Pravin Narwade

Detail-oriented Medical Coder with progressive experience in ED coding, HIM chart review, and coding audits across leading healthcare RCM organizations. Seeking to leverage strong knowledge of CPT and ICD-10-CM coding guidelines, compliance standards, and quality auditing in an environment that encourages professional growth and rewards accuracy and dedication.

Senior Medical Coder at Omega Healthcare (2024-11 – Present)

• Perform accurate ED medical coding using CPT, ICD-10-CM, and HCPCS Level II coding systems in line with payer and client-specific guidelines.
• Review clinical documentation to ensure coding accuracy, completeness, and compliance with CMS and payer regulations.
• Identify and resolve coding discrepancies through root-cause analysis to minimize claim denials and rework.
• Collaborate with quality and audit teams to maintain and improve individual and team coding accuracy benchmarks.

Executive – HIM at CorroHealth Pvt. Ltd. (2023-11 – 2024-11)

• Managed health information records and supported chart review processes to ensure accurate documentation and coding integrity.
• Coordinated with coding and audit teams to reconcile discrepancies between clinical documentation and coded claims.
• Applied CPT and ICD-10-CM coding standards to a high volume of patient encounters within strict turnaround-time requirements.
• Maintained compliance with HIPAA and organizational data-privacy protocols while handling sensitive patient information.

Senior Medical Coder at Gebbs Healthcare Solutions (2022-05 – 2023-10)

• Coded Emergency Department (ED) claims accurately using CPT and ICD-10-CM classification systems.
• Executed claims processing per individual client specifications, ensuring compliance and coding-accuracy targets were consistently met.
• Coordinated closely with team members and leads to resolve coding queries and streamline claims turnaround.
• Recognized with the Gebbs Achievers Award for outstanding performance (Quarter: April – June).

Bachelor of Pharmacy in Pharmacy – Rajesh Bhaiyya Tope College of Pharmacy (2020)

HSC – Maharashtra State Board (2016)

SSC – Maharashtra State Board (2014)