CITRIX
KHUSHBU SINGH PATEL
Sr. Medical Coder
Ahmedabad
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims and reviewing health records to identify proper diagnosis codes and CPT for billing.
Overview
5
5
years of professional experience
1
1
Certification
3
3
Languages
Work History
Sr. Medical Coder
Incrementum HealthCare
04.2023 - Current
- Correctly coded and billed medical claims for various hospital.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient and outpatient medical records.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Assisted in training new staff on medical record processing and filing procedures.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Quality Analyst
GeBBS HealthCare Solution Pvt Ltd
01.2022 - 02.2023
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Developed and maintained quality assurance procedure documentation.
- Edited, proofed and critiqued internal documents to improve clarity.
- Developed training materials, SOPs and work instructions to supplement new team member onboarding.
- Participated in departmental meetings to establish short- and long-term strategy.
- Used PowerPoint to create presentations, flowcharts and graphs detailing data analysis results.
- Defined and implemented quality initiatives to reduce risk.
- Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
Jr. Medical Coder
GeBBS HealthCare Solution Pvt Ltd
05.2019 - 12.2021
- Reviewed Inpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient medical records.
- Generated reports to identify coding trends and discrepancies.
- Investigates rejected denied claims, correcting applicable coding.
- Reviews for medical necessity clarification.
Education
Master of Science - Biochemistry
The Institute of Science, Mumbai University
Mumbai 04.2001 -
Diploma - Forensic Science And Criminal Law
St. Xavier's Collage
Mumbai 04.2001 -
Bachelor of Science - Biochemistry
B N Bandodkar College Of Science
THANE, MUMBAI 04.2001 -
Skills
Decision-Making Capabilities
Medical Billing Experience
Revenue Cycle Management
Claims Processing
Insurance Coding (ICD-9, 10 and CPT)
Training and Mentoring
Coding Error Resolution
Inpatient Records Coding
Workflow Management
Performance Improvement
Medical Terminology
HIPAA Compliance
Medical Claims Coding
Knowledgeable in Citrix & Athena Software
Medical Billing
Software
ATHENA
Certification
CPC - Certified Professional Coder
Timeline
Sr. Medical Coder
Incrementum HealthCare
04.2023 - Current
Quality Analyst
GeBBS HealthCare Solution Pvt Ltd
01.2022 - 02.2023
Jr. Medical Coder
GeBBS HealthCare Solution Pvt Ltd
05.2019 - 12.2021
Master of Science - Biochemistry
The Institute of Science, Mumbai University
04.2001 -
Diploma - Forensic Science And Criminal Law
St. Xavier's Collage
04.2001 -
Bachelor of Science - Biochemistry
B N Bandodkar College Of Science
04.2001 -