SANJITH KUMAR CPC
Coimbatore
Summary
Dynamic Team Coordinator at Global Healthcare Billing Partner Pvt. Ltd. with expertise in E/M coding and a proven track record of enhancing coding accuracy. Skilled in provider education and compliance, I successfully improved documentation practices, reducing denials and ensuring adherence to ICD-10-CM guidelines. Committed to fostering teamwork and collaboration for optimal results.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Team Coordinator
Global Healthcare Billing Partner Pvt.Ltd
Chennai
06.2022 - Current
- Assign E/M CPT codes from provider documentation while meeting ICD-10-CM and payer guidelines.
- Review medical records, progress notes, and encounter documentation to determine correct E/M service levels.
- Apply 2023 AMA E/M guidelines, using time-based and MDM-based criteria to select proper service levels.
- Maintained up-to-date knowledge of E/M coding regulations and guidelines. of CMS, AMA, and payer-specific E/M coding rules.
- Provided constructive feedback and education to providers on documentation improvement, enhancing accuracy in E/M code assignment.
- Assist with denial management and appeals by reviewing payer rejections tied to E/M coding.
- Perform quality assurance audits of E/M coding to find errors and improve accuracy.
- Used ICD-10 coding and billing methods to support accuracy and compliance with applicable regulations.
- Processed and submitted patient insurance claims to multiple insurance carriers in a timely manner.
- Collaborated with healthcare providers to support correct use of diagnosis and treatment codes.
- Identified coding error trends and risk areas, providing actionable recommendations to improve accuracy and minimize denials.
- Prepared detailed audit reports summarizing findings and compliance risks, outlining corrective action plans for improvement.
- Delivered education and feedback sessions to coders on documentation improvement and guideline adherence.
- Supported denial management and appeals by analyzing payer rejections tied to E/M coding.
Clinical Documentation Specialist
Access Healthcare Pvt.Ltd
Coimbatore
09.2018 - 01.2022
- Converted paper-based clinical documentation into structured electronic health records (EHR) to support accurate coding and billing.
- Ensured data integrity and accuracy during electronic conversion of patient records, reducing transcription errors.
- Utilized EHR systems and coding software to streamline documentation workflows and improve accessibility.
- Collaborated with providers and clinical staff to clarify documentation, facilitating smooth transition from manual to electronic formats.
- Assisted in implementing Clinical Documentation Improvement (CDI) initiatives, improving accuracy of electronic records.
- Maintained confidentiality and compliance with organizational and regulatory standards during electronic data handling.
Education
Master of Science - Biotechnology
SNMV College of Arts And Science
05-2017
Skills
- E/M coding
- ICD-10-CM coding
- CPT assignment
- Coding accuracy assessment
- Denial management
- Compliance knowledge
- Medical terminology
- Analytical skills
- Project management
- Team leadership
- Teamwork and collaboration
- Provider education
Personal Information
Title: Team Coordinator
Certification
- Certified Professional Coder
Languages
Tamil - Native Speaker, English - Native Speaker, Malayalam - Native Speaker
Accomplishments
- R&R 2026 Best Performer Award
Timeline
Team Coordinator
Global Healthcare Billing Partner Pvt.Ltd
06.2022 - Current
Clinical Documentation Specialist
Access Healthcare Pvt.Ltd
09.2018 - 01.2022
Master of Science - Biotechnology
SNMV College of Arts And Science