Ravindar Reddy
1-10-1-290/2/13, Kushaiguda, Hyderabad
Summary
Seasoned Senior Medical Coder with comprehensive background in healthcare coding and billing systems. Skilled at reviewing and analyzing patient records, ensuring accuracy of diagnostic codes, and maintaining compliance with federal regulations. Demonstrated strengths include problem-solving capabilities, advanced knowledge of medical terminology, and ability to streamline process for improved efficiency. Proven track record of improving workflow processes leading to increased productivity within previous roles. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules. Self-motivated Medical Records Specialist with expertise in scanning and indexing medical records to correct chart. Bilingual individual with pleasant attitude and desire to help in any capacity. Efficient professional in healthcare documentation boasts high productivity and the capability to complete tasks swiftly while maintaining accuracy. Skilled in medical coding, electronic health records management, and data analysis. Excel in organizational, communication, and problem-solving skills, ensuring seamless workflow and compliance with healthcare regulations.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Medical Coder
Accumed Billers Private Limited
Chennai
11.2020 - Current
- Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
- Analyzed physician documentation to ensure accuracy of codes assigned in accordance with accepted coding guidelines.
- Trained new coders on proper use of ICD-10 codes and CPT codes.
- Performed periodic audits of coded data to ensure accuracy and compliance with established standards.
- Maintained current knowledge of industry changes related to ICD-10 and CPT codes by attending seminars and webinars.
- Resolved complex reimbursement issues related to coding practices.
- Verified accuracy of claims prior to submission for payment ensuring compliance with payer requirements.
- Served as a subject matter expert in reviewing medical records for appropriate diagnosis and procedure code assignment.
- Participated in interdisciplinary meetings providing clinical expertise when needed.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
Medical Coding Analyst
Optum Global Services
Hyderabad
11.2015 - 11.2019
- Reviewed and interpreted medical records to ensure accuracy of coding and billing information.
- Created and maintained patient profiles, including diagnosis codes, procedure codes, and insurance information.
- Verified accuracy of data entry into various software systems.
- Analyzed physician documentation for the purpose of assigning accurate ICD-10-CM and PCS codes.
- Maintained knowledge of current coding regulations, standards, and guidelines.
- Participated in continuing education courses related to coding changes or updates.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Maintained high accuracy rate on daily production of completed reviews.
Education
CPC - Medical Coding
AAPC
USA09-2015
Master of Science - Biotechnology
Chanakya Mahavidyalaya
Bhopal07-2004
Skills
- ICD-10
- CPT
- UAT
- Medical terminology
- HIPAA
- Insurance Claims Processing
- Team collaboration
- Anatomy and physiology
- Effective communication
- Revenue cycle management
- Strong attention to detail
- Medicare insurance regulations
- Training and mentoring
- Claims processing
- HIPAA compliance
- Regulatory guidelines
- Patient data identification
Accomplishments
- Received best performance award.
Languages
English
First Language
Telugu
Beginner
A1
Hindi
Beginner
A1
Certification
- CPC (Certified Professional Coder) from AAPC.
Timeline
Senior Medical Coder
Accumed Billers Private Limited
11.2020 - Current
Medical Coding Analyst
Optum Global Services
11.2015 - 11.2019
- CPC (Certified Professional Coder) from AAPC.
CPC - Medical Coding
AAPC
Master of Science - Biotechnology
Chanakya Mahavidyalaya
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