shainy biju
Medical Coder
Trivandrum
Summary
Accomplished Medical Coder with a proven track record at Guidehouse, enhancing coding accuracy and reducing claim denials through meticulous documentation review and effective communication. Proficient in ICD-10 coding and HIPAA compliance, I excel in team collaboration and continuous improvement, driving revenue cycle performance and ensuring adherence to regulatory guidelines.
Overview
2026
2026
years of professional experience
3
3
Certifications
Work History
Medical Coder
Guidehouse
2024 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Verified signatures and checked medical charts for accuracy and completion.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Generated reports to identify coding trends and discrepancies.
- Streamlined patient data entry into coding software, optimizing billing cycle and improving cash flow.
- Played key role in transition to ICD-10 coding system, leading training sessions and updating coding protocols.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
- Streamlined billing process, ensuring compliance with healthcare regulations through diligent code assignment.
- Conducted comprehensive training sessions for new coders, enhancing team proficiency and coding accuracy.
- Improved patient privacy protection by strictly adhering to HIPAA regulations during coding and billing process.
- Ensured accuracy in high-volume coding environments, applying codes for over 200 patient records weekly without compromising detail or compliance.
- Kept coding team informed of changes in coding standards and healthcare regulations through monthly newsletters.
- Verified accuracy of patient information in medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Researched and resolved medical record discrepancies.
Medical Coder
Medvance
2023 - 11.2023
- Reduced turnaround time for appeals by preparing comprehensive supporting documentation for denied claims.
- Prevented costly fines by ensuring adherence to HIPAA regulations when handling sensitive patient information.
- Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
- Enhanced revenue cycle performance by identifying and correcting under-coded claims, ensuring maximum reimbursement for services rendered.
- Enhanced coding accuracy by meticulously reviewing patient records and applying correct medical codes.
- Boosted coding department efficiency, implementing new electronic health record system for easier access to patient information.
- Enhanced team collaboration, organizing regular meetings to discuss coding challenges and share best practices.
- Improved reimbursement rates with accurate and timely submission of medical codes for various treatments and diagnoses.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Followed exact procedures for handling transfers and other releases of medical records.
- Tracked and monitored requests for medical records release.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Verified signatures and checked medical charts for accuracy and completion.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
Assistant Process Associate
Seha Global
2021 - 07.2021
- Collaborated with team members to complete projects on time and within budget constraints.
- Utilized advanced analytical skills to identify trends and patterns in data, informing future process improvements.
- Enhanced communication between departments by creating informative reports and presenting findings at team meetings.
- Ensured accurate data entry through consistent review of inputted information, reducing occurrences of discrepancies or errors significantly over time.
- Assisted in the implementation of new software tools, resulting in increased productivity and reduced errors.
- Improved process efficiency by streamlining workflows and identifying areas for improvement.
- Developed strong working relationships with cross-functional teams, fostering a collaborative work environment.
- Maintained strict confidentiality regarding sensitive information, adhering to company policies and procedures at all times.
- Maintained accurate records of all work completed, ensuring timely completion of tasks and adherence to company standards.
- Identified modifications to processes and procedures that would promote better efficiency.
- Collected, arranged, and input information into database system.
- Generated reports detailing findings and recommendations.
- Maintained database systems to track and analyze operational data.
Education
B.Tech - Biotechnology
Udaya School of Engineering
Kanyakumari, Tamilnadu 05.2006
Higher Secondary - Science
Sarada Vilasam Higher Secondary School
Attingal04.2006
SSLC -
Navbharat English Medium High School
Attingal 04.2004
Skills
Medical terminology
Certification
CPC
Timeline
CPC
10-2022
Clinical research
09-2011
Internship training certificate
08-2011
Medical Coder
Guidehouse
2024 - Current
Medical Coder
Medvance
2023 - 11.2023
Assistant Process Associate
Seha Global
2021 - 07.2021
B.Tech - Biotechnology
Udaya School of Engineering
Higher Secondary - Science
Sarada Vilasam Higher Secondary School
SSLC -
Navbharat English Medium High School