Summary
Overview
Work History
Education
Skills
Additional Information
Timeline

Swapna Sunder

Clinical Coder
Chennai,TN

Summary

Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. Medical Billing and Coding Specialist with 13 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.

Overview

13
13
years of professional experience

Work History

Senior Clinical Coder

Coronis Healthcare
04.2019 - Current
  • Participated in multidisciplinary meetings discussing complex cases requiring advanced coding expertise, resulting in successful resolutions.
  • Provided expert consultation on clinical documentation improvement initiatives, working closely with providers to enhance clarity and specificity in medical records.
  • Played an integral role in the successful implementation of a new EHR system, providing end-user training and support to clinical coding staff.
  • Assisted with the development of internal coding guidelines and procedures, ensuring consistency and accuracy across the organization.

Senior Clinical Coder

Ascribe Healthcare
01.2018 - 03.2019
  • Participated in multidisciplinary meetings discussing complex cases requiring advanced coding expertise, resulting in successful resolutions.
  • Enhanced overall coding accuracy by conducting regular audits and providing feedback to team members.
  • Assisted with the development of internal coding guidelines and procedures, ensuring consistency and accuracy across the organization.
  • Provided expert consultation on clinical documentation improvement initiatives, working closely with providers to enhance clarity and specificity in medical records.
  • Played an integral role in the successful implementation of a new EHR system, providing end-user training and support to clinical coding staff.
  • Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.

Senior Medical Coding Specialist

AGS Health Care
03.2014 - 12.2017
  • Participated in multidisciplinary meetings discussing complex cases requiring advanced coding expertise, resulting in successful resolutions.
  • Enhanced overall coding accuracy by conducting regular audits and providing feedback to team members.
  • Assisted with the development of internal coding guidelines and procedures, ensuring consistency and accuracy across the organization.
  • Provided ongoing education and training sessions for fellow coders, promoting professional development and skill enhancement.
  • Supported organizational compliance efforts by adhering to all relevant policies, regulations, and guidelines regarding clinical coding practices.

Senior Medical Coder

Omega Healthcare
03.2011 - 03.2014
  • Reduced claim denials by identifying and addressing common errors in the coding process.
  • Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
  • Utilized electronic medical record systems to store, retrieve and process patient data.
  • Generated reports to identify coding trends and discrepancies.

Medical Coder

Miramed Ajuba
09.2009 - 03.2011
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Achieved reliable classification consistency among coders via participation in regular code review sessions.
  • Verified accuracy of patient information in medical records.
  • Generated and maintained statistical data related to medical records.
  • Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.

Education

Bachelor of Science - B.Sc.Microbiology

Valliammal College, Chennai, India
04.2001 -
  • Completed Coursework: AAPC Certified Medical Coder, 2012


Skills

Electronic Health Records

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Additional Information

Specialized :


  • CPT (Current Procedural Terminology) codes for anesthesia through out the body from head to toe.
  • Denial management in medical billing is the process of identifying and resolving problems that lead to medical claim denials.

Timeline

Senior Clinical Coder - Coronis Healthcare
04.2019 - Current
Senior Clinical Coder - Ascribe Healthcare
01.2018 - 03.2019
Senior Medical Coding Specialist - AGS Health Care
03.2014 - 12.2017
Senior Medical Coder - Omega Healthcare
03.2011 - 03.2014
Medical Coder - Miramed Ajuba
09.2009 - 03.2011
Valliammal College - Bachelor of Science, B.Sc.Microbiology
04.2001 -
Swapna SunderClinical Coder