Sushant Nagargoje

Healthcare professional with expertise in Medical Coding and Medical Billing. Skilled in charge entry, claims processing, billing data analysis, and documentation review. Certified Risk Coder (CRC) with strong knowledge of ICD-10-CM, CPT coding, and US healthcare workflows.

Data Analyst – Medical Billing at Turnaround India LLP (2025-11 – Present)

• Analyzed patient reports, performed charge entry, applied billing codes, and processed claims for US healthcare providers.
• Ensured accurate billing data submission to support provider reimbursement and revenue cycle operations.
• Worked on healthcare documentation review and claims validation.
• Utilized Connexem for billing workflow management and data processing.
• Generated reports and supported billing operations through data analysis.

Medical Coder at Advantmed India LLP (2024-08 – 2025-10)

• Accurately coded patient information using ICD-10-CM and CPT coding systems, enhancing billing accuracy.
• Maintained up-to-date knowledge of coding updates and revisions, applying them accurately to medical records.
• Audited medical records regularly to maintain compliance with national coding standards and regulations.
• Monitored changes in healthcare guidelines to adjust coding procedures accordingly, maintaining legal compliance.

Quality Control Officer at Maxheal company (2024-02 – 2024-06)

• Monitored production processes to verify adherence to quality standards and specifications.
• Confirmed the required specifications and measurements of materials that were ordered for projects.
• Assessed completed batch records, evaluating successes and highlighting areas requiring quality improvements.

Bachelor's Degree in Pharmacy; Science – Dr N J Paulbudhe College of Pharmacy (2019-06 – 2023-06)

HSC in Science – Pemraj sarada college (2019-06 – 2019-06)

SSC in Marathi – Shri samarth vidya mandir preshala savedi (2017-06 – 2017-06)