Vedavathi G
Medical coder
Bengaluru,KA
Summary
Highly skilled and experienced HCC and ICD coder with [number] years of experience in accurate and efficient coding for risk adjustment and reimbursement purposes. Proficient in ICD-10-CM and HCC coding guidelines, with a strong understanding of disease processes and coding regulations.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Coder
Optum Xl Health
02.2022 - Current
- Working as a medical coder (L2).
- Accurately assigned ICD-10 codes to diagnoses and procedures for a wide range of medical specialties, ensuring compliance with federal regulations and payer guidelines.
- Reviewed and analyzed patient medical records and documentation for completeness, accuracy, and consistency.
- Worked closely with healthcare providers to clarify diagnoses and procedures for optimal coding accuracy.
- Applied HCC coding guidelines to identify and capture accurate risk-adjusted diagnoses.
- Conducted chart reviews to ensure accurate and complete coding.
- Checking the ICD code by using the HCC tool for the correct HCC.
- I participated in regular training sessions to stay updated on coding guidelines and changes in healthcare regulations.
- Maintained high accuracy and productivity standards.
Claim Processing Specialist
Hinduja Global Solutions, HGS
08.2016 - 01.2021
- I worked as claim processing executive at Hinduja Global Solution Pvt Ltd(17thAug 2016 –Jan-2021)
- I have 4.5 years of experience in handling medical claims and TPA claims.
- experience in extracting raw data from the tool (OH+).
- Experience in assigning the assignments to the team members.
- Skilled in the identification of emerging escalation from the clients and responding back with the exact solutions.
- Preparing daily reports and dashboards.
- Preparing Shift Hand overing reports and handling L1 members.
- Experience in handling dedicated mail boxes (escalation mail boxes, Staff claims mail box etc).
Education
Bachelor of Science - Computer Science
BNES Degree College
Bengaluru, India 04.2001 -
Skills
Coding Proficiency: ICD-10
Languages
English
Bilingual or Proficient (C2)
Kannada
Bilingual or Proficient (C2)
Hindi
Elementary (A2)
Telugu
Bilingual or Proficient (C2)
Certification
Certified Professional Coder (CPC) from AAPC
Drawing, Playing Online game, Cooking
Drawing: is a creative outlet for expressing ideas visually, whether through sketches, illustrations, or digital art.
Playing Online Games: is an engaging way to unwind and connect with others, offering both competition and cooperation in various game genres.
Cooking: A mix of art and science, cooking allows for experimenting with flavors and techniques to create delicious dishes and explore new culinary experiences
Timeline
Medical Coder
Optum Xl Health
02.2022 - Current
Certified Professional Coder (CPC) from AAPC
03-2019
Claim Processing Specialist
Hinduja Global Solutions, HGS
08.2016 - 01.2021
Bachelor of Science - Computer Science
BNES Degree College
04.2001 -
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