Himani Mada

• Review claim documentation to determine the category of already assigned procedure and diagnosis codes (ICD‑10‑CM, CPT®, and HCPCS) and assign appropriate Billing Codes (BC) to ensure precise and compliant claim processing.
• Verify insurance eligibility, benefit coverage, and prior authorization requirements, and resolve COB‑related discrepancies across Medicare, Medicaid and other payers using strong critical‑thinking skills.
• Maintain organized datasets and abstract coded data for reporting, supporting high‑volume claim cases with professionalism, accuracy, and strict adherence to payer, state, federal, AHIMA, HIM, and organizational standards.
• Meet productivity benchmarks with a consistent 99% accuracy rate while performing efficiently in fast‑paced, high‑volume claim environments.

Maintainedandupdatedmultipleclaims. Synchronizeddata across systems using business rules andcompliancerequirements.

Redactedsensitiveinformation (e.g., SSNs) from legal documents. Processed100+ documents daily with high accuracy andcompliance. Ensuredadherenceto legal andregulatory data protection standards. Updatedandmaintainedaccurate records to support organizational efficiency.