Pravin Kumar
@pravinkumar7
I improve medical coding quality through audits, training, and ICD expertise.
IndiaWhat I'm looking for
I'm currently improving coding quality at SRM Tech through root-cause analysis, ICD guideline updates, and training for trainee coders.
Previously at Optum, I handled final validation checks and internal quality audits. At Episource, I coded and audited risk-adjustment medical records using ICD-10-CM diagnosis coding and HCCs.
As a CPC-certified medical coding professional with close to five years of experience, I bring experience across Medicare, commercial projects, pregnancy coding, and coder mentoring.
Experience
Work history, roles, and key accomplishments
Quality Analyst
SRM Tech
Oct 2025 - Present (11 months)
Performs routine RCA analysis to understand error trends and updates coders on current ICD guidelines, stabilizing project quality. Spearheaded ICD training programs for trainee coders and implemented customized mentoring strategies to improve team accuracy.
Handled final validation checks and internal quality audits within the project.
Medical Coder
Episource
Apr 2022 - Jan 2023 (9 months)
Assisted in training and mentoring new coders, helping them understand risk adjustment coding and documentation requirements. Proficiently coded and audited medical records for risk adjustment, focusing on accurate ICD-10-CM diagnosis coding and HCCs.
Junior Coder
Episource
Aug 2021 - Apr 2022 (8 months)
Maintained a consistently high level of accuracy and productivity in coding tasks, meeting and exceeding established coding and quality standards.
Education
Degrees, certifications, and relevant coursework
Loyola College, Chennai
Master of Science, Plant Biotechnology
2019 - 2021
Master of Science in Plant Biotechnology from Loyola College, Chennai, from 2019 to 2021.
Loyola College, Chennai
Bachelor of Science, Advanced Zoology and Biotechnology
2016 - 2019
Bachelor of Science in Advanced Zoology and Biotechnology from Loyola College, Chennai, from 2016 to 2019.
American Academy of Professional Coders
Certified Professional Coder (CPC), Medical Coding
Certified Professional Coder (CPC) certification from the American Academy of Professional Coders.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Salary expectations
Social media
Job categories
Skills
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