Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
9
9
years of professional experience
Work History
Senior Medical Coding Specialist
Axentrics Technologies
Chennai
04.2023 - 03.2024
Reviewed medical records and assigned accurate codes for diagnosis, procedures, treatments, services and equipment in accordance with established coding guidelines.
Maintained detailed documentation of all coding activities including patient charts, billing forms and reports.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Reviewed patient records and assigned accurate codes for diagnoses and procedures.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Assisted Team Leader with the development of strategies to improve overall team productivity.
Conducted regular meetings with team members to discuss progress and address any issues or concerns.
Generated weekly and Monthly reports summarizing progress towards goals set by management.
Auditing Files
Work Allocation
Subject Matter Expert
Techspine System Pvt Ltd. (PRACTISUITE)
Ernakulam
12.2014 - 01.2019
Team Management
Processing Demo & Charge Entry
Posting the details from the explanation of benefit (EOB) & Electronic Remittance to the Practice management software (ERA) Submission of processes claims
Review medical records, encounter received from the provider, assign CPT, DX. Modifier along with charge amount and submit the bill/claim to the insurance company
Reviewing payer denials{Medicare LCD Denials}
Working on address verification of the insured with the help of insurance websites
Education
Professional Medical Coding & Billing Curriculum -
Cigma Medical Coding Academy
Ernakulam, KL
09-2018
Bachelor of Commerce -
Dr. Cv Raman University
Ernakulam, KL
06-2016
Certified Financial Accounting -
The Institute Of Accountants
Ernakulam, KL
09-2010
Skills
Electronic Health Records Management
Medical terminology proficiency
Anatomy and physiology understanding
Insurance claims processing
ICD-9 to ICD-10 transition
Healthcare reimbursement systems
Team Leadership and Training
Auditing and Quality Assurance
Revenue Cycle Management
Knowledgeable in [Practisuite,Carestack,Ecw,Elation,Groupcast, Flowcast, Ramsoft]
Client Partnership Manager at Tyroo Technologies Ltd (Divison of Smile Internet Technologies Ltd)Client Partnership Manager at Tyroo Technologies Ltd (Divison of Smile Internet Technologies Ltd)