Dynamic Senior Client Partner with extensive experience at Access Health Care, excelling in ICD-10 and CPT coding. Proven problem solver with a strong focus on quality assurance and compliance. Adept at enhancing workflows through coding software mastery and effective communication, driving significant improvements in coding accuracy and reimbursement resolutions.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Senior Client Partner Coding Denials Ambulatory
access health care
Chennai
09.2021 - 02.2024
Conducted audits on coded data to ensure accuracy and adherence to guidelines.
Assigned ICD-10 and CPT codes to various medical diagnoses and procedures.
Utilized coding software to streamline processes and enhance efficiency in workflows.
Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
Monitored quality assurance activities within the department including tracking trends in denials due to incorrect or incomplete coding information.
Resolved complex reimbursement issues related to coding practices.
Collaborated with healthcare providers to resolve coding discrepancies and clarify information.
Maintained up-to-date knowledge of coding updates, changes, and industry standards.
Conducted audits to ensure compliance with federal and state regulations.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Senior Medical Coding Specialist
NTT Data Services
C
02.2020 - 09.2021
Reviewed medical records for accurate coding and compliance with regulations.
Utilized coding software to assign correct codes for diagnoses and procedures.
Researched updates in coding regulations to maintain current knowledge base.
Communicated effectively with billing department regarding coding discrepancies and resolutions.
Maintained accurate medical records and documentation for compliance and continuity of care.
Worked with cross-functional teams to achieve goals.
Maintained updated knowledge through continuing education and advanced training.
Scientific Analyst
DOMEX E-DATA Private Limited
Chennai
05.2018 - 07.2019
Analyzed data trends to support scientific research initiatives at DOMEX E-DATA.
Utilized statistical software to interpret complex datasets and derive insights.
Resolved conflicts among team members by facilitating open discussions about issues at hand.
Participated in extra training and courses to refine and improve upon industry knowledge.
Analyzed patent applications to assess compliance with legal requirements.
Conducted prior art searches using specialized databases and tools.
Reviewed and evaluated patent claims for potential legal challenges.
Drafted detailed reports summarizing patent search findings and analyses.
Managed documentation of patents in internal tracking systems for accessibility.
Education
Master of Science - Biochemistry
Valliammal College For Women
Chennai
04-2018
High School Diploma -
AMAHSS
Maduravoyal, Chennai
03-2013
Skills
ICD-10 coding
CPT coding
Coding software
Medical record management
Problem solving
Effective communication
Medical record review
Anatomy and physiology
Medical terminology proficiency
Medical billing procedures
Advanced CPT coding
Medical coding software mastery
Clinical documentation improvement
Diagnostic and procedural coding
Record assessment
Medical coding and abstracting
Quality assurance
Data analysis
Languages
Tamil
First Language
Tamil
Advanced (C1)
C1
English
Upper Intermediate (B2)
B2
Telugu
Upper Intermediate (B2)
B2
Accomplishments
I have done my final year project at the National Institute for Research in Tuberculosis on the pharmacokinetics of the second-line anti-tuberculosis drug ethionamide (ETH) in multi-drug resistant tuberculosis (MDR-TB) patients.
I have secured the 42nd university ranking at Madras University in the Tamil language.
Has obtained the 76th university ranking in Madras University in core subjects.
Certification
I have participated in many Rotary Club activities, and I have done volunteer activities and donations in many NGOs
Academic achievements: scored an outstanding 91% in SSLC board examinations, securing 3rd rank in school, and achieved a commendable 80% in Higher Secondary (12th Standard) board examinations, graduated with distinction in both B.Sc. and M.Sc in Biochemistry, consistently maintaining academic excellence throughout college
Passion and Interest's
I have always wanted to start an NGO since childhood to help the poor and needy, and I want to adopt at least one child in my lifetime in the future
Affiliations
Sports and extracurricular achievements: Secured 1st place in 1500 meters and 800 meters track events, showcasing exceptional athletic endurance and performance, achieved top positions in various interschool and intercollege competitions, including running races, throwball, carrom, and kho-kho, recognized for excellence in handwriting with a 2nd place award in a school-level competition, reflecting attention to detail and creativity