ABINAYA T
Chennai
Summary
Results-driven Senior Medical Coding Quality Analyst with AGS Health, specializing in CPT and ICD-10-CM coding. Expert in enhancing coding accuracy through meticulous audits and documentation analysis. Proven track record in regulatory compliance and team collaboration, achieving significant improvements in coding quality and reimbursement accuracy. Committed to continuous learning and excellence in medical coding.
Overview
2
2
Languages
1
1
Certification
8
8
years of professional experience
Work History
Senior Medical Coding Quality Analyst -SDS
AGS HEALTH
04.2021 - Current
- Perform quality analysis and auditing of SDS medical coding to evaluate coding accuracy and documentation support.
- Review medical records and validate code assignment against clinical documentation and applicable coding guidelines.
- Identified coding discrepancies and documentation-related issues during quality audits to enhance coding accuracy.
- Provide coding feedback and clarification to support improved coding accuracy and quality.
- Reviewed audit findings to pinpoint recurring coding-quality issues and facilitate targeted improvements.
- Audited coder work for compliance with payer and client guidelines.
- Tracked quality findings in audit tools and communicated corrections to coders to promote compliance with standards.
Senior Medical Coder - Surgery coding
CORONIS AJUBA
01.2019 - 04.2021
- Assigned CPT, HCPCS, and Modifier codes for surgical specialties, ensuring precise code representation for accurate billing.
- Reviewed operative reports and physician documentation for accurate code assignment.
- Reviewed medical records for correct ICD-10-CM, CPT, and HCPCS coding, contributing to compliance with regulatory standards.
- Ensured coding accuracy and compliance with coding regulations and payer requirements.
- Worked extensively on surgical procedures including PTC and related coding scenarios.
- Supported claim optimization through strategic modifier application and code selection, enhancing reimbursement accuracy.
- Achieved productivity and quality benchmarks consistently.
Education
B.Sc Nursing -
Shamila College of Nursing
Chennai08-2016
Higher Secondary Education (12th Standard) -
St. Antony's Girls Higher Secondary School
03-2012
Skills
- CPT Coding
- ICD-10-CM
- Surgical Coding
- Modifier assignment
- Coding Accuracy
- Regulatory Compliance
- Medical coding audit
- Audit reporting
- Documentation Analysis
- Quality Assurance
- Attention to Detail
- Problem Solving
- Time Management
- Team Collaboration
- Continuous Learning
- Medical Terminology
- Anatomy & Physiology
Certification
- Certified Professional Coder (CPC) -94%
- Lean Six Sigma-Green Belt (In progress)
Languages
English
Proficient (C2)
C2
Tamil
Native
Native
Accomplishments
- Best Quality Auditor - AGS HEALTH
Timeline
Senior Medical Coding Quality Analyst -SDS
AGS HEALTH
04.2021 - Current
Senior Medical Coder - Surgery coding
CORONIS AJUBA
01.2019 - 04.2021
B.Sc Nursing -
Shamila College of Nursing
Higher Secondary Education (12th Standard) -
St. Antony's Girls Higher Secondary School