SARAN RAJ N

Professional Summary

Detail-oriented and Non certified Pathology and Evaluation and Management Coder with 5 years of experience in medical coding and billing.

* Skilled in assigning accurate ICD-10, CPT, and HCPCS codes for pathology and laboratory, E&M services.

* Proficient in compliance guidelines, insurance claim submission, and revenue cycle management.

*Strong knowledge of medical terminology and pathology-specific coding procedures.

*Adept at reducing claim denials and ensuring timely reimbursement.

• Maintained and updated departmental files, various project files and other individual filing systems monthly.
• Enhanced team collaboration by regularly organizing and leading group meetings and activities.
• Utilized project management software tools effectively to organize tasks, deadlines, and resources, ensuring efficient project coordination.

Professional Summary Core Skills

Results-driven Medical Billing and Reporting Specialist with 3 years of experience in healthcare revenue cycle, insurance claims, and financial reporting. Skilled in accurate charge entry, claim submission, denial management, and account reconciliation. Adept at preparing billing reports, analyzing trends, and ensuring compliance with HIPAA, CMS, and payer-specific guidelines. Strong communication and problem-solving skills with a proven track record of improving collection rates and reducing denials.

• Medical Billing & Collections
• Revenue Cycle Management (RCM)
• Insurance Verification & Authorization
• Claim Submission (CMS-1500)
• Denial & Appeals Management
• Medical Coding Knowledge (ICD-10, CPT, HCPCS)
• Reporting & Data Analysis (Excel, EHR/EMR reports)
• Compliance (HIPAA, CMS Guidelines)
• Patient Account Management & AR Follow-up