Prinks Bhowmick
CPC-A | MEDICAL CODER | US HEALTHCARE CLAIMS PROFESSIONAL
About
Healthcare operations professional transitioning into medical coding, combining CPC-A certification with hands-on US insurance claims, issue-resolution, quality review, and MIS analytics experience. AAPC CPC-A credential holder with a strong foundation in ICD-10-CM, CPT and HCPCS concepts, supported by extensive operational experience in US health-insurance claims processing. Skilled in reviewing claims for completeness and accuracy, supporting issue-resolution workflows, interpreting diagnosis/cause/remark-code information, and producing high-quality MIS reports and dashboards.
Experience
MIS Executive - BANKSATHI
(2023-04)
- Reconcile CRM dumps with partner reports to update loan, bank-account and demat-account status and improve lead-data consistency.
- Use lookup logic and COUNTIF-based controls to identify duplicates and strengthen reporting accuracy.
- Prepare PivotTable reports for disbursals, account openings, new leads and partner performance.
MIS Executive - DESIGN BOXED
(2021-12 - 2022-12)
- Analyzed survey and social-media datasets using Excel and Google Sheets with COUNTIFS, SUMIFS, INDEX/MATCH, VLOOKUP and logical formulas.
- Created survey questions in Zoho applications, structured exported responses and produced decision-ready analysis reports.
- Built Google Data Studio dashboards to visualize survey findings and audience-engagement trends.
- Performed data cleaning using LEN, LEFT, RIGHT, SUBSTITUTE, FIND and TRIM before pivot-based analysis.
Senior Associate / UHG Claims Processor - WIPRO
(2011-06)
- Processed claims for a US-based health-insurance client while meeting critical productivity and quality metrics, including CPH and accuracy expectations.
- Supported UnitedHealth Group claims and Issue Resolution Unit workflows, including review of escalations and timely resolution of claim issues.
- Reviewed, verified and processed claims for accuracy and completeness and checked work for adherence to process standards.
- Interpreted IDRS, diagnosis, cause and remark-code information used within workflows to determine whether claims were paid, denied or closed.
- Provided process support to new team members as an acting trainer and helped identify operational issues and improvement opportunities.
- Prepared production reports from raw data using Excel, PivotTables and data validation; supported work allocation and structured team reporting.
Education
B.Sc. - Information Technology (2013)
