Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Medical Coding Analyst
Optum Global Solutions
Hyderabad
01.2023 - Current
Maintained knowledge of current coding regulations, standards, and guidelines.
Collaborated with other departments within the organization to develop effective strategies for improving coding accuracy.
Reviewed and interpreted medical records to ensure accuracy of coding and billing information.
Analyzed physician documentation for the purpose of assigning accurate ICD-10-CM and CPT codes.
Coding Specialist
IKS Health
Navi Mumbai
06.2018 - 01.2023
Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT codes.
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
Senior Client Partner
Access Healthcare Services
Pune
07.2017 - 06.2018
Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
Trained new coders on proper use of ICD-10 codes and CPT codes.
Resolved coding discrepancies and denials to maximize reimbursement.
Senior Medical Coder
GeBBS Healthcare Solutions
Navi Mumbai
08.2015 - 06.2017
Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
Maintained current knowledge of industry changes related to ICD-10 and CPT codes by attending seminars and webinars.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Education
Bachelor of Pharmacy - Pharmacy
Shivaji University
Kolhapur
06-2015
Skills
E/M Outpatient
E/M Surgery
Denials (Multispeciality)
Ancillary
Radiology
Laboratory and Pathology
Certification
Certified Professional Coder ( CPC ) approved by AAPC
Provider Services Representative at Optum Global Solutions(India) private limitedProvider Services Representative at Optum Global Solutions(India) private limited
IT Service Desk Analyst / Technical Support Specialist at Optum Global Solutions Inc.IT Service Desk Analyst / Technical Support Specialist at Optum Global Solutions Inc.