) with 3+ years of dedicated HCC risk adjustment coding experience and hands-on inpatient coding expertise. Proven track record in accurate ICD-10-CM/PCS and CPT code assignment, DRG optimization, and Medicare Advantage risk adjustment documentation. Adept at chart review, medication reconciliation for HCC validation, and clinical query generation. Committed to compliance, accuracy, and supporting revenue integrity initiatives.
Experience
Inpatient Medical Coder (Internship) - Quality Experts - California
(2025-04)
- Assign concurrent inpatient working DRGs using ICD-10-CM/PCS for complex hospital cases
- Perform DRG optimization by reviewing clinical indicators, validating diagnoses, and ensuring appropriate MS-DRG assignment
- Generate clinical queries to providers when documentation requires clarification to support accurate coding and reimbursement
- Collaborate with CDI team to improve documentation quality and capture all reportable diagnoses
HCC Risk Adjustment Coder - Advantmed - California (Remote)
(2020-08 - 2023-09)
- Coded and abstracted HCC conditions from electronic and handwritten medical records for Medicare Advantage risk adjustment
- Reviewed medication lists to validate active HCC conditions and identify underdocumented diagnoses warranting provider queries
- Ensured accuracy, compliance, and completeness of risk-adjustment documentation to optimize RAF scores
- Maintained high coding accuracy rates in compliance with CMS HCC model guidelines and RADV audit standards
- Processed high-volume charts within productivity benchmarks while maintaining quality standards
HIM & Quality Coordinator - Kingdom Hospital - Riyadh, Saudi Arabia
(2014-06 - 2016-06)
- Maintained integrity of patient records through accurate document preparation, scanning, and quality validation
- Designed and implemented a risk-assessment severity key to reduce organizational risk and operational losses
- Conducted Root Cause Analysis (RCA) and developed corrective action plans for sentinel events
- Improved hospital safety policies by implementing OSHA-aligned fire safety and facility standards
Education
B.Sc.
- Industrial Engineering - University of Jordan (2008 - 2013)
Certificate - Medical Terminology - Grossmont Adult Education (2018-12)
Certificate - Human Anatomy & Physiology - Grossmont Adult Education (2019-09)
Certificate - ICD-10 Diagnostic/Procedural & CPT Coding - Medical Coding Institute (2019-05)

