ANAND PR
Sulthan Bathery
Summary
CPC certified medical coder with 3+ years of professional experience in application and evaluation of various code sets and RCM knowledge. In previous roles abstracted and assigned ICD, CPT and HCPCS codes to patient medical records, maintaining 97% accuracy in expertise in Denial analysis and pathology coding.
Overview
3
3
years of professional experience
1
1
Certification
Work History
ASSOCIATE
WIPRO
Hyderabad
12.2021 - Current
- Specialized in denial coding, denial analysis and management, expertise in LCD, NCD policies
- Good hands in coding of cyto, surgical, molecular pathology charts based upon client guidelines
- Worked with vendors to resolve payment issues
SENIOR MEDICAL CODER
STARMARK SOFTWARE PRIVATE LIMITED
Mysore
11.2020 - 12.2021
- Internal auditing of coded procedure (CPT) and diagnoses (ICD), Denial analysis and review
- Training of new recruits
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Medical Coder
STARMARK SOFTWARE PRIVATE
Mysore
07.2018 - 10.2019
- Insurance validation, verification and billing, Assigning of CPT and ICD based on patient's medical records, end to end claim processing
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Education
Master of Science - Biochemistry
Mysore University, PBMMPGC
Mysore2018
Bachelor of Science - Biochemistry
University of Calicut, PRC80%
Pulpally2016
Skills
- Denial review and payment analysis
- Knowledge in CPT, ICD, HCPCS
- Expertize in various billing software (Athena, MDiV)
- Data Analysis Skills
- Surgical, molecular and cyto pathology coding experienced
- End to end claim processing
- Insurance Claims submission and Denial Processes
Accomplishments
- MSc project – Modulatory effects of oral supplements of Persea americana bioactive on endogenous redox status in rat brain regions: Relevance to stress therapy
Certification
- Certified Professional Medical Coder AAPC Member ID: 01870647
- IELTS Qualified with overall band 7
Languages
English
Bilingual or Proficient (C2)
Malayalam
Bilingual or Proficient (C2)
Tamil
Upper intermediate (B2)
Timeline
ASSOCIATE
WIPRO
12.2021 - Current
SENIOR MEDICAL CODER
STARMARK SOFTWARE PRIVATE LIMITED
11.2020 - 12.2021
Medical Coder
STARMARK SOFTWARE PRIVATE
07.2018 - 10.2019
Master of Science - Biochemistry
Mysore University, PBMMPGC
Bachelor of Science - Biochemistry
University of Calicut, PRC80%
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