Madhavi Javvadi
Troy,Michigan
Summary
Overall, 12 plus years of clinical and healthcare domain experience. 2+ years of hands-on experience in medical coding using ICD-10, CPT and HCPCS codes. Practiced Homeopathic Medicine and managed Homeo-Clinic for more than 5 years. Having 4 plus years of experience as a duty doctor in hospitals. Worked with reputed Healthcare Insurance Providers. In depth knowledge of coding concepts and principles. Demonstrated ability to analyze and solve problems. Proven ability to use independent judgment and work with minimum supervision. Able to adopt, modify and prioritize coding functions. Profound ability to work with computers and popular medical coding software. Outstanding visual and auditory skills. Track record of analyzing and translating medical and clinical diagnosis, procedures and designated numerical codes.
Overview
1
1
Certification
Work History
Specialist Coder
SUTHERLAND HEALTHCARE SOLUTIONS
- Experienced in Diagnostic Radiology Coding using ICD-10, CPT and HCPCS codes
- Trained in ICD 10 coding through Sutherland Healthcare solutions
- Reviewed the charts and consistently ensured and assigned proper ICD-10 and CPT codes with appropriate modifiers
- Examined diagnostic codes for accuracy, completeness, specificity, and appropriateness according to the services rendered
- Assigned additional diagnosis codes based on the specific clinical findings in support of existing diagnosis
- Reviewed, analyzed, and managed coding of diagnostic radiology and treatment procedures contained in medical records in database
- Demonstrated knowledge of HIPPA privacy and security regulations by appropriately handling patient information
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Medical Executive
AEGIS LIMITED
- Evaluates and ensures that all claims denied or underpaid inappropriately by payers are identified, appealed, and reversed
- Compiles, analyzes, and reports on data related to underpayments, denials
- Categorizes denials based on root cause findings and distributes reports and metrics to applicable management and teams
- Determines whether to reject or pay claims following coding guidelines and organizational policies and procedures
- Reviewing medical records with ICD-9, CPT, HCPCS Level II coding, processing claims daily while maintaining 99% accuracy and achieving productivity goals
- Worked on multi-specialty denials for Humana Insurance Process.
DUTY MEDICAL OFFICER
GEETHA MATERNITY HOSPITAL
- Taking care of In-Patients in 100 bedded hospitals
- Prescribing for Out-Patients and worked in Acute Medical Care
- Maintaining surgical records and Case-Sheets and writing discharge summaries
- Assisted Gyn-obs Surgeries and General Surgeries, MOT experience
- Measured patient vital signs such as blood pressure, pulse rate and temperature to record information on patients' charts
- Experienced in handling emergencies like RTA, Chest-pain cases, Burns etc
- Administered medications and performed basic and advanced patient assessments
- Performed patient service duties by communicating directly with patients, answering questions, and assisting with concerns
- Interacted with patients and families while demonstrating high standards of performance, teamwork, and compassion
- Communicated with patients and families to obtain patient medical histories and vital information
- Maintained patient confidence and protected hospital by keeping information confidential
- Followed appropriate disinfecting procedures to sterilize medical equipment and implemented treatment for emergent medical conditions by thoroughly assessing current patient status.
Medical Coder
GIFTECH TECHNOLOGIES
04.2015 - 06.2015
- Experienced in Diagnostic Radiology Coding using ICD-9CM, CPT and HCPCS codes
- Reviewed, analyzed, and managed coding of diagnostic radiology and treatment procedures contained in medical records in database
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Education
BHMS - Bachelor of Homeopathic Medicine & Surgery
JSPS Govt Homeopathic Medical College
Hyderabad, TS01.2002
Skills
- ICD (International Classification of Diseases)-10 CM
- CPT
- HCPCS
- Insurance Documentation
- Claims Verifications
- Online Claim Submissions
- Radiology Concepts
- Usage of Encoder-pro
- Anatomy and Physiology
- Well versed with medical terminology
- Medical Software's
- MS Suite
- Gained excellent knowledge in ICD-9, ICD10CM, CPT and HCPCS
- I learned and exposed to manage multiple specialties coding while meeting rigorous, performance standards and demanding schedules which made me to be achieved
- I learned excellent coding management, interpersonal and communication skills with the experience required to remain highly focused and exceptionally productive in fast-paced, high pressure settings
Certification
AAPC - CPC-A, 2008, 01091193, USA
Accomplishments
- Best Coder
- Employee of the month
Personal Information
Title: CPC-A (Certified Professional Coder)
Languages
Telugu
Native or Bilingual
Hindi
Professional Working
French
Elementary
Timeline
Medical Coder
GIFTECH TECHNOLOGIES
04.2015 - 06.2015
Specialist Coder
SUTHERLAND HEALTHCARE SOLUTIONS
Medical Executive
AEGIS LIMITED
DUTY MEDICAL OFFICER
GEETHA MATERNITY HOSPITAL
BHMS - Bachelor of Homeopathic Medicine & Surgery
JSPS Govt Homeopathic Medical College