Summary
Overview
Work History
Education
Skills
Certification
Training Program
Timeline
Generic
SABITHA V

SABITHA V

Bangalore

Summary

CERTIFIED CPC MEDICAL WITH 8.5 YEARS OF EXPERTISE IN APPLYING AND EVALUATING VARIOUS HCC CODE SETS. EXPERIENCED IN ABSTRACTING AND CONDUCTING AUDITS FOR MEDICARE AND COMMERCIAL PROJECTS. SEEKING TO ADVANCE AS A MEDICAL CODING PROFESSIONAL IN A CHALLENGING AND STIMULATING ENVIRONMENT WHERE I CAN LEVERAGE MY 5 YEARS OF OVERALL MEDICAL CODING EXPERIENCE, INCLUDING 3.5 YEARS IN EMERGENCY DEPARTMENT AND 1.5 YEARS IN EVALUATION AND MANAGEMENT CODING. PROVEN TRACK RECORD WITH TRANSACTIONAL CLIENTS, KNOWN FOR QUICK LEARNING AND STRONG TEAMWORK ABILITIES.EXTENSIVE EXPERIENCE IN AUDITING COMPLEX OUTPATIENT, HOSPITAL OUTPATIENT, EMERGENCY DEPARTMENT, AMBULATORY SURGERY, AND PROFESSIONAL CODING.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Subject Matter Expert

Optum Global Solutions(XLHealth)
Bangalore
09.2021 - 06.2024
  • Auditing and ensuring compliance with coding guidelines across various projects including Optum, Anthem, and Change Healthcare (AI Medical Coding).
  • Mentoring team members in medical coding best practices and techniques.
  • Delivering presentations to stakeholders on coding trends, updates, and error reduction strategies.
  • Analyzing error trends and implementing corrective actions to improve coding accuracy and efficiency.
  • Ensure accuracy of data input into company software and compliance with facility standards.
  • Analyze medical data and accurately enter it into programmed patient record software using precise medical codes

Senior Medical Coder

Logix Health Solution Private Limited
Coimbatore
12.2016 - 08.2021
  • Perform ICD coding for inpatient, outpatient, and emergency services.
  • Monitor quality parameters consistently to uphold high standards in coding accuracy.
  • Maintain knowledge of essential medical terminology, physiology, and anatomy relevant to coding practices.
  • Interpret patient charts and healthcare documents to process health information accurately.

Medical Coder

Dell Business Process Solution Private Limited
Coimbatore
07.2015 - 08.2016
  • Proficient in ICD-10-CM, CPT, and HCPCS coding systems.
  • Experienced in Medical Coding, Revenue Cycle Management, and ensuring HIPAA Compliance.
  • Specialized in Emergency Department Medical Coding (facility coding) and Evaluation and Management Coding (both professional and facility coding).

Education

Master of Science - Zoology

Kongunadu Arts And Science College, Bharatiar Univ
Coimbatore
04-2015

Bachelor of Science - Zoology

Kongunadu Arts And Science College, Bharatiar Univ
Coimbatore
05-2013

Skills

  • Regulatory Compliance Operational Improvement
  • ICD-10-CM Coding ICD-10-PCS Coding
  • Process Improvement
  • Analytical Skills
  • Presentation Skills
  • HCPCS Coding
  • HCC Coding
  • HCPCS,CPT
  • Training and mentoring
  • Strong analytical skills

Certification

  • CPC, Certified Professional Coder ( Member Id : 01772208) - from American Academy of Professional Coders (AAPC)

Training Program

  • Comprehensive 2-month Training Program in Medical Coding
    Dell Business Process Solution Private Limited, Dec 2016 - Feb 2017Medical Terminology: Anatomy, Physiology, Pathology, Diagnostic & Procedures

    Medical Coding:Diagnosis Coding: ICD-10-CM General and Chapter Specific Guidelines
    Procedure Coding: CPT & HCPCS Coding (Radiology, Evaluation & Management, Anesthesia & Pathology Coding)
    Revenue Cycle Management: Medical Coding & Billing Cycle
    HIPAA Compliance: Privacy & Security

Timeline

Subject Matter Expert

Optum Global Solutions(XLHealth)
09.2021 - 06.2024

Senior Medical Coder

Logix Health Solution Private Limited
12.2016 - 08.2021

Medical Coder

Dell Business Process Solution Private Limited
07.2015 - 08.2016

Master of Science - Zoology

Kongunadu Arts And Science College, Bharatiar Univ

Bachelor of Science - Zoology

Kongunadu Arts And Science College, Bharatiar Univ

Similar Profiles

CREATE PROFILE
SABITHA V