Jay PRAJAPATI
Ahmedabad
Summary
Detail-oriented professional with expertise in medical coding and billing compliance. Skilled in claims processing and auditing procedures, ensuring accuracy and resolving discrepancies efficiently.
Overview
3
3
Languages
1
1
Certification
2
2
years of professional experience
Work History
Process Associate level 2
iFedora Services Pvt Ltd.
Ahmedabad
09.2024 - Current
- Assigned appropriate ICD-10-CM codes for diagnoses and CPT codes for procedures, supporting accurate billing.
- Processed insurance claims through electronic billing systems, adhering to regulations.
- Submitted claims electronically to insurance companies, following established guidelines.
- Reviewed patient records, ensuring coding and billing compliance to minimize errors.
- Resolved billing inquiries from patients and insurance companies promptly.
- Communicated with healthcare providers to clarify coding discrepancies effectively.
- Conducted audits of coded data to verify accuracy and completeness.
- Collaborated with team members to streamline coding processes, improving overall workflow efficiency.
Education
Master of Science - Biochemistry
Department of Biochemistry School of Science
Gujarat University, Ahmedabad04-2022
Skills
- ICD-10-CM and CPT coding
- Medical coding and billing
- Claims processing and verification
- Electronic billing systems
- Insurance claims analysis
- Auditing and compliance
- Data analysis and auditing
- Problem resolution
- Patient communication
Languages
English
Advanced (C1)
C1
Hindi
Proficient (C2)
C2
Gujarati
Native
Native
Certification
- Foundation of Project Management
Timeline
Process Associate level 2
iFedora Services Pvt Ltd.
09.2024 - Current
Master of Science - Biochemistry
Department of Biochemistry School of Science