Sanket Amate — Business Analyst

Experienced and dual-certified Senior Medical Coder (CPC, CCS) with 7+ years of expertise in both Risk Adjustment (HCC) and E/M Outpatient coding. Skilled in ICD-10-CM, CPT, and HCPCS, with a deep understanding of coding compliance, documentation integrity, and payer-specific guidelines. I specialize in accurate code selection, HCC risk capture, and leveling of E/M services across multiple specialties. My background includes working in high-volume coding environments and supporting QA, audits, and coding education initiatives. As a certified coding professional, I consistently maintain 98%+ accuracy and contribute to clean claims and optimal revenue cycles. I’ve worked across platforms including 3M, EncoderPro, Epic, and Optum360. Currently seeking opportunities in senior, remote, QA, or auditor roles where I can contribute both technical expertise and leadership in coding quality. **Key Skills:** - HCC Coding (Risk Adjustment Models) - Outpatient E/M Leveling - CPT | ICD-10-CM | HCPCS | MEAT Criteria - CMS-HCC Guidelines | RADV Audit Readiness - QA Reviews | Coding Audits | Team Mentorship - Remote Coding | Epic | EncoderPro | Optum360

Stackforce AI infers this person is a Healthcare Coding Specialist with expertise in risk adjustment and compliance.

Location: Pune, Maharashtra, India

Experience: 8 yrs