Rashika B

Projects:

• PB Claim Edits - Multispecialty
• HB Claim Edits - Multispecialty
• PB Denials
• EM OP and IP

Roles and responsiblities:

• Specialized in multi-speciality PB and HB claim Edit by acheiving 100% quality.
• Reviewed and resolved denied claims in EM OP and IP.
• Responsible for assigning and sequencing appropriate ICD, CPT and EM level codes based on medical record documentation in OP and IP.
• Responsible to provide training to new team members.
• Performed coding Audits for new team members and maintained detailed records of Audit findings.
• Responsible for maintaining project-specific reports and SOPs up to date.

Projects:

• Signify - HCC
• Visualutions - EM OP and IP

Roles and Responsibilities:

• Accurately assigned ICD and CPT (procedural and level codes based on E/M table) to patient medical records.
• Responsible of training the new joinees for the project.
• Successfully completed projects that required 99%-100% accuracy within the TAT.
• Experience of working in multiple projects on a daily-basis depending on the project requirement

Projects:

• BCBS
• AHA
• MCX
• PALM

Roles and Responsiblities:

• In-depth knowledge of HIPAA law requirements to perform coding with confidentiality and compliance standards.
• Responsible for assigning sequence of ICD-10 HCC codes to patient clinical records.
• Involved in patient record audits and quality checks for multiple projects.
• Secured a place in the "Top 10 best coders" of the year 2020-2021