Summary
Overview
Work History
Education
Skills
Timeline
Generic

Pratheeksha N S

Clinical Admin Coordinator
Bengaluru

Summary

Dynamic Clinical Administrative Coordinator with expertise in ICD-10 coding and healthcare compliance at Optum. Proven track record in enhancing revenue through precise claims coding and ensuring HIPAA adherence. Skilled in case evaluations and policy implementation, and efficient healthcare environment.

Overview

3
3
years of professional experience
5
5
Languages

Work History

Clinical Administrative Coordinator

Optum
Bengaluru, India
01.2023 - Current
  • Reviewed cases to determine need for escalation.
  • Investigated claims to check billing status.
  • Maintained knowledge of standardized medical billing codes.
  • Ensured compliance with HIPAA regulations through diligent record keeping and strict adherence to confidentiality guidelines.
  • Contributed to revenue growth by accurately coding claims for submission to insurance providers.

Education

Bachelor of Science - Biochemistry Botany Zoology

Yuvaraja's College
Mysore, India
04.2001 -

12th - Physics Chemistry Mathematics Biology

SDM
Mysore, India
04.2001 -

Skills

    Office management

    ICD-10 coding

    Healthcare compliance

    Policy implementation

    Medical terminology

    HIPAA

    Case review

    Medicare/Medicaid

    Case evaluations

    Medical records management

Timeline

Clinical Administrative Coordinator

Optum
01.2023 - Current

Bachelor of Science - Biochemistry Botany Zoology

Yuvaraja's College
04.2001 -

12th - Physics Chemistry Mathematics Biology

SDM
04.2001 -
Pratheeksha N SClinical Admin Coordinator