Alka Bhat
Senior Coding Specialist
Zirakpur
Summary
Results-oriented and highly skilled medical coder with over 6 years of experience demonstrating a robust background in coding practices and compliance. Proven expertise as a US Auditor, conducting comprehensive audits, implementing effective quality assurance measures, and leveraging analytical skills for in-depth reporting and analysis.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Senior Coding Specialist - Healthcare
Quest Infosoft Pvt. Ltd
2 2023 - Current
- Review medical documentation to ensure completeness and clarity for accurate code assignment in compliance with coding guidelines and conventions
- Oversee a team of medical coders, ensuring appropriate training and competence in coding tasks
- Ensure the accuracy and quality of coded medical records to comply with coding guidelines, regulations, and industry standards
- Provide ongoing education and training to the coding team to keep them updated on coding guidelines, regulatory changes, and best practices
- Code & audit E/M OP charts, SSG & Wound Care, Telemedicine, Pain management & ASC operative reports, create appeals for specific insurances and handle various denials
- Conduct regular internal audits to identify patterns of errors and areas for improvement
- Implement performance metrics and monitor key performance indicators (KPIs) to assess the productivity and efficiency of the coding team
- Leads Launch of New Client Coding Projects
- Working on Quality check, Data Maintenance, Team management & handling client calls & emails.
SME - Coding
Jindal Healthcare
10.2017 - 02.2023
- Review and abstract relevant clinical data from electronic medical records to select the appropriate CPT code and ICD codes for procedures and diagnosis
- Specialize in coding related to Surgery (specialty Nervous system coding), Pain Management Blocks, EM OP, and Urine Drug Screening cases
- Proficient in using various Software (Meditech, Medi touch, eClinicalWorks, NextGen, Centricity, Sevocity, Encoder Pro, Availity, PhyGene, Laserfiche & PrognoCIS)
- Audit E/M billing to improve coding data accuracy for compliance reimbursement
- Utilize correct coding initiatives and policies for every insurance
- Document feedback on errors in clinical documentation at physician-specific levels
- Identify denial reasons and work on resolution for E/M OP, wound care, telemedicine, and pain management cases
- Code wound care reports (Debridement) & neuro SDS procedures (SCS Trial, ESI, TFESI, MBBs, RFAs & Nerve repair/grafts), Chemo denervation, Musculoskeletal (Arthrocentesis, TPI, Meniscal tear)
- Ensure codes are accurate, active, and sequenced correctly in accordance with insurance regulations
- Research for information in cases where the coding is complex or unusual
- Reduce TAT towards client for process improvement.
Education
Certified Professional Coder (CPC) -
AAPC
Certified Wound Care Associate - undefined
Vohra Wound Physicians
Certification in "AI in Medical Coding & Billing" - undefined
AAPC
B. Tech- M. Tech (Int) Biotechnology - undefined
Lovely Professional University
Intermediate - undefined
Kathuria Public School
High School - undefined
Kathuria Public School
Skills
- Conflict resolution techniques
- Strong analytical skills
- Project management experience
- Revenue Cycle Management
- HIPAA Compliance Knowledge
- Interpersonal relationship building
- Clinical Documentation Improvement
- Training and mentoring
- Coding Error Resolution
- Analytical Skills
- Auditing and Monitoring
Certification
Certified Professional Coder, AAPC, 2019, 01631698
Accomplishments
- BITP Trainee at Oncquest Laboratories Limited, conducted by BCIL (Biotech Consortium India Limited) and DBT (Department of Biotechnology) for 6 months (10th Nov. 2014 to 10th May 2015) on the project "Allele frequency of FSHR gene mutation for Osteoporosis in the Indian population."
- Handling various Laboratory techniques:
- Karyotyping for chromosomal analysis.
- Fluorescence microscopy and FISH for mutation analysis.
- PCR and RTPCR (both qualitative and real-time quantitative analysis).
- AS-PCR for SNP analysis.
- Sequencing and Mutation Analysis.
- Flow Cytometry for antigen studies.
- Immunohistochemistry.
Language
English
Personal Information
- Nationality: Indian
- Marital Status: Married
Timeline
SME - Coding
Jindal Healthcare
10.2017 - 02.2023
Senior Coding Specialist - Healthcare
Quest Infosoft Pvt. Ltd
2 2023 - Current
Certified Professional Coder (CPC) -
AAPC
Certified Wound Care Associate - undefined
Vohra Wound Physicians
Certification in "AI in Medical Coding & Billing" - undefined
AAPC
B. Tech- M. Tech (Int) Biotechnology - undefined
Lovely Professional University
Intermediate - undefined
Kathuria Public School
High School - undefined
Kathuria Public School
Certified Professional Coder, AAPC, 2019, 01631698
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