Summary
Overview
Work History
Education
Skills
Websites
Accomplishments
Certification
Languages
Timeline
SalesAssociate

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
Mysore
2018

Bachelor of Science - Biochemistry

University of Calicut, PRC80%
Pulpally
2016

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

Websites

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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