Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Professional Medical Coder with 1+ years of experience in Risk adjustment coding (HCC)
Knowledgeable with regards to Medical Coding guidelines.
Has knowledge in coding techniques (ICD-10 CM, CPT, HCPCS).
Consistently maintained a 98% medical coding accuracy rate and maintained a steady daily production.
Strong understanding of various coding classification systems Assign accurate ICD 10 CM codes.
Team player with great interpersonal skills but capable of working independently
Work Authorization: Authorized to work for any Organization in US.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior Medical Coder
CSI Companies
07.2023 - Current
Perform Risk adjustment coding for the client daily of 30 cases with an accuracy between 95% to 98%
Experience with coding tools such as MRM (Medical record Manager), HCC, Data wrap, EPI encoder, Salesforce tool, Citrix
Performing provider audit review charts
Resourcefully used provided internal company coding encoder websites.
Conscientiously reviewed medical records information to identify appropriate coding based on CMS, HCC categories.
Reads through patient health data, histories, physician diagnosis and treatments to gain understanding for coding purposes
Interprets medical terminology and pharmacy logical information to translate into coding system.
Coded outpatient, inpatient and emergency encounters at the rate of 25 to 60 charts per day
Strong coding knowledge related to chronic illness diagnostics, treatment and management
Knowledge of anatomy, physiology, pathological processes of disease and medical terminology
Critical thinking skills for chart review and abstraction
Good understanding in HCC guidelines provided by the company
Maintained knowledge of ICD-10 coding principles, government regulations and protocols
Maintained strict confidentiality of patient information in accordance with HIPAA regulations while managing sensitive data.
Interpret, evaluate and verify medical record documentation for completeness by complying with the specifications set by client
Analyze data accurately to ensure optimum reimbursement and minimize claim denials
Attended several internal trainings related to HCC coding and other healthcare topics
Experience of working on projects like Medicare(Blind, suspects, AIER charts), Centene , Wellmed
Physician Assistant
DG Hospital
09.2011 - 12.2015
Liaised with nurses and other clinical staff to process and direct patients to appropriate departments.
Gathered and input detailed patient data used for diagnostics and tracking.
Worked with medical professionals to provide complex clinical care management, patient education and counseling.
Immunized patients against communicable diseases following CDC guidelines and individual preferences.
Recorded patients' medical history, vital statistics and test results in electronic medical records.
Interpreted diagnostic test results to determine deviations from normal.
Education
Bachelor of Homeopathic Medicine and Surgery (BHMS) - Homeopathic Medicine
Rajiv Gandhi University of Health Sciences
Belagavi, Karnataka, India
01.2011
Skills
Episource encoder
MRM (Medical record Management)
HCC Coder
Proficient in Microsoft Excel and Word
Time Management
Certified Professional Coder
Patient Data Abstracts
Certified Medical Coder
Certification
CPC - Certified Professional Coder
Timeline
Senior Medical Coder
CSI Companies
07.2023 - Current
Physician Assistant
DG Hospital
09.2011 - 12.2015
Bachelor of Homeopathic Medicine and Surgery (BHMS) - Homeopathic Medicine