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Rajiv Sharma

7987987978
rajivsharma@gmail.com
Mumbai - 122011
Maharashtra, India

TITLE

Detail-Oriented Medical Coder | Claims Review & Documentation Specialist

CAREER OBJECTIVE

Results-driven Medical Coder with hands-on experience in multi-specialty coding and claims review, seeking to apply expertise in regulatory compliance, audit support, and revenue cycle management to enhance organizational performance.

WORK EXPERIENCE

Medical Coder 14-June-2022 / Present

ABC Healthcare Solutions Pvt. Ltd. Mumbai, Maharashtra

• Accurately coded inpatient and outpatient medical records using ICD-10, CPT, and HCPCS standards.
• Achieved and maintained 98% coding accuracy as per internal quality audits.
• Reviewed clinical documentation for completeness and queried physicians when necessary.

Junior Medical Coder 11-Jun-2020 / 09-May-2022

MedCare RCM Services

• Assisted senior coders in coding multi-specialty charts across E/M, surgery, and diagnostics.
• Performed pre-billing audits to identify documentation gaps.
• Collaborated with billing teams to resolve coding-related claim rejections.

Bachelor Of Science In Life Sciences (Life Sciences) (88 %) October-2020

University of Mumbai , Santacruz Road
Mumbai, India

SKILLS

  • Epic EMR
  • Cerner
  • 3M Encoder
  • Optum CAC
  • Microsoft Excel & MS Office

CERTIFICATIONS

• Certified Professional Coder (CPC) – AAPC
• ICD-10-CM & CPT Certification
• HIPAA Compliance Training

PERSONAL INFO

Religion : Hindu
Country : India

ACCOMPLISHMENTS

• Recognized as “Best Quality Performer” for two consecutive quarters
• Consistently met productivity targets with minimal rework
• Successfully supported coding audits with zero major discrepancies

Position Overview

The Medical Coder role focuses on accurately coding inpatient and outpatient medical records using ICD-10, CPT, and HCPCS guidelines. The position requires strong attention to detail, compliance with regulatory standards, collaboration with billing teams, and support for audits to ensure accurate claims submission and revenue cycle efficiency. The Junior Medical Coder position supports senior coders by reviewing multi-specialty charts, conducting pre-billing audits, identifying documentation gaps, and assisting in resolving coding-related claim rejections.

Company Overview

ABC Healthcare Solutions Pvt. Ltd., Mumbai, Maharashtra is a healthcare services organization providing medical coding, billing, and revenue cycle management support to hospitals and healthcare providers. The company focuses on accuracy, regulatory compliance, and efficient claims processing to improve reimbursement outcomes and operational performance.

MedCare RCM Services is a revenue cycle management organization offering end-to-end coding, auditing, and billing support services. The organization works closely with healthcare providers to reduce claim denials, improve documentation quality, and maintain coding compliance standards.

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