Vara Lakshmi Devi Gunnam
Hyderabad
Summary
Reliable Medical Coder with a background in document oversight, data security procedures and resolving coding errors. Detail-oriented performer with medical terminology knowledge. Considered a team player with exemplary multitasking skills. Enthusiastic Medical Coder eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of ICD-10 and E/M CPT coding. Motivated to learn, grow and excel in medical field.
Overview
9
9
years of professional experience
Work History
External Auditor
Optum
09.2023 - Current
- Reviewing documentation for accuracy, including medical records, claims forms, lab results, and insurance forms.
- Reviewing medical records to ensure that they contain all relevant information needed to generate accurate codes.
- Auditing medical coding processes and procedures to ensure compliance with healthcare standards.
- Coordinating with other staff members to ensure that accurate coding is performed on all patient records.
- Reviewing insurance claims to ensure that they are coded accurately and processed in accordance with industry standards.
- Establishing or updating coding systems or protocols to ensure that they meet current industry standards.
- Providing education to staff about new coding guidelines as they are implemented.
- Reviewing applications for coding certification to ensure that candidates meet industry standards.
Senior Medical Coder (HCC)
Optum
08.2018 - 08.2023
- Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.
- Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes.
Utilizes resources and reference materials (e.g., on-line sources, manuals) to identify appropriate codes and reference code applicability, rules and guidelines. - Codes and reports diagnoses and their associated present on Admission (POA) Indicator and procedures in accordance with the established International Classification of Diseases 10th Revision Procedure Classification System (ICD-10-PCS) Official Guidelines for Coding and Reporting.
- Accurately assigns discharge disposition for all records as required and in accordance with the Centers for Medicare and Medicaid Services (CMS) rules and regulations.
- Make determinations on medical coding and takes initiative to complete reviews and coding independently, to avoid delays in the workflow process.
- Manages multiple work demands simultaneously to maintain relevant efficiency and turnaround time standards for completing coding/DRG assignment.
- Generates compliant physician queries to clarify any incomplete/ambiguous or conflicting documentation and applies post-query responses to make final coding determinations.
- Demonstrates basic knowledge of the impact of coding decisions on revenue cycle.
- Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations.
- Maintains the minimum data standards for accuracy and efficiency as defined by the facility.
- Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance.
Medical Coder (HCC)
Optum
06.2015 - 01.2016
- Researches and analyzes data needs for reimbursement.
- Analyzes medical records and identifies documentation deficiencies.
Reviews and verifies documentation supports diagnoses, procedures and treatment results. - Identifies diagnostic and procedural information.
- Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.
- Follows coding conventions. Serves as coding consultant to care providers.
Education
Master of Pharmacy - General Education
Sri Vasavi Inst of Pharmaceutical Sciences
Tadepallegudem, India05.2013
Bachelor of Pharmacy -
SRM University
Chennai, India05.2011
Skills
- Human anatomy and physiology
- ICD 10-CM proficient
- Certified Professional Medical Coder (CPC)
Timeline
External Auditor
Optum
09.2023 - Current
Senior Medical Coder (HCC)
Optum
08.2018 - 08.2023
Medical Coder (HCC)
Optum
06.2015 - 01.2016
Master of Pharmacy - General Education
Sri Vasavi Inst of Pharmaceutical Sciences
Bachelor of Pharmacy -
SRM University
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