Medical Billing and Coding Specialist with Number years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
SME
Starmark Software Pvt Ltd
Mysore
07.2017 - Current
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Verified, coded and added modifiers to diagnoses.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Coded APV charts at rate of Number per hour.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Verified signatures and checked medical charts for accuracy and completion.
Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
Monitored changes in coding regulations to provide recommendations for compliance.
Followed exact procedures for handling transfers and other releases of medical records.
Input data into computer programs and filing systems.
Followed up with medical staff regarding missing information in patient records.
Researched and resolved medical record discrepancies.
Verified accuracy of patient information in medical records.