Pooja Udayan KP
Certified Medical Coder
Sreepooja(H), Thamarassery, Calicut
Summary
Knowledgeable medical coding certified professional talented at verifying patient demographic, proficient using medical terminologies and reviewing health records to identify proper diagnostic codes. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
2
2
Certificates
4
4
Languages
Work History
Coding Denials Specialist
Ventra Health Pvt Ltd.
06.2024 - Current
- Proven ability to analyze, research, and resolve insurance claim denials and rejections.
- Faced a variety of denial reasons and uplifted the team with discussions on each scenario.
- Skilled in using electronic medical records (EMRs) and billing systems like Epic,Meditech, Athenahealth, or Chrishealth.
- Ability to identify and correct coding errors leading to claim denials.
- Knowledge of payer policies, Medicare/Medicaid guidelines, and HIPAA regulations.
- Adherence to audit standards and documentation requirements to minimize future denials.
- Strong written and verbal communication skills for preparing appeal letters and coordinating with providers and payers.
Senior Coder
NYX Medical Solutions
10.2023 - 03.2024
- Skilled in reviewing radiology reports to ensure complete and compliant code assignment.
- Proficient in CPT, ICD-10-CM, and HCPCS codes specific to diagnostic and interventional radiology.
- Experienced in coding for modalities such as MRI, CT, ultrasound, X-ray, nuclear medicine, and fluoroscopy.
- Ensures coding meets regulatory standards to avoid denials and support clean claim submission.
Senior Medical Coder
Quintessence Business Solutions & Services
12.2021 - 09.2023
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in medical records. ( 800 charts/day)
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Medical Coder
Axis Services Pvt. Ltd.
01.2020 - 12.2021
- Solid foundation in medical terminology, anatomy, and physiology to ensure accurate code selection.
- Able to interpret clinical documentation and physician notes. Trained in ICD-10-CM, CPT, and HCPCS Level II coding systems.
- Committed to minimizing errors and ensuring clean claim submissions.
Patient Relation & Medical Sales Executive
Apollo Home Healthcare Pvt. Ltd
05.2018 - 01.2020
- Exceeded quotas consistently with driven mindset focused on continuously bringing in new business and closing sales.
- Cemented relationships with key providers through regular contact and unparalleled support.
- Communicated well with highly technical staff and business-oriented managers by adapting style and wording for specific audiences, continuously building strong connections and maximizing relationships.
Biomedical Trainee
Ananthapuri Hospitals & Research Institute
01.2016 - 08.2017
- Provided validation, inspection, repairs and maintenance on clinical biomedical equipment.
Education
Bachelor of Engineering - Biomedical Engineering
Dhanalakshmi Srinivasan Engineering College
Trichy,India 08.2011 - 2015.05
HSC,SSC - General Education
Alphonsa Senior Secondary School
Calicut,INDIA 05.2008 - 2010.05
Skills
Excellent communication
Additional Information
DOB: 23-05-1992
Marital status: Married
Passport number:X7189622
Driving License: yes
Certification
CPC - Certified Professional Coder
Timeline
Coding Denials Specialist
Ventra Health Pvt Ltd.
06.2024 - Current
Senior Coder
NYX Medical Solutions
10.2023 - 03.2024
Senior Medical Coder
Quintessence Business Solutions & Services
12.2021 - 09.2023
Medical Coder
Axis Services Pvt. Ltd.
01.2020 - 12.2021
Patient Relation & Medical Sales Executive
Apollo Home Healthcare Pvt. Ltd
05.2018 - 01.2020
Biomedical Trainee
Ananthapuri Hospitals & Research Institute
01.2016 - 08.2017
Bachelor of Engineering - Biomedical Engineering
Dhanalakshmi Srinivasan Engineering College
08.2011 - 2015.05
HSC,SSC - General Education
Alphonsa Senior Secondary School
05.2008 - 2010.05
Languages
English
Advanced
Hindi
Intermediate
Tamil
Upper intermediate
Malayalam
Advanced