Brindha Navalar
Chennai
Summary
I am a medical doctor as well as certified professional coder with a dynamic result-oriented approach and demonstrated working in both hospital as well as US healthcare industry.
Overview
2
2
years of professional experience
Work History
Subject Matter Expert
Omega Healthcare Management Services
Chennai
11.2023 - Current
- Examining medical records of patients at US hospitals for strengthening the documentation to claim appropriate reimbursement from the insurance companies.
- Investigating the medical records, especially from Emergency Department (ED) for any document deficiency to maximise the complaint revenues.
- Checking the MDM level of charts from OP, IP, ED for any coding or document deficiencies to improve the documentation level.
- Performing retrospective review of charts to look for any deficiencies to educate the coders for better understanding of the process.
- Overall, main objective is to identify any clinical documentation inconsistencies and query those charts to physicians to strengthen the documents for appropriate reimbursement purposes.
Executive
Apollo Proton Cancer Centre
Chennai
04.2023 - 10.2024
- Attended to online queries of cancer patients and made sure every need is cared and attended to.
- Creating medical reports summarising the treatments available for the specific disease and outcomes of each treatments.
- Organising every reports of cancer patients to specific cancer clusters and sending to related oncologist in that department.
Education
CPC-A -
AAPC
USA07-2024
MBBS -
AMA School of Medicine
Philippines02-2023
Bachelor of Science - Biological Sciences
University of Visayas
Philippines05-2018
XII -
Zion Matriculation Higher Secondary School
Chennai05-2014
X -
Zion Matriculation Higher Secondary School
Chennai05-2012
Skills
- Clinical audit of patient’s Electronic Hospital Records (EHR)
- Focus on evaluation, assessment, treatment, monitoring of existing or missing clinical conditions in EHR
- Query the physician on missing documentation for final MDM level, leading to strengthening of medical records as well as improving the complaint revenues
- Clinical interpretation of medical diagnosis and assigning of ICD-10 (International Classification of Diseases) codes based on the available clinical documentation for insurance claim submission
- Education of the coders on the deficiencies found, both coding as wells as document wise to ensure proper understanding of the process
- Working experience on software such as Citrix, Optum, Epic, Vmware
Languages
Tamil
First Language
English
Proficient
C2
Malayalam
Elementary
A2
Hindi
Beginner
A1
Certifications
- Cleared FMGE on July 2023.
- Cleared CPC-A by AAPC on July 2024.
Timeline
Subject Matter Expert
Omega Healthcare Management Services
11.2023 - Current
Executive
Apollo Proton Cancer Centre
04.2023 - 10.2024
CPC-A -
AAPC
MBBS -
AMA School of Medicine
Bachelor of Science - Biological Sciences
University of Visayas
XII -
Zion Matriculation Higher Secondary School
X -
Zion Matriculation Higher Secondary School