Siroja Behera
Certified Professional Coder
Kolkata
Summary
Detail-oriented CPC certified medical coder with a strong work ethic. Applies official coding conventions and rules established by the American Medical Association and Centers for Medicare and Medicaid Services. Ensures data confidentiality and privacy in all workflows, promoting a dynamic and secure work environment. Seeking an entry-level position in healthcare settings to utilize expertise and enhance interpersonal skills.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Certified Professional Coder and Billing Associate
Sun Knowledge Pvt. Ltd
9 2013 - Current
- Worked in Professional Claims as a Claims Adjudicator.
- Worked in Transitional Care management process and Medication Reconciliation Process (Post-Discharge medication follow-up).
- Worked in Claims rejections encounter process and Member Eligibility verifications process using different health portal.
- Working in Demographic entry, Eligibility and Benefits update, and Generating Prior Authorization for radiology code through Calls, Faxes, and different Health Portal.
- Coded anesthesia records utilizing CPT, ICD-10, and ASA coding systems.
- Conducted denial management and appeals for anesthesia-related claims.
- Collaborated with anesthesia providers to ensure accurate and compliant coding practices
Clinical Pharmacist
Apollo Gleneagles Hospitals
01.2012 - 01.2013
- Worked as Clinical Pharmacist in Clinical Pharmacological Department, Apollo Gleneagles Hospitals, Kolkata from 2012 to 2013
Faculty Member
GCP, Sambalpur, SCPER, Nellore and KMIPS, Rourkela
01.2006 - 01.2012
- Worked as Faculty Member in GCP, Sambalpur, SCPER, Nellore and KMIPS, Rourkela from 2006 to 2012
Education
Madhyamik -
Intermediate - undefined
B.Pharm -
M.Pharm - Medicinal And Pharmaceutical Chemistry
KMIPS
Rourkela, India04.2008
Skills
- Well acquainted with Computer
- Can coordinate a team well and reach estimated goals
- Handling complicated and high value claims maintaining best interest of the insurance
- Reviewed medical records for coding accuracy and completeness
- Assigned and sequenced codes for diagnosis, procedure, and services
- Utilized Electronic Medical Record (EMR)
Languages
English
Bilingual or Proficient (C2)
Hindi
Bilingual or Proficient (C2)
Oriya
Bilingual or Proficient (C2)
Bengali
Beginner (A1)
Certification
Certified Professional Coder from AAPC. Member id- 02265528
Disclaimer
I hereby declare that all the statements furnished herein are true, complete and correct to the best of my knowledge and I also understand that in the event of any discrepancy found will automatically lead to rejection of my candidature.
Timeline
Certified Professional Coder from AAPC. Member id- 02265528
08-2024
Clinical Pharmacist
Apollo Gleneagles Hospitals
01.2012 - 01.2013
Faculty Member
GCP, Sambalpur, SCPER, Nellore and KMIPS, Rourkela
01.2006 - 01.2012
Certified Professional Coder and Billing Associate
Sun Knowledge Pvt. Ltd
9 2013 - Current
Madhyamik -
Intermediate - undefined
B.Pharm -
M.Pharm - Medicinal And Pharmaceutical Chemistry
KMIPS
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