PRIYANKA KAMBLE
MEDICAL CODER
Navi Mumbai,MH
Summary
Energetic Medical Coder with can-do attitude and dedication to accuracy. Bilingual professional with expertise analyzing provider documentation for appropriate codes. Hardworking professional capable of applying official coding conventions and rules established by the American Medical Association and the Centers for Medicare and Medicaid Services. Confident Medical Coder adhering to data confidentiality and privacy rules in all workflows and promoting dynamic interpersonal skills. Adaptable and focused with demonstrated success in managing organized classrooms, updating records and providing both group and individualized instruction. Proficient in helping advanced, struggling and special needs students enhance learning. Experienced with instruction.
Overview
11
11
years of professional experience
3
3
years of post-secondary education
Work History
Medical Coder
Episource India Pvt Ltd
Mumbai, Maharastra
10.2017 - Current
- Used Software and to input information into computerized patient record system.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Entered orders into EMR system efficiently and without errors.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Initiated, performed and documented quarterly coding audits for physicians.
- Verified signatures and checked medical charts for accuracy and completion.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Reviewed medical records to select appropriate coding sequences.
- Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Implemented new coding procedures that reduced mistakes by 95% and simplified processes.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Coded inpatient charts at rate of [2-3] per hour or 15-20 per day.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Used Software to assign procedure and diagnostic codes to patient records for billing purposes.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Managed system conversion and maintained minimal downtime during updates.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Maintained accuracy, completeness and security for medical records and health information.
- Kept accurate log of all requests for medical information and records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Utilized [Software] to manage and confirm patient data, such as insurance, demographic and medical history information.
- Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
Teacher
Private Coaching Classes
Navi mumbai, Maharastra
05.2015 - Current
- Evaluated and revised lesson plans and course content to facilitate and moderate classroom discussions and student centered learning.
- Boosted student grasp of materials with weekly tutoring sessions.
- Enhanced student learning by optimizing wide range of instructional approaches and innovative classroom activities.
- Supported student teachers by mentoring on classroom management, lesson planning and activity organization.
- Observed and evaluated students' performance, behavior, social development and physical health.
- Kept students on-task with proactive behavior modification and positive reinforcement strategies.
- Reviewed curriculum and devised alternate approaches to presenting lessons to increase student understanding.
- Met with administrators and department team members to work on curriculum planning and assessment methods.
- Used variety of assessment tools and strategies to improve instruction methods.
- Graded and evaluated student assignments, papers and course work.
- Planned and implemented integrated Social Studies lessons to meet national standards.
- Encouraged creative thinking and motivated students by addressing individual strengths and weaknesses based on standardized testing results.
- Prepared lesson plans according to assessment of student needs and learning ability.
- Developed and deepened relationships with students, family members and faculty to promote optimal student learning environments.
- Coordinated education-based field trips from start to completion.
- Collaborated with team of faculty to develop after-school tutorial program for students in need of extra help.
- Encouraged interactive learning by incorporating educational software and online assignments.
- Maintained required passing rate of 100%
- Attended and facilitated IEP meetings for students and families.
- Completed and filed all necessary paperwork for classroom activities, including meal count sheets and attendance logs.
- Promoted physical, mental and social development by implementing classroom games and outdoor recreational activities.
Education
Bachelor of Science - Biotechnology
Karmaveer Bhaurao Patil, College Vashi
Navi Mumbai 06.2013 - 05.2016
Skills
Records management
Relationship development
Records review
Communications
MS Office
Process improvement
Classcape knowledge
Experiential learning
Age-appropriate lesson planning
Inquiry-based learning
Student records management
Classroom management
Curriculum Development
Student motivation
Timeline
Medical Coder
Episource India Pvt Ltd
10.2017 - Current
Teacher
Private Coaching Classes
05.2015 - Current
Bachelor of Science - Biotechnology
Karmaveer Bhaurao Patil, College Vashi
06.2013 - 05.2016