Ganta Sashikanth
Aubrey,TX
Summary
Experienced Senior Medical Coder with 8+ years of experience and Certified Professional Coder designation. Extensive knowledge in medical coding and documentation, with a track record of improving billing processes and compliance through coding accuracy initiatives. Proficient in ICD-10 and CPT coding systems, ensuring precision and efficiency in all coding practices.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Medical Coder
R1 RCM
09.2019 - 06.2023
- Worked as a Senior medical coder in the Emergency Department (ED) coding Facility for R1 RCM. (Formerly known as Accretive Health Services Private Limited)
- Audit the medical records processed internally by the team members. Maintaining the Quality Metrics without any discrepancy/Compromise.
- Sharing the updates and client requirements with the team day to day as per the guidelines.
- Providing Training for Freshers and Giving Buddy-up for them.
Senior Medical Coder
Gebbs Health Care Solutions
07.2018 - 09.2019
- I worked as a senior medical coder in the Emergency Department (ED) coding for Professional and Facility.
Coding Associate
WNS Global Solutions
11.2017 - 06.2018
- Worked as a Coding Associate in ED Professional.
- Reviewing the Patient medical records and converting the Diagnosis into ICDs.
- Worked on Denials' medical charts.
- Worked on UB-04 and HCFA 1500 or CMS -1500 Claims/Charts as per the Guidelines.
Process Associate
Optum Global Solutions
07.2014 - 07.2017
- Worked as a Process Associate for Optum Global Solutions (Formerly known as UnitedHealth Group.)
- Worked on claims which are not paid correctly, applying co-insurance if applicable. Worked on claims that were submitted by the providers and updated the status of claims via email.
- Coordinating the other insurance patient responsibility as per company norms.
- Auditing the claims as per the parameters that are processed by the associates.
- Solving provider disputes based on parameters.
- Having Good Knowledge on Medicaid & Medicare Services, HIPAA and CMS guidelines.
- Knowledge on Modifiers, HCPCS and DMEs and understanding the flow process of RCM.
- Active participant in the U-CARE team.
Education
Master's - Health and Public : Health Data Analytics
University of North Texas
Denton, Texas05.2025
B. Pharmacy - undefined
Maheshwara College of Pharmacy, JNTUH
Hyderabad, TG01.2013
Intermediate - undefined
Nalanda Junior College
Hyderabad, TG05.2009
S.S.C - undefined
Poornima Vidya Niketan High School
Hyderabad, TG06.2007
Skills
- ICD-10 CM Coding
- Medical Records Maintenance
- EMR and EPIC software
- Healthcare coding competency
- Electronic Charting
- Knowledge of HIPAA regulations
- Knowledge of medical terminology
- Emergency Procedures
- Medical Coding
- Certified professional coder certification
- Medical coding software proficiency
- CPT coding
Certification
CPC Certified from AAPC. (ID-01456292)
Timeline
Senior Medical Coder
R1 RCM
09.2019 - 06.2023
Senior Medical Coder
Gebbs Health Care Solutions
07.2018 - 09.2019
Coding Associate
WNS Global Solutions
11.2017 - 06.2018
Process Associate
Optum Global Solutions
07.2014 - 07.2017
B. Pharmacy - undefined
Maheshwara College of Pharmacy, JNTUH
Intermediate - undefined
Nalanda Junior College
S.S.C - undefined
Poornima Vidya Niketan High School
Master's - Health and Public : Health Data Analytics
University of North Texas
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