SAP
SANIYA S M
MEDICAL CODER
ERNAKULAM
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Medical Billing and Coding Specialist providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
6
6
years of professional experience
7
7
years of post-secondary education
1
1
Certification
5
5
Languages
Work History
Medical Coder
Dynamed
Ernakulam
04.2022 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Accurately processed 140 medical claims daily, demonstrating proficiency in medical coding for comprehensive resume inclusion.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Generated reports to identify coding trends and discrepancies.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Followed exact procedures for handling transfers and other releases of medical records.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Input data into computer programs and filing systems.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Assisted in training new staff on medical record processing and filing procedures.
- Processed and tracked requests for medical records from external organizations.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Maintained accuracy, completeness, and security for medical records and health information.
- Researched and resolved medical record discrepancies.
- Verified accuracy of patient information in medical records.
Microbiologist
Lakshmi Hospital
Palakkad
01.2021 - 01.2021
- Collected and analyzed biological data about relationships between organisms and environment.
- Processed and analyzed average of 10 microbiology samples daily, showcasing strong organizational and laboratory skills.
- Encouraged cooperative management strategies.
- Maintained clean and organized laboratory environment.
- Prepared materials necessary for performing and executing tests.
- Maintained confidentiality of all patient information to conform to HIPAA, internal, and other regulatory standards.
- Collected and studied blood samples to determine number of cells, morphology, blood group and blood type.
- Leveraged technical skills to lead or perform in-depth investigations into unexpected results and aberrant data.
- Completed comprehensive diagnostic testing of blood, urine and other body fluids.
- Maintained laboratory equipment and supplies, ensuring proper functioning and compliance with laboratory standards.
- Prepared reports to document laboratory results and findings.
- Followed safety protocols and precautions for safe and hazard-free work environment.
- Operated highly specialized laboratory equipment to process specimens.
- Evaluated and interpreted laboratory results to determine diagnoses.
- Utilized expertise in microbiology, chemistry, and hematology to help with diagnosis of medical issues.
- Identified and troubleshot technical issues related to laboratory procedures.
- Demonstrated leadership skills in managing projects from concept to completion.
- Enforced quality control protocols to maintain accuracy of test results.
- Proven ability to learn quickly and adapt to new situations.
- Cultivated interpersonal skills by building positive relationships with others.
Lab Technician
Paalana Hospital
Palakkad
05.2018 - 06.2018
- Maintained documentation on tests performed in lab.
- Prepared samples for shipping and disposed of bodily fluids in proper containers.
- Oversaw items in inventory and reordered before supplies diminished.
- Processed and analyzed average of 30-50 samples for Covid testing per day, showcasing strong organizational and laboratory skills.
- Processed patient specimens according to priority and documented results.
- Performed testing and quality control using approved laboratory procedures and instrumentation.
- Prepared blood smears and determined levels of normalcy.
- Tracked collected specimens by initialing, dating, and noting times of collection.
- Inspected laboratory equipment to maintain good working condition for optimal results.
- Maintained safe, tidy and organized laboratory environment for accurate test results.
- Prepared reagents, media and solutions to use for laboratory testing and analysis.
- Monitored testing procedures to meet criteria and maintain quality control.
- Trained new laboratory personnel to apply proper laboratory techniques and best practices.
- Monitored and documented safety standards to verify compliance.
- Researched new methods and techniques to improve laboratory procedures.
- Operated and performed preventative maintenance on laboratory equipment and instruments.
- Provided support and guidance to junior lab staff.
- Interpreted laboratory results to provide technical advice to scientists.
- Recorded and analyzed data to produce reports of results.
- Coordinated and managed laboratory projects and experiments.
- Adhered to laboratory safety procedures to maintain compliance with quality control standards.
- Participated in lab meetings and project presentations.
- Trained and supervised junior technicians in laboratory protocols.
- Cooperated with other technicians to develop and test new protocols.
Education
Master of Science - Microbiology
Sree Narayana Guru College
Coimbatore 06.2019 - 04.2021
Bachelor of Science - Microbiology
Sree Narayan Guru College
Coimbatore 06.2016 - 04.2019
HIGHER SECONDARY
Kanikkamatha Convent EMGH School
Palakkad 06.2013 - 03.2015
SSLC
Kanikkamatha Convent EMGH School
Palakkad 06.2012 - 03.2013
Skills
Insurance Claims Analysis
Insurance Coding (ICD-10 and CPT)
Patient Data Compilation
Documentation Oversight
Data Verification
Knowledgeable in SAP
Records Management
Coding Error Resolution
Patient Medical Records Maintenance
Attention to Detail
Accomplishments
- Achieved target by completing claims with accuracy and efficiency.
- Documented and resolved coding errors.
- Supervised junior staff members.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Software
Certification
Successfully completed certification course in Medical coding and billing.
Interests
Reading books
Travelling
Cycling
Cooking
Social networking
Badminton
Timeline
Medical Coder
Dynamed
04.2022 - Current
Successfully completed certification course in Medical coding and billing.
03-2022
Microbiologist
Lakshmi Hospital
01.2021 - 01.2021
Master of Science - Microbiology
Sree Narayana Guru College
06.2019 - 04.2021
Lab Technician
Paalana Hospital
05.2018 - 06.2018
Bachelor of Science - Microbiology
Sree Narayan Guru College
06.2016 - 04.2019
HIGHER SECONDARY
Kanikkamatha Convent EMGH School
06.2013 - 03.2015
SSLC
Kanikkamatha Convent EMGH School
06.2012 - 03.2013