V. PAVAN KUMAR
Summary
Results-driven Medical Coding Leader with 12 years of experience in healthcare revenue cycle management (RCM), multispecialty coding, and denial management. Certified Professional Coder (CPC) with proven expertise in leading large coding teams (100+ coders), managing complex healthcare operations, and delivering high quality coding services for global clients.
Overview
4
4
Languages
1
1
Certification
12
12
years of professional experience
Work History
Senior Team Leader – Medical Coding
Coronis
Ajuba, Hyderabad
03.2023 - Current
- Led a team of 50+ medical coders across multiple specialty coding projects including E/M OP, IP, SDS, and denial coding.
- Leading end-to-end Coding operations across multiple accounts, ensuring adherence to SLAs, productivity targets, and quality benchmarks. Managed daily performance metrics including coding accuracy, productivity, TAT, denials, and rework to drive operational excellence.
- Monitoring daily productivity, quality metrics, and team performance dashboards.
- Implemented process improvement initiatives and software enhancement recommendations to streamline coding workflows and address operational challenges.
- Facilitated transition and stabilization of new coding projects by coordinating with cross-functional teams and establishing clear workflows.
- Conduct client governance meetings and performance reviews to improve operational outcomes.
- Collaborated with clients through regular review calls and performance discussions, enhancing client satisfaction and workflow efficiency.
- Mentored team members and developed future leaders through structured coaching and training programs.
Lead – Service Delivery
Sutherland Healthcare Solutions
Hyderabad
09.2015 - 10.2022
- Managed 25+ coders across multiple healthcare coding specialties.
- Oversaw ED facility coding, radiology coding, denial coding, SDS, and E/M coding, Non-Vascular IVR coding operations.
- Conducted coding audits and vendor quality benchmarking for global healthcare clients.
- Developed structured coaching plans and performance tracking methods that improved coding productivity and quality outcomes.
- Managed client communications, operational reviews, and performance reporting.
- Identified operational gaps and implemented workflow improvements to enhance efficiency.
- Established strong cross-functional collaboration with leadership and operations teams to ensure smooth workflow management and issue resolution.
Coding Executive – Emergency Department Coding
Elico Healthcare Services
Chennai
07.2014 - 09.2015
- Reviewed medical records and assigned accurate CPT, ICD-10-CM, modifiers, and PQRS codes to maximize reimbursement and maintain compliance.
- Validated coding quality through audits and provided feedback that enhanced coding accuracy across the team.
- Monitored productivity and turnaround time (TAT) metrics to align with client expectations and operational goals.
- Coordinated daily work allocation and priority management for coding teams to optimize claim processing workflows.
- Maintained high standards of physician coding quality while supporting revenue cycle management objectives.
Education
Bachelor of Pharmacy (B.Pharmacy) -
PRRM College of Pharmacy
Hyderabad05-2013
Skills
- EHR platform expertise
- CD-10-CM / CPT / HCPCS Coding
- CPC / CCS Certification Training
- Quality assurance
- Team Leadership & Performance Coaching
- Coding compliance monitoring
- Interpersonal communication
- Client & Stakeholder Communication
- Workflow Optimization
- Staff development
- Medical coding integrity
Certification
Certified Professional Coder (CPC)
AAPC – American Academy of Professional Coders
Languages
English
Proficient (C2)
C2
Telugu
Native
Native
Hindi
Proficient (C2)
C2
Tamil
Advanced (C1)
C1
Timeline
Senior Team Leader – Medical Coding
Coronis
03.2023 - Current
Lead – Service Delivery
Sutherland Healthcare Solutions
09.2015 - 10.2022
Coding Executive – Emergency Department Coding
Elico Healthcare Services
07.2014 - 09.2015
Bachelor of Pharmacy (B.Pharmacy) -
PRRM College of Pharmacy