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Priyadarshni C. — Mid-Level Medical Coding Specialist from India

Priyadarshni C.

Mid-Level Medical Coding Specialist

India 1-2 years
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Languages
English
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About

Priyadarshni C. is an experienced medical coder with a background spanning executive and senior executive roles at Corrohealth and Pro1 Health System, and a quality analyst position at Clarus RCM. Specializing in the healthcare industry, Priyadarshni has applied expertise in ICD-10-CM, HCPCS Level II coding systems, and adhered to AMA and CMS coding conventions while ensuring comprehensive insurance verification and claims processing. Her responsibilities have included auditing medical records for accuracy, streamlining billing processes to improve efficiency, and reducing claim denials by staying current with regulatory guidelines. Priyadarshni has contributed to electronic health record system integration, provided training for junior coders, and maintained rigorous HIPAA compliance and data privacy across diverse healthcare documentation scenarios. She is committed to quality assurance, has participated in industry association conferences, and consistently ensures regulatory compliance in all coding and billing activities.

Experience

  • Junior Quality Analyst

    Clarus RCM · 2025 — 2026
    Reviewed and analyzed the coding of diagnostic and treatment procedures in outpatient medical records. Communicated with insurance companies to resolve coding discrepancies and ensured accuracy, completeness, and security of medical records and health information. Trained and mentored junior coders in high-quality coding practices.
  • Senior Executive Medical Coder

    Pro1 Health System · 2024 — 2025
    Streamlined billing processes to improve efficiency and minimize errors in claims submissions. Played a crucial role in the successful implementation of electronic health record systems, ensuring they integrated seamlessly into existing coding practices. Managed competing priorities while adhering to strict deadlines for code assignments.
  • Executive Medical Coder

    Corrohealth · 2022 — 2024
    Implemented thorough reviews and audits of medical records to enhance coding accuracy. Worked alongside physicians to verify adequate documentation and coding of diagnoses and procedures. Maintained knowledge of coding guidelines and regulatory changes, which contributed to a reduction in claim denials. Actively participated in professional development to sustain expertise in ICD-10-CM and HCPCS Level II coding systems.

Skills & Expertise

Education

  • B Sc Microbiology - First
    Tagore college of arts and science · 2017 — 2020
  • DMLT - First
    Madras Christian college · 2019 — 2020

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