Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Personal Information
Certifications
Hobbies and Interests
Generic
Priyanka Shinde

Priyanka Shinde

Glen Allen

Summary

CPC Certified Medical Coder with over 2 years of experience in ICD-10 coding for home health services, demonstrating strong proficiency in medical terminology and clinical documentation review. Possess 1 year of hands-on experience in E/M coding, CPT®, and ICD-10-CM, including accurate assignment of diagnosis and procedure codes. Additionally, 9 month of specialized experience in oncology coding and pregnancy/obstetrics coding.

Skilled in reviewing and coding over 1,500 patient reports with a focus on accuracy and efficiency. Also bring 2 years of prior experience as a Laboratory Technician, contributing to a well-rounded understanding of clinical workflows and patient care documentation.

Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Senior Medical Coder

Credence Resource Management
10.2024 - 08.2025

Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.

Detail-oriented and certified Medical Coder with extensive experience in oncology and obstetrics/pregnancy coding, including accurate assignment of ICD-10-CM, CPT, and HCPCS codes. Proven ability to interpret complex clinical documentation, ensure compliance with payer guidelines, and support revenue cycle integrity. Skilled in coding for chemotherapy, radiation therapy, prenatal care, labor and delivery, and postpartum services. Adept at working with EHR systems, conducting internal audits, and collaborating with clinical teams to optimize coding accuracy.

Medical Coder

Augustus Healthcare Pvt Ltd
11.2020 - 10.2024
  • Company works in Home Health coding
  • Where i have been part of medical coding team
  • Assign Codes , Compile and record medical charts, reports and correspondence.
  • Knowledge of EMR
  • Knowledge of HIPPA laws and regulations
  • Knowledge of software EPIC , Matrix care , Kinser, HCHB
  • Speed typing ( Experienced)
  • Codes In-patient , out-patient and emergency room.
  • Microsoft Word, Microsoft Office, Microsoft Excel
  • Medical Anatomy & physiology, Medical Terminology

LAB Technician

KEM Hospital Mumbai
09.2017 - 02.2019

Worked as a Laboratory Technician, responsible for conducting diagnostic tests on blood and urine samples. Accurately performed sample analysis and prepared detailed reports to assist the Pathologist in diagnosing patient conditions.

Education

Bachelors of Science - Chemistry

Mumbai University

PGDMLT - Medical Diagnostics

University of Mumbai

Skills

  • ICD-10-CM, CPT®, HCPCS Level II coding
  • Oncology coding (chemotherapy, radiation, surgical oncology)
  • Pregnancy & OB/GYN coding (prenatal, delivery, postpartum)
  • Global obstetric package coding
  • Modifier usage and E/M coding
  • Compliance with CMS and payer-specific guidelines
  • Medical terminologies
  • Anatomy HCPCS
  • EXCEL PowerPoint
  • MS word
  • Analytical Skills
  • Problem Solving

Certification

CPC - Certified Professional Medical Coder by AAPC

Languages

English
Full Professional

Timeline

Senior Medical Coder

Credence Resource Management
10.2024 - 08.2025

Medical Coder

Augustus Healthcare Pvt Ltd
11.2020 - 10.2024

LAB Technician

KEM Hospital Mumbai
09.2017 - 02.2019

PGDMLT - Medical Diagnostics

University of Mumbai

Bachelors of Science - Chemistry

Mumbai University

Personal Information

Title: Certified Medical Coder

Certifications

01-2023

Hobbies and Interests

  • Medical coding

  • In patient Coding

  • Out patient Coding

  • Pathology coding

  • Anesthesia Coding

  • Surgical coding

Priyanka Shinde