Sonu Prabhakar
@sonuprabhakar
Medical coder focused on accurate CPT/ICD-10-CM claims and payment integrity through compliance expertise.
What I'm looking for
I’m a detail-oriented medical coding professional with hands-on experience in medical terminology, CPT, and ICD-10-CM coding, including E/M outpatient coding. I’ve worked in ECW software to support accurate, guideline-based documentation and claims.
In payment integrity operations, I’ve built a strong understanding of federal and commercial insurance guidelines, including fraud detection and compliance review. I focus on ensuring accurate claims processing, supporting revenue cycle integrity, and helping teams operate with greater compliance and efficiency.
Alongside coding, I’ve worked as a research analyst where I gained insurance knowledge across Medicare, medical, and commercial areas. I’m also CPC-certified from AAPC and use tools like Microsoft Excel to analyze and support healthcare processes.
Experience
Work history, roles, and key accomplishments
Research Analyst
Coverself Software Technologies
Aug 2024 - Jan 2026 (1 year 5 months)
Built knowledge of Medicare, medical, and commercial insurance concepts while working in a research analyst capacity. Applied analytical skills to support understanding of insurance processes and related compliance considerations.
Medical Coder
Calpion Software Technologies
Feb 2021 - Jul 2024 (3 years 5 months)
Performed outpatient E/M medical coding using ECW software and applied CPT and ICD-10-CM rules to support accurate claims processing. Supported payment integrity operations with fraud detection and compliance review aligned to federal and commercial insurance guidelines.
Education
Degrees, certifications, and relevant coursework
MCAST
Undergraduate Certificate of Nursing Studies (Bridging Course), Nursing
Undergraduate nursing studies bridging course (8 months), currently ongoing.
Rajiv Gandhi University of Health Sciences
Bachelor of Science in Nursing, Nursing
2014 - 2018
Completed a BSc in Nursing at Rajiv Gandhi University of Health Sciences from 2014 to 2018.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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