Naresh Kumar, SAS®CPC®CCS®PMBA®CAIMC®

Operations Associate

Herndon, Virginia, United States5 yrs 10 mos experience

Key Highlights

Over 7 years of expertise in medical coding.
Specialized in HCC risk adjustment and coding denials.
Proficient in SAS, SQL, and Python for data analysis.

Stackforce AI infers this person is a Healthcare Analytics Specialist with strong coding and data analysis skills.

Contact

Skills

Core Skills

Medical CodingRevenue Cycle ManagementHealthcare AnalyticsSas ProgrammingEmergency Department CodingEvaluation & Management CodingQuality Assurance In CodingRisk Adjustment Workflows

Other Skills

HCC Risk AdjustmentHCC CodingStudy Data Tabulation Model (SDTM)CDISC StandardsCurrent Procedural Terminology (CPT)Coding Techniques (ICD-10, CPT-4)E/M codingPodiatryGeneral SurgeryPhysical TherapyCPT CodingICD-10-CMSurgeryDENAILSSalesforce.com

About

Experienced Medical Coder with over 7 years of expertise in ICD‑10, CPT, HCPCS, and HIPAA compliance. I specialize in Podiatry and orthopedic surgery coding, emergency department (ED) professional and facility coding, inpatient coding (IP/OBS), HCC risk‑adjustment, and resolving complex coding denials and edits. In addition to coding, I work extensively with SAS, SQL, and Python to analyze healthcare data, optimize workflows, and support data‑driven decision‑making. My background includes EHR analytics and documentation review, with a strong focus on accuracy, compliance, and continuous quality improvement across healthcare operations.

Experience

Eclat health solutions inc

Certified Medical Coder

May 2025 – Present · 10 mos · Virginia, United States · Remote

Enhancing healthcare operations through strategic revenue cycle management. At ECLAT Health Solutions, I contribute to optimizing medical coding, billing, and compliance to improve efficiency and patient care.
Working remotely, I collaborate with healthcare professionals to ensure accuracy and financial integrity in healthcare documentation and operations.

HCC Risk AdjustmentHCC CodingMedical CodingRevenue Cycle Management

Intone networks inc

SAS Programmer/Coding Analyst

Jan 2024 – May 2025 · 1 yr 4 mos · New Jersey, United States · Hybrid

At Intone Networks Inc., I supported healthcare analytics and coding operations by developing SAS programs, validating clinical data, and ensuring accurate, compliant coding across multiple service lines. My work strengthened data integrity, improved reporting accuracy, and supported key revenue cycle and risk‑adjustment initiatives.

Study Data Tabulation Model (SDTM)CDISC StandardsHealthcare AnalyticsSAS Programming

R1 rcm

Senior Coding Analyst

Sep 2019 – Jun 2022 · 2 yrs 9 mos · India · On-site

As a Senior Coding Analyst, I provide expert-level coding support across Emergency Department (ED) professional services, Hierarchical Condition Categories (HCC), and Evaluation & Management (E/M) encounters. I ensure complete, accurate, and compliant documentation that supports optimal reimbursement and high-quality clinical reporting.

Current Procedural Terminology (CPT)Coding Techniques (ICD-10, CPT-4)Emergency Department CodingEvaluation & Management Coding

Phycare services india pvt. ltd.

Quality Assurance Specialist

May 2017 – Aug 2019 · 2 yrs 3 mos · India · On-site

At Phycare Services in Hyderabad, I provided advanced coding expertise across Evaluation & Management (E/M), surgical specialties, orthopedics, and risk‑adjustment (HCC) workflows. I supported physicians and revenue cycle teams by ensuring accurate, compliant coding that strengthened documentation quality and optimized reimbursement.

E/M codingPodiatryQuality Assurance in CodingRisk Adjustment Workflows