Open to opportunities

Susan Veronica

@susanveronica

CPC-certified medical coder specializing in IPDRG, E/M, denial, radiology, and surgery with strong compliance and accuracy.

India

Message

What I'm looking for

I’m looking to grow in a coding role where I can apply CPC-certified accuracy to IPDRG, E/M, denial, and radiology work—strengthening compliance, reducing denials, and supporting efficient reimbursement through payer-guideline-driven coding.

I’m a Certified Professional Coder (CPC) with experience in home health, IPDRG, inpatient, HCC, surgery, outpatient, ambulatory, E/M, denial, and radiology medical coding. I code using ICD-10-CM, CPT-4, and HCPCS Level II, applying modifiers correctly to support compliant reimbursement.

In my current role as an IPDRG, Surgery & E/M Medical Coder, I review clinical documentation for completeness and coding accuracy while following payer policies and regulatory standards. Previously, I worked as a denial and radiology medical coder and as a medical coder across multiple specialties—focused on maintaining coding quality, improving accuracy through audit collaboration, and reducing claim denials.

Experience

Work history, roles, and key accomplishments

Current

IPDRG, Surgery & E/M Coder

Current

AIG Health Care

Sep 2025 - Present (10 months)

Codes surgical cases using ICD-10-CM, CPT, and HCPCS guidelines while ensuring compliance with payer policies and regulatory standards. Reviews clinical documentation for completeness and coding accuracy to support claim acceptance.

Surgery Coding E M Coding ICD 10 CM CPT HCPCS Level II Medical Record Review Payer Policy Review Coding Accuracy

Denial, Home Health & Radiology Coder

Gebbs Healthcare Solutions

Feb 2021 - Sep 2025 (4 years 7 months)

Codes radiology procedures according to official coding guidelines and applies modifiers to support correct reimbursement. Reviews physician documentation, maintains payer/regulatory compliance, and partners with audit teams to reduce denials.

Radiology Coding Denial Management Home Health Coding E M Coding Coding Modifiers ICD 10 CM CPT HCPCS Level II Coding Accuracy Quality Assurance

Medical Coder

Quintessence Business Solutions & Services

Aug 2019 - Jan 2021 (1 year 5 months)

Reviews and codes medical records across multiple specialties to maintain high coding accuracy and support timely claim processing. Ensures adherence to healthcare documentation and billing regulations.

Medical Coding ICD 10 CM CPT HCPCS Level II Claims Processing Compliance Documentation Medical Terminology