MS Excel
Karunya NH
Senior Medical Coder - IPDRG
Summary
Dedicated and competent professional with rich, cross-functional exposure of 13 years across Medical Coding/Medical Records/Teaching. Experience with well-honed expertise in inpatient records, operative reports, clinic notes, discharge summaries, progress notes, etc. Extremely knowledgeable about ICD-10 CM and ICD-10 PCS coding guidelines. Possessing a strong knowledge of Anatomy and Physiology and medical terminologies.
Overview
13
13
years of professional experience
1
1
Certification
6
6
Languages
Work History
IP Medical Coder - Senior
Coronnis (Miramed) Ajuba Healthcare Solutions
Chennai
06.2021 - Current
- Working in Parallon process.
- Use of 3M and Encoder Pro.
- 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.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Extremely knowledgeable with regard to Medical Coding guidelines and coding techniques (ICD-10, CPT, PCS, DRG's).
- Proficient in inpatient hospital coding and evaluation management.
- Strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and Pharmacology.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient medical records.
- Verified signatures and checked medical charts for accuracy and completion.
- Followed exact procedures for handling transfers and other releases of medical records.
- Input data into computer programs and filing systems.
IP Medical Coder - Senior
GEBBS HEALTHCARE
Mumbai
10.2020 - 03.2021
- Assign codes for INPATIENT (IPDRG) and HCC (QC)
- Extremely knowledgeable with regard to Medical Coding guidelines and coding techniques (ICD-10, CPT, PCS, DRG's)
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Proficient in inpatient hospital coding and evaluation management
- Strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and Pharmacology
- Understood the health record's content in order to find information to support or provide specificity for coding
- Maintained at least 98% on both coding accuracy and completeness(HCC)
- Followed hospital coding guidelines and regulatory rules in governing corresponding coding decisions; reviewed and abstracted relevant clinical data/medical records to select and sequence the appropriate ICD-10-CM diagnosis
- Coding and quality assurance reviews performed on standard and comprehensive HCC projects as well as Inpatient projects
Senior Medical Coder
Deccan I Services
Technopark, Trivandrum
12.2019 - 10.2020
- Code medical records with ICD-10 and HCPCS Level II coding, processing charts with maintaining 98% accuracy and achieving productivity goals.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Utilize ICD-10 books and implementation of ICD-10 diagnosis coding
- Handle variety of medical claims in more than 10 clients including HCC in US health Departments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Planning and maintaining compliance policies and keeping confidential information secure.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Transaction Analyst
Phykon Solutions
Technopark, Trivandrum
05.2018 - 11.2019
- Ensuring data accuracy is maintained in SAP
- Critical order management on daily based calls, fax & email from customers of Lion diary and drinks
- Certified from Lion for order processing in SAP
- Report & log all customer issues in to the Customer Relation Management database
- Day to day interaction with end customers & client.
- Analyzed trends and monitored customer behaviors to serve as predictors for future marketplace actions.
- Researched billing and invoice problems and resolved issues in compliance with established standards.
Medical Coder CRP - HCC
Episourse India Pvt Ltd
Chennai
04.2015 - 04.2017
- Extensive knowledge of medical terminology across a broad range of medical Practice areas
- Strong understanding of ICD-10-CM and CPT requirements and procedures
- Utilized knowledge of CPT and ICD-10-CM to properly translate performed services into numerical code for insurance company reimbursements
- As a medical coder under OPTUM project, able to meet the daily targets with accurate quality and worked in different Processes under Optum Project
- Sound knowledge of Datarap and SMA.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Assistant Lecturer
MIMSR Medical College
Latur, Maharashtra
02.2011 - 11.2014
- Responsible for planning and implementation of teaching programs
- Teaching effectively subjects in the curriculum by use of AV AIDS like OHP, PowerPoint with updated changes in the medical sciences.
- Conduct test (Theory & Practical), Evaluation of students assignments and performance in the clinical area strictly.
- Measures and describes quality of performance objectively & Supervision of student health, welfare, and security.
- With the interest in education shall carry out any other duties assigned by the Principal or Head of the Department.
- Developed easy and open rapport with students to encourage engagement and academic progress.
- Precepted new physician assistants, mid-level providers, nurse practitioners and nurses following established standards of practice and organizational policies.
- Oversaw work of nursing student technicians and externs to educate on proper procedures and how to prioritize care tasks.
- Contributed educational and clinical expertise to help optimize training courses and boost student learning.
- Oversaw laboratory and clinical environments to help students advance knowledge and abilities.
- Prepared and delivered lectures to undergraduate or graduate students on topics such as pharmacology, mental health nursing and community health care practices.
- Stayed current on advances in biological science and incorporated into curriculum.
Education
S.S.L.C -
St. Antonys Girls Higher Secondary School
Thanissery, Thrissur 06.2003 - 2004.03
Plus Two - Science
Soccorso Convent HSS
Mala, Thrissur 06.2004 - 2006.03
Bachelor of Science - Nursing
Pioneer College of Nursing
Hyderabad 06.2006 - 2010.12
Skills
Proficiency in 3M Software
Certification
CPC - Certified Professional Coder
Software
3M Encoder
SAP
Disclaimer
I consider myself with the above aspects and also confident of my ability to work in an organization. I declare that the above information is true for the best of my knowledge.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
IP Medical Coder - Senior
Coronnis (Miramed) Ajuba Healthcare Solutions
06.2021 - Current
CPC - Certified Professional Coder
12-2020
IP Medical Coder - Senior
GEBBS HEALTHCARE
10.2020 - 03.2021
Senior Medical Coder
Deccan I Services
12.2019 - 10.2020
Transaction Analyst
Phykon Solutions
05.2018 - 11.2019
Medical Coder CRP - HCC
Episourse India Pvt Ltd
04.2015 - 04.2017
Assistant Lecturer
MIMSR Medical College
02.2011 - 11.2014
Bachelor of Science - Nursing
Pioneer College of Nursing
06.2006 - 2010.12
Plus Two - Science
Soccorso Convent HSS
06.2004 - 2006.03
S.S.L.C -
St. Antonys Girls Higher Secondary School
06.2003 - 2004.03
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