Shankar Pawar CPC, CRC — Associate Consultant
I am a CPC & CRC-certified medical coder with 6+ years of HCC medical coding experience, specializing in risk adjustment (Concurrent and Retrospective) review projects and HEDIS abstraction. I have expertise in value-based care and Medicare Advantage, ensuring precision in coding, enhancing compliance, and optimizing risk adjustment scores. Currently, I review patient records in real-time, collaborating with healthcare providers to ensure accurate documentation. My expertise includes ICD-10-CM coding, identifying chronic conditions, and validating clinical documentation. Passionate about supporting healthcare organizations, I aim to improve patient outcomes and operational efficiency.
Stackforce AI infers this person is a Healthcare Compliance Specialist with a focus on medical coding and risk adjustment.
Location: Pune, Maharashtra, India
Experience: 6 yrs 2 mos
Career Highlights
- 6+ years of HCC medical coding experience.
- Expertise in risk adjustment and HEDIS abstraction.
- Passionate about improving patient outcomes.
Work Experience
Kaiser Permanente
Compliance Consultant (8 mos)
agilon health
Medical Coder (2 yrs 3 mos)
GeBBS Healthcare Solutions
Senior Medical Coder (1 yr 6 mos)
Advantmed India LLP
Medical Coder (1 yr 9 mos)
Education
Bachelor of Pharmacy - BPharm at Savitribai Phule Pune University