Summary
Overview
Work History
Education
Skills
Certification
Technical Knowledge And Skills
Mobile Numbers
Personal Information
Disclaimer
Roles And Responsibilities
Timeline
Generic

Shivkumar Kashinath Karanje

Medical coder
Parbhani

Summary

Certified medical coder specializing in ED, E/M, and Denial coding with a proven track record of high accuracy and efficiency. Strong time management skills and a reliable, hardworking nature drive my passion for contributing to organizational goals while seeking personal satisfaction and self-development. Skilled medical coding professional dedicated to enhancing accuracy and efficiency in healthcare documentation. Recognized for strong analytical skills, attention to detail, and comprehensive knowledge of medical coding systems and regulations. Adapting to evolving requirements, and consistently delivering high-quality results, all while maintaining a reputation for reliability and commitment to upholding high standards in every task.

Overview

6
6
years of professional experience
1
1
Certification
3
3
Languages

Work History

Medical Coder

Gebbs Healthcare Solutions
10.2019 - 04.2021
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.

Medical Coding Associate

Aquity Solutions India Pvt. Ltd.
05.2021 - 11.2021

Reviewed and analyzed outpatient medical documentation (procedures, ancillary services) to accurately abstract and code diagnoses and procedures using ICD‑10‑CM and CPT/HCPCS, ensuring compliance with Aetna’s coding policies.

Executive-Coding Services

Corrohealth
11.2021 - 11.2022
  • Reviewed patient charts to better understand health histories, diagnosis and treatments.
  • Assigned correct E/M level and CPT codes by using guidelines provided by 'American Medical Association' and Centers of Medicare and Medicaid Services.
  • Assigned accurate ICD.

Medical Coding Expert

Inventurus Knowledge Solutions Private
11.2022 - Current
  • Initially joined as an Outpatient Medical Coder, abstracting and coding diagnoses and procedures (ICD‑10, CPT/HCPCS) from ambulatory setting charts in alignment with Aetna’s guidelines, ensuring clean claim submissions.
  • Over the past two years, transitioned into a Denial Management Specialist, focusing on multispecialty outpatient claim denials. Analyzed payer denial reason codes, identified root causes, and performed recoding or appeals to support claim recovery — collaborating with billing teams and payers to enhance revenue cycle efficiency

Education

B.Pharmacy -

BAMU University, Aurangabad
Aurangabad, MH
06-2020

Skills

    Communication skills

    TIme management

    Organisation skills

    Problem solving skills

    Coding error resolution

    Team collaboration

Certification

CPC

Technical Knowledge And Skills

  • Good interpersonal and communication skills.
  • Good time management and organisation skills.
  • Analytical and problem solving skills.

Mobile Numbers

  • +91-7498258521
  • +91-7350332285

Personal Information

  • Date of Birth: 01/06/95
  • Gender: Male
  • Marital Status: Unmarried

Disclaimer

I do hereby declare that the above information is true and correct to the best of my knowledge.

Roles And Responsibilities

  • Reviewed patient charts to better understand health histories, diagnosis and treatments.
  • Assigned correct E/M level and CPT codes by using guidelines provided by 'American Medical Association' and Centers of Medicare and Medicaid Services.
  • Assigned accurate ICD.

Timeline

Medical Coding Expert

Inventurus Knowledge Solutions Private
11.2022 - Current

Executive-Coding Services

Corrohealth
11.2021 - 11.2022

Medical Coding Associate

Aquity Solutions India Pvt. Ltd.
05.2021 - 11.2021

Medical Coder

Gebbs Healthcare Solutions
10.2019 - 04.2021

B.Pharmacy -

BAMU University, Aurangabad
Shivkumar Kashinath KaranjeMedical coder