Pratik Tanpure
#Medical coder at Kraft Healthcare, Bangalore ◆CPC Certified (American Academy of Professional Coders)◆AI in Medical Coding (AAPC)●Multispeciality Denial Management
- Role
- Medical Coder at 3ag Business And Technology Solutions Llc
- Location
- Pune, MH, IN
- LinkedIn followers
- 500 followers
About Pratik Tanpure
Hi, I\'m a Denial Management Coder with expertise in handling both Hospital Billing (HB) and Professional Billing (PB) workflows. I\'m proficient in:Epic, Cerner, and 3M coding platformsReviewing and resolving payer denialsCorrecting CPT/ICD coding, sequencing, and modifiersEnsuring compliance with payer rules & NCCI edits My work helps healthcare organizations: Recover revenue from denied claims Prevent future denials through root-cause analysis Improve billing workflows and complianceCollaborate with providers and billing teams to resolve denial issues and ensure accurate documentation of patient records, resulting in improved claim acceptance rates. Passionate about continuous learning in RCM and denial prevention, I also share insights and denial tips to support the coding community. Open to networking, collaboration, and opportunities to contribute to the healthcare revenue cycle space.
Experience
Medical Coder
3ag Business And Technology Solutions Llc
Feb 2024 — Present · Bengaluru, IN
Hands-on experience in both Professional (Physician) and Hospital Billing departmentsReviewed and resolved claim denials for OPD, IPD, and physician servicesApplied accurate ICD-10-CM, CPT, and HCPCS codes as per payer and CMS guidelinesWorked on denials related to coding, medical necessity, bundling, modifiers, and eligibility.Coordinated with billing, AR, and clinical teams to reduce denial trends
Education
Shri Chhatrapati Sambhaji Shikshan Sansthas Sitabai Thite College of Pharmacy, Shirur, Ghodnadi, Dist . Pune 412210
Bachelor of Pharmacy - BPharm, Pharmacy
Savitribai Phule Pune University (SPPU)
Bachelor of Pharmacy - BPharm
Seva Shikshan Prasarak Mandals Dr.M.J.Paulbhudhe College of Education, Shaneshwarnagar, Vasant Tekadi, Savedi, Ahmednagar 414003
Bachelor of Pharmacy - BPharm, Pharmacy
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