harikrishnaneld

About Candidate

Location

Education

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M.Sc. Biotechnology 2024
Bharathiyar University

Work & Experience

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Medical coder 2022 - 2025
Optum

Medical Coder | Optum India | Coimbatore | July 2022 - September 2025 • Specializing in Risk Adjustment coding for U.S based payers including Anthem, Aetna, Blue Shield, Viva health and Evergreen nephrology. • Proficient in ICD-10-CM, CPT, HCPCS Level II, E&M,Inpatient, outpatient and clinical terminologies. • Maintains 98% coding accuracy across Medicare and commercial health plans. • Tools : Salesforce, Citrix, NextGen; ensures HIPAA compliance and contributes to quality audits. • Collaborates with quality teams to resolve discrepancies and improve overall claim integrity.

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Medical coder 2025 - currently employed
Thriving RCM solutions and Medical coding

Medical Coder | R C M Thriving Solutions | U A E (Remote-Internship) | July 2025 - PRESENT • Specializing in UAE coding and claims submission • Proficient in ICD-10-CM, CPT, HCPCS Level II, E&M, Inpatient, outpatient and clinical terminologies • Tools : Cortex • Collaborates with quality teams to resolve discrepancies and improve overall claim integrity. • Skilled in claim audits, denial management, and UAE insurance protocols