Bhavita Patel

Responsible for coding and abstracting outpatient accounts specializing in Pulmonary, Orthopedics, Radiology, and Internal Medicine.

Adhere to ICD-10-CM coding guidelines to accurately assign appropriate diagnosis codes, CPT codes, and HCPCS codes.

Efficiently process claims to achieve at least 92% clean claim submission rate from insurance carriers.

Verify accuracy and completion of data and documentation to ensure correct final coding.

Engage in continuous training to maintain certification and be knowledgeable of current best policies.

Provide guidelines and training to new hires through mentorship.

Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.

Researched and resolved insurance claims for incorrect payments, EOB rejections, and other conflicts with outstanding accounts, both inpatient and outpatient services.

Transmitted claims to both primary and secondary insurance companies and applied payments to patient accounts.

Examined billing edits to provide insurance carriers with accurate billing codes to facilitate prompt payment resolutions.

Coordinated with insurance providers to verify proper payments were applied to outstanding patient accounts.

Contacted patients for pre-registration tasks associated with scheduled appointments.

Verified insurance coverage and assigned appropriate codes to identify plans to link correct insurance to patient.

Utilized Cerner EMR to research necessary missing information or incomplete data.