Summary
Overview
Work History
Education
Skills
Certification
Roles And Responsibilities
Disclaimer
Timeline
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Betham Nikitha Nalini

Quality Control Analyst (QCA)
Hyderabad

Summary

Highly skilled Medical Coder with 8.5 Years of experience in accurately translating complex medical documentation into ICD-10-CM and ICD-10-PCS codes. Proven ability to maintain high coding accuracy and productivity while adhering to strict compliance standards. Seeking a challenging role to leverage expertise in improving revenue cycle management and quality assurance.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Quality Control Analyst (QCA)

Gebbs Healthcare Solutions
3 2020 - Current

Quality Control Analyst (QCA)

Omega Healthcare
06.2019 - 02.2020

Level 2 Process Associate

AGS Health
12.2015 - 01.2019

Education

M Pharmacy - DRA

Chaitanya Institute of Pharmaceuticals

B Pharmacy - Pharmacy

Browns college of Pharmacy

Skills

  • Coding Systems: ICD-10-CM, HCPCS
  • Medical Terminology: Comprehensive understanding of medical terms and abbreviations
  • Anatomy and Physiology: Knowledge of human body systems and functions
  • Coding Software: Proficiency in coding software (eg, EncoderPro, 3M, Optum)
  • Data Entry: Accurate and fast data input skills
  • Computer Skills: Proficiency in Microsoft Office Suite (Word, Excel, Outlook)

Certification

CCS-Certified Inpatient Coder, 220271

Roles And Responsibilities

  • Assigning diagnostic and procedural codes to INPATIENT -DRG records using ICD-10-CM and ICD-10-PCS.
  • Maintaining confidential with regards to any information exchange or received in the current capacity of role in accordance with facility policy.
  • Reviewing medical records and assigning accurate codes for diagnoses and procedures
  • Assigning and sequencing codes accurately based on medical record documentation
  • Participating in all team efforts as require
  • Clarify with the clinicians and Physicians in the absence of the required documents, completion of the medical record or query for clarification of documentation.
  • Managing all Inpatient coding. Evaluate all documents for diagnosis and procedures and code them into numeric form.
  • Assuring patients confidentiality is of high priority and used as and when necessary.
  • Communicate with doctors for any query regarding a diagnosis and cross verifying before assigning the appropriate codes.
  • Use of Hospital Corporation of America (HCA) software to remote access the patient documents, also use Meditech software to assign diagnosis and procedure codes.
  • Successfully participating in the Revenue cycle management thus making sure the company and employees are equally benefited.
  • Actively participate in team meetings, company’s internal and external audits thus improving in the areas of individual and team performance, also taking forward the company’s goodwill.
  • Complying with HIPAA privacy, security and GRIC policies of the company.

Disclaimer

I hereby declare that the above written particulars are true to the best of my knowledge and belief.

Timeline

Quality Control Analyst (QCA)

Omega Healthcare
06.2019 - 02.2020

Level 2 Process Associate

AGS Health
12.2015 - 01.2019

Quality Control Analyst (QCA)

Gebbs Healthcare Solutions
3 2020 - Current

M Pharmacy - DRA

Chaitanya Institute of Pharmaceuticals

B Pharmacy - Pharmacy

Browns college of Pharmacy
CCS-Certified Inpatient Coder, 220271
Betham Nikitha NaliniQuality Control Analyst (QCA)