Risk Adjustment Medical Coder (HCC/CRC-CPC)

VIJAY KRANTHI AKULA

HCC / Risk Adjustment Medical Coder (CRC & CPC).

USA 908-***-**** mail- ************@*****.***

PROFESSIONAL SUMMARY

• Certified Professional Risk Adjustment Coder (CRC & CPC) with 3+ years of experience.

• Working as HCC (Risk Adjustment) coder at Omega healthcare. (March 2026 – Till date).

• Worked as in HCC coder (2yrs Medicaid and 1yr Medicare) at Claxon Healthcare Pvt. Ltd. (Sept 2022

– Dec 2025).

• Experienced in ICD-10-CM diagnosis coding, chronic condition capture, and outpatient encounter review for Medicaid and Medicare populations.

• Detail-oriented professional focused on accuracy. CERTIFICATIONS

• CRC – Certified Risk Adjustment Coder (AAPC)

• CPC – Certified Professional Coder (AAPC)

PROFESSIONAL EXPERIENCE

• Junior HCC / Risk Adjustment Medical Coder Claxon Healthcare Pvt. Ltd. 09/2022 – 12/2025.

• Conducted retrospective and concurrent HCC chart reviews using ICD-10-CM guidelines.

• Coded chronic and active diagnoses supported by MEAT criteria, Identified unsupported, missing, or invalid HCC conditions. Accepted or Rejected HCC’s.

• Reviewed outpatient encounter documentation for diagnosis accuracy and specificity. Ensured adherence to CMS and risk adjustment guidelines.

SKILLS

HCC Risk Adjustment Coding, ICD-10-CM Diagnosis Coding, Chronic Condition Capture, MEAT Criteria, Outpatient Encounter Review, Provider Documentation Review, Medicaid & Medicare, EMR/HER Systems EDUCATION

• Master of Sciences M.Sc. (Bio Chemistry)

• Bachelor of Sciences B.Sc. – Microbiology, Biochemistry & Chemistry.

• Bachelor of Education B.Edu (Physical Science & Biological Science). ADDITIONAL INFORMATION

• 3+ years of dedicated HCC Risk Adjustment coding experience.

• Experience with Medicaid and Medicare risk adjustment programs.

• Familiar with outpatient coding workflows and documentation standards.

Contact this candidate