Medical Coder Senior

Sandhya C S

**** ********* **** ******, *** ***, Dallas, TX 75235

Phone: +1-945-***-****

Email: Sandhyacheriyamane@gmail.

Objective

CPC Certified Senior Medical Coder (CPC, 2022) with over 4.9 years of total work experience in medical outpatient coding in pathology OB GYN, E/M coding and Skilled in accurate ICD-10, CPT; Claim processing, claim auditing; payment analysis; and ensuring compliance with U.S. coding standards to optimize clinical and financial accuracy. Professional Experience

Senior Medical Coder (Pathology) – Starmark Health Care Pvt. Ltd., Mysuru, India

June 2021 – Dec 2024

● Performed coding for OB Gyn-Pathology, Surgical Pathology (Histology), and E/M services for U.S.-based clients (Florida Women Care Laboratory). Applied ICD-10, CPT, and E/M guidelines for accurate reimbursement and compliance.

● Experienced in handling insurance claims and coverage policies for major payers, including Aetna, Blue Cross Blue Shield, Cigna, Humana, Medicare, Medicaid, United Healthcare, Oscar, and Tricare.

● Conducted coding audits, payment analysis, and resolving coding exceptions.

● Utilized Vital Dx, Athena, and Microsoft Office,Spreadsheet for coding, reporting, and documentation.

● Mentor junior coders on coding updates and best practices. Medical Coder (Pathology) – Starmark Health Care Pvt. Ltd., Mysuru, India 2018 – 2019

• Accurately coded pathology reports for U.S.-based projects using CPT and ICD coding standards.

• Assisted in resolving coding discrepancies and insurance claim rejections.

• Maintained high coding accuracy in collaboration with the quality control team. Officer – Quality Control – Supreme Pharmaceuticals Pvt. Ltd., Nanjangud, Mysuru, India

2017 – 2018

• Conducted quality checks and analytical testing on pharmaceutical products.

• Maintained detailed documentation in compliance with company standards. Education

Degree Subject Institution Board/Univ

ersity

Year %

M.Sc Biochemistr

y

DOS in

Biochemistr

y, University

of Mysore,

Mysuru

University of

Mysore

2016 77.27

B.Sc BMBt Yuvaraja

College,

Mysuru

University of

Mysore

2014 82.89

Certifications

• Certified Professional Coder from Aapc (CPC, 2022) Skills

• ICD-10, CPT, and E/M Coding

• Pathology and Clinical Coding (Gyn, Surgical Pathology (Histology))

• Coding Audits, Payment Analysis, and Payment Exception Resolution

• Software: Vital Dx, Athena, Microsoft Office

• Strong knowledge of U.S. coding guidelines and compliance Additional Information

• Detail-oriented with strong analytical skills

• Excellent teamwork and communication abilities

• Experienced in U.S.-based healthcare coding projects

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