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@rushikeshdahifale
Certified medical coder with expertise in accurate coding and auditing.
I am a Certified Medical Coder (CPC) with two years of experience in the field, specializing in accurately assigning medical codes and ensuring compliance with coding guidelines. My journey began after earning my Bachelor of Pharmacy in 2022, and I have since honed my skills at Optum Health and Technology, as well as VLMS Global Healthcare. I take pride in my ability to maintain a 98% accuracy rate in daily claims processing, which demonstrates my commitment to excellence.
Throughout my career, I have developed a strong proficiency in ICD10CM, HCC coding, and medical terminology. My role as an auditor has further enhanced my expertise in reviewing patient records and identifying discrepancies, ensuring that all coding is precise and compliant with industry standards. I am well-versed in the use of Computer-Assisted Coding (CAC) tools and have a solid understanding of Medicare, Medicaid, and insurance regulations, which allows me to navigate complex coding scenarios effectively.
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Work history, roles, and key accomplishments
VLMS Global Healthcare
Feb 2025 - Present (9 months)
Currently working as a Senior Medical Coder, specializing in accurate coding and auditing charts. Responsible for reviewing patient charts, identifying discrepancies, and reconciling denied claims.
Optum Health and Technology
Jul 2023 - Feb 2025 (1 year 7 months)
Performed medical coding under Optum and Episource Guidelines, focusing on outpatient and inpatient coding using ICD-10-CM. Maintained 98% accuracy in daily claims when assigning ICD codes to patient records.
Degrees, certifications, and relevant coursework
Bachelor of Pharmacy, Pharmacy
Completed a Bachelor of Pharmacy degree at Shri Sai College of Pharmacy in 2022. This program provided a comprehensive understanding of pharmaceutical sciences and healthcare.
Higher Secondary Certificate, General Studies
Obtained a Higher Secondary Certificate from Savitribai Phule Pune University in 2018. This credential signifies completion of secondary education.
Secondary School Certificate, General Studies
Received a Secondary School Certificate from Savitribai Phule Pune University in 2016. This certificate marks the completion of foundational schooling.
Software and tools used professionally
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