AMAL ASOKAN
CERTIFIED MEDICAL CODER (CPC-1515959)
Abu Dhabi
Summary
Dedicated and experienced professional with 4 and a half years of medical coding expertise including 3 years of pre-approval experience. Seeking a challenging position in a reputable healthcare organization where I can utilize my skills and knowledge to contribute to the efficient and accurate coding of medical procedures and diagnoses. Committed to maintaining compliance with industry regulations and ensuring the highest level of data integrity. Aiming to further enhance my coding proficiency and expand my career in the healthcare industry.
Overview
13
13
years of professional experience
5
5
Languages
Work History
Medical Coder, Authorization Officer
Tajmeel Clinic by Burjeel Holdings
02.2022 - Current
- Obtaining Pre-approvals for various Day Care and Dental procedures.
- Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements.
- Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for the organization.
- Verifying codes on each approvals request to avoid coding errors and to reduce rejection rate.
- Educating Physicians and related team members on latest coding guidelines and requirements.
- Responsible for filing and tracking insurance claims and informing patients on their claims status.
- To coordinate and co-operate with colleagues and other related departments such as front desk, and finance for smooth running of operations.
- Assisting patients with insurance enquiries and providing explanations on benefits, additional payments, limits and coverage/non-coverage ensuring a positive patient experience.
- Review claims to make sure that billing requirements are met, updates accounts as necessary, answers inquiries, and makes recommendations for resolution.
- Maintains strict confidentiality related to medical records and other data.
- Well versed in using multiple insurance portals such as Daman Open jet, Nas-jet, ADNIC, Metlife, Nextcare, Mednet, E-Claims portal etc.
Insurance Coordinator
Aster DM Healthcare, (3 Years).
09.2018 - 12.2021
- Accurately assigned appropriate codes to dental procedures and services using established coding systems such as USCLS and International Classification of Diseases (ICD).
- Obtained pre-authorizations for various routine and major Ortho, Cardio, Urologic treatment procedures.
- Performed accurate and timely billing for procedures.
- Verified insurance coverage and benefits for patients, ensuring compliance with insurance regulations and company policies.
- Reviewed medical records and treatment documentation to ensure accurate and complete documentation of procedures and services provided.
- Collaborated with Specialist physicians and medical staff to clarify coding discrepancies and obtain additional information as needed.
- Conducted thorough reviews of patient's data, identifying and resolving coding errors and discrepancies.
- Assisted patients with insurance enquiries and provided explanations of benefits, ensuring a positive patient experience.
- Communicated with insurance companies and patients to resolve billing issues and discrepancies.
- Provided coding-related training and guidance to front desk staff, addressing coding inquiries and ensuring proper coding practices.
- Developed and maintained strong relationships with insurance companies resolving billing issues and advocating for fair reimbursement.
- Documentation support for treating physicians in case of incomplete documentation and review of errors, suggesting corrective actions.
Medical Language Specialist
Accentia Technoloiges, India (5 Years).
05.2013 - 07.2018
- Transcribe Audio: Listen to dictated notes from doctors and nurses and type them into text.
- Edit & Proofread: Correct grammar, spelling, and medical terminology in documents, whether manually transcribed or system-generated.
- Format Documents: Create standard medical reports (e.g., consult notes, histories, summaries).
- Manage EHRs: Upload completed records into Electronic Health Record systems.
- Ensure Accuracy & Confidentiality: Verify all details are correct and protect patient privacy according to HIPAA and other regulations.
Education
Medical coding and billing
Cigma Medical Coding Academy
Kerala, India06-2018
Bachelor of Science - Zoology
Mahatma Gandhi University
Kerala, India08-2003
Advanced PGDCA
Ketee’s Centre For Computer Studies
Kerala, IndiaSkills
CPT, ICD-10 CM, USCLS and HCPCS Level II codes
Experience with EHR systems and coding software's
Proficient in using insurance portals for pre-approval process
Strong understanding of dental treatment plans and documentation
Familiarity with medical and dental terminology, anatomy and Physiology
Knowledge of insurance policies, coverage limitations, and claim processing
In-depth knowledge of insurance pre-approval procedures and requirements
Familiarity with various medical specialties and their specific coding requirements
Ability to work both independently and as an integral member of a team
Confident person, Fast learner and flexible
MS Word, MS Excel, Power point and Outlook
Decision making and Problem solving, analytical skills
Timeline
Medical Coder, Authorization Officer
Tajmeel Clinic by Burjeel Holdings
02.2022 - Current
Insurance Coordinator
Aster DM Healthcare, (3 Years).
09.2018 - 12.2021
Medical Language Specialist
Accentia Technoloiges, India (5 Years).
05.2013 - 07.2018
Medical coding and billing
Cigma Medical Coding Academy
Bachelor of Science - Zoology
Mahatma Gandhi University
Advanced PGDCA
Ketee’s Centre For Computer Studies
References
- Shinos, Karyadath, Insurance Manager, shinos.k@tajmeel.ae, +971 555875267, Tajmeel Clinic by Burjeel Holdings
- Linda Elizabeth, George, Head of Coding Department, linda.g@tajmeel.ae, +971 564141312, Tajmeel Clinic by Burjeel Holdings.
Personal Details
- Date of Birth: 14-04-1983
- Marital Status: Married
- Nationality: Indian
- Passport No: S2009348
- Visa Status: Employment Visa