Summary
Overview
Work History
Education
Skills
Certification
PERSONAL DETAILS
Timeline
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Sahil Suryakant Londhe

Sahil Suryakant Londhe

Thane

Summary

Enthusiastic Medical Coder with experience in ICD-10-CM, CPT and HCPCS coding systems, and a solid understanding of medical terminology and disease processes. Eager to apply my skills in CPT , HCC and HCPCS coding while continuing to learn and grow in the field of medical coding.

Overview

2
2
years of professional experience
1
1
Certification

Work History

Medical Coder

GeBBs Healthcare Solutions
04.2025 - Current
  • Accurately assigned E/M CPT® codes for outpatient visits, including new and established patient encounters, ensuring compliance with CMS and AMA guidelines.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
  • Leveraged coding software to its fullest potential, automating aspects of coding process and reducing manual entry errors.
  • Analyzed medical records for key components such as history, examination, and medical decision making (MDM) to support proper E/M level assignment.
  • Maintained an average coding accuracy rate of 95%+ for E/M outpatient services across multiple specialties including internal medicine, family practice, and pediatrics.

Junior Medical Coder

Optum Health & Technology India Pvt. Ltd.
12.2023 - 12.2024
  • Accurately assigned ICD-10-CM codes to patient records, with a focus on HCC coding for chronic and complex conditions.
  • Reviewed medical charts thoroughly to ensure that the coding was accurate and complied with industry standards.
  • Used coding systems like ICD-10-CM, CPT, and HCPCS for precise documentation and billing.
  • Ensured correct risk adjustment coding to support healthcare reimbursement models.
  • Worked closely with the quality assurance team to make sure all coding followed the necessary guidelines and regulatory requirements.
  • Understanding of disease processes, drug classifications, and healthcare procedures.
  • Proficient in data entry and data validation activities.
  • Proficiency in Microsoft Excel, Word, and PowerPoint.
  • Soft Skills

Education

B. Pharmacy -

Mumbai University
Mumbai
09-2023

Skills

  • Experienced in professional fee coding for Family Medicine and Internal Medicine, including preventive care, chronic disease management, and complex E/M services
  • Worked with diverse medical charts while adhering to practice-specific coding guidelines and clinical directives across multiple specialties
  • Assigned codes by reviewing documentation and coding ancillary services such as labs, pathology, and imaging coding in primary care, adhering to payer-specific and CMS guidelines
  • Experienced in coding and documentation review for Transitional Care Management (TCM), Chronic Care Management (CCM), and Preventive Services, including Medicare Annual Wellness (MAW) visits

Certification

  • CPC-certified medical coder with comprehensive knowledge of ICD-10-CM, CPT, and HCPCS coding systems, specializing in accurate outpatient and physician coding.
  • Medical coding Certificate: ICD 10 & 11 Medical Coding and Billing, Udemy
  • Certificate in 'Introduction to Pharmacovigilance' from Uppsala Monitoring Centre.
  • Clinical Research Certificate Course, BioGrademy
  • Certificate of Completion in Good Clinical Practice from NIDA Clinical Trials Network
  • Google Digital Garage Certificate: Fundamentals of Digital Marketing, Google Digital Garage, November 10, 2020
  • Registered Pharmacist at Maharashtra Pharmacy Council

PERSONAL DETAILS

Language Known: English, Marathi, Hindi

Timeline

Medical Coder

GeBBs Healthcare Solutions
04.2025 - Current

Junior Medical Coder

Optum Health & Technology India Pvt. Ltd.
12.2023 - 12.2024

B. Pharmacy -

Mumbai University

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Sahil Suryakant Londhe