Chellapandi Selvam CPC

Associate Consultant

Sivakasi, Tamil Nadu, India3 yrs 6 mos experience

Key Highlights

Stackforce AI infers this person is a Healthcare Coding Specialist with expertise in risk adjustment methodologies.

Risk AdjustmentHcc Coding

Current Procedural Terminology (CPT)Data AbstractionICD-10Medical RecordsMedical TerminologyRisk Adjustment coding

Risk adjustment coding

May 2025 – Present · 10 mos · Coimbatore, Tamil Nadu, India · On-site

Working with Aetna Medical risk adjustment and also involved in 2LR process, Elevance Commercial Risk adjustment Project.

Data AbstractionRisk AdjustmentRisk Adjustment codingHCC CodingICD-10Medical Terminology+2

3 roles

Promoted

Feb 2025 – May 2025 · 3 mos

Proven experience working on Aetna Medicare Risk Adjustment (MRA) and Second level review, commercial Risk Adjustment (CRA) projects, as well as Wellcare Medicare Advantage (MA) and Affordable Care Act (ACA) projects.

Risk AdjustmentHCC CodingICD-10Medical Terminology

Promoted

Jan 2023 – Feb 2025 · 2 yrs 1 mo

Jun 2022 – Jan 2023 · 7 mos

I have extensive experience in Hierarchical Condition Category (HCC) medical coding, with a focus on risk adjustment models for both Medicare Advantage and commercial insurance projects. My role involved reviewing clinical documentation and accurately applying ICD-10-CM codes to capture chronic conditions and co-morbidities, ensuring compliance with CMS guidelines and payer-specific requirements. I am skilled in identifying and coding RAF (Risk Adjustment Factor) conditions, utilizing HCC coding tools, and adhering to strict quality and productivity standards.

HCC CodingICD-10Medical Terminology