SRUTHI RAJ R S
Bengaluru,KA
Summary
Detail-oriented and certified Associate Medical Coder with 1 year of experience in accurately assigning diagnostic and procedural codes for medical services. Proficient in ICD-10-CM, CPT, and HCPCS coding systems, with a strong understanding of medical terminology, anatomy, and disease processes. Skilled in reviewing medical documentation for completeness and compliance with coding guidelines. Committed to maintaining coding accuracy, confidentiality, and ethical standards in accordance with regulatory requirements 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.
Overview
1
1
year of professional experience
1
1
Certification
Work History
Medical Coder
United Health Group, Optum
05.2023 - Current
- Accurately assign appropriate medical codes to diagnoses, procedures, and services based on patient medical records, ensuring compliance with coding guidelines and regulations (e.g., ICD-10, CPT, HCPCS)
- Review and analyze medical documentation to extract relevant information for coding purposes, maintaining a high level of attention to detail
- Collaborate with healthcare providers and billing specialists to resolve coding- related inquiries and discrepancies promptly
- Ensure the confidentiality and security of patient information while handling sensitive medical records
- Stay updated with the latest coding changes, industry trends, and best practices through continuous education and training
- Utilize coding software and electronic health record (MRM) systems proficiently to streamline coding operations
- Collaborate with physicians and healthcare providers to clarify documentation Actively contribute to team-based projects and initiatives aimed at improving coding and billing practices.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Input data into computer programs and filing systems.
- Verified accuracy of patient information in medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Assisted in training new staff on medical record processing and filing procedures.
- Maintained accuracy, completeness, and security for medical records and health information.
Education
Certified Professional Coder Oriented Training in Medical Coding -
Indus Education
Trissur, KeralaBachelor in Commerce -
University Of Kerala
Thiruvananthapuram, KeralaSkills
- English C1
- Malayalam
- Proficient in ICD-10, CPT, and HCPCS Level II coding systems
- Strong understanding of medical terminology, anatomy, and physiology
- Excellent attention to detail and accuracy
- Ability to work independently and as part of a team
- Strong communication and interpersonal skills
- Familiarity with MRM systems
- Knowledge of Coding Systems
- Medical Terminology
Personal Information
- Date of Birth: 08/14/91
- Gender: Female
- Nationality: Indian
- Marital Status: Married
Certification
- CPC - Certified Professional Coder
Languages
English
Upper intermediate (B2)
Timeline
Medical Coder
United Health Group, Optum
05.2023 - Current
Certified Professional Coder Oriented Training in Medical Coding -
Indus Education
Bachelor in Commerce -
University Of Kerala
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