Shakia Corcoran
Nashville
Summary
Risk Adjustment / HCC Coder with hands-on experience reviewing medical records and abstracting diagnoses in alignment with CMS risk adjustment guidelines. Currently coding for Optum, performing physician, facility, and non-facility chart reviews while maintaining 95%+ quality accuracy and 100% completion metrics. Skilled in identifying chronic conditions impacting risk scores, applying ICD-10-CM guidelines, and adapting to multiple client-specific coding projects including ACA, AIER, and physician chart review initiatives. Known for strong productivity, audit readiness, and compliance with coding standards.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Risk Adjustment / HCC Coder
Optum
07.2025 - Current
- Perform diagnosis code abstraction through detailed review of physician, facility, and non-facility medical records for risk adjustment programs.
- Assign accurate ICD-10-CM codes in accordance with CMS risk adjustment guidelines and internal coding standards.
- Maintain 95%+ coding quality accuracy and 100% completion while meeting productivity expectations.
- Conduct retrospective chart reviews to identify and validate chronic conditions impacting Hierarchical Condition Category (HCC) risk scores.
- Consistently meet performance benchmarks on bi-weekly coding mastery assessments.
- Code across multiple client initiatives including IOA physician chart review, ACA, and AIER projects with project-specific coding guidelines.
- Ensure diagnoses are supported by compliant provider documentation and coding conventions.
- Collaborate with QA teams and leadership to resolve coding discrepancies and support continuous quality improvement.
Customer Service Representative
Apria Healthcare
12.2022 - 02.2025
- Verified patient demographic and insurance information for billing accuracy.
- Resolved billing inquiries and explained EOBs to patients.
- Maintained strict HIPAA compliance while handling protected health information.
Customer Service Representative
Cigna
Remote, Nashviile, TN
02.2020 - 07.2021
- Reviews patient records and assisted with claim resolution.
- Maintained accurate documentation and supported HIPAA standards.
- Coordinated data integrity with internal health systems.
Education
Associate Degree - Health Information Technology
DeVry University
Skills
- HCC Risk Adjustment Coding
- ICD-10-CM Diagnosis Coding
- CMS Risk Adjustment Guidelines
- Retrospective Chart Review
- Medical Record Abstraction
- RAF Score Awareness
- Coding Compliance & Audit Readiness
- Provider Documentation Validation
- Productivity & Quality Metrics
- Multi-Project Coding Environments
Affiliations
Member – American Health Information Management Association (AHIMA)
Certification
- Certified Coding Specialist (CCS)
- Registered Health Information Technician (RHIT) – Expected
Timeline
Risk Adjustment / HCC Coder
Optum
07.2025 - Current
Customer Service Representative
Apria Healthcare
12.2022 - 02.2025
Customer Service Representative
Cigna
02.2020 - 07.2021
Associate Degree - Health Information Technology
DeVry University
Internship Experience
Health Information Technology Intern- Woodcrest at Blakeford
March 2025-April 2025
- Worked alongside medical records and billing teams in a skilled nursing facility.
- Assisted with patient data entry, billing audits, and compliance documentation.