Jomon Joy
Doha
Summary
Certified coding professional with a strong foundation in medical coding systems, compliance regulations, and healthcare documentation. Skilled in precise and accurate code assignment, optimizing reimbursement processes, and maintaining data integrity. Highly regarded for collaborative teamwork and adaptability in dynamic environments, consistently contributing to team success and achieving organizational goals.
Overview
13
13
years of professional experience
Work History
Insurance Coordinator
KIMS Health Medical Centre
09.2021 - 12.2021
- Ensured accuracy by meticulously verifying and amending physician assigned diagnostic codes as needed
- Diligently verified insurance status, confirming active coverage or identifying expired policies
- Maintained strict confidentiality in handling and storage of sensitive medical records
- Efficiently managed the submission of insurance claims with major providers including QLM, AXA,Alkoot and Allianz Health Insurance and handle pre-approvals with these insurers as well
- Manage and process both inpatient and outpatient claims,including billing, approval,eligibility verification,insurance card management,co-payment reductions and submission
- Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes
- Monthly billing of each insurance company
- Modifies invoices which have been cancelled/changed
- Finalize and submit Excel files in the approved format on the respective portal
Medical Coder
Dynamed Healthcare Solutions
11.2017 - 05.2019
- Assigned codes and procedures for medical diagnoses based on ICD10 and national standards
- Filed and organized inpatient and outpatient information, making sure that all recorded data is correct in the patient administration system
- Stored and archived medical records when necessary
- Maintained relevant qualifications and continually updated knowledge for optimized workflow
- Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Conducted internal audits to identify areas for improvement in coding accuracy and compliance.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Staff Nurse
Pushpawati Singhania Research Institute
11.2011 - 08.2014
- Employed person-centered practices to enhance health outcomes and empower patient participation in health planning
- Managed personal care needs and coordinated daily living tasks for patients
- Communicated effectively across team and completed thorough handovers, outlining patient progress, priorities and shift incidents
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
Staff Nurse
Sharda Hospital
09.2009 - 11.2011
- Identified care planning needs and carried out necessary risk assessments while exceeding care quality expectations
- Handled clinical complaints from residents and family members in line with Nursing & Midwifery Council Code of Conduct
- Assessed needs of patients with chronic conditions to develop detailed care plans promoting choice, dignity and quality of life
- Implemented medication and IV administration, catheter insertion, and airway management.
- Collaborated with physicians, pharmacists and therapists to deliver quality, evidence-based care.
Staff Nurse
Malik Deenar Charitable Hospital
08.2008 - 06.2009
- Evaluated the effectiveness of care plans regularly, making adjustments as needed based on individual patient needs and progress toward goals.
- Improved patient satisfaction scores by providing empathetic, compassionate care to diverse populations.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Coordinated discharge planning with case managers to ensure seamless transitions of care from the hospital to home or other facilities.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
Education
Certified Professional Coder(CPC) - Medical Coding
American Association of Professional Coders
03-2017
General Nursing And Midwifery - Nursing
Malik Deenar School of Nursing
Kasaragod,Kerala06-2008
High School Diploma -
St: John's HSS
Vadakara,Ernakulam,Kerala03-2004
Skills
- Client Assistance Skills
- Insurance Claims Management
- Claims Management Proficiency
- Experienced with Microsoft Office Suite
- ICD-10 Medical Coding
- Medical CPT Coding
- Revenue Cycle Optimization
- Proficient in Medical Terminology
- Deadline Management Skills
Languages
Malayalam
Native language
English
Proficient
C2
Hindi
Proficient
C2
Tamil
Upper intermediate
B2
Timeline
Insurance Coordinator
KIMS Health Medical Centre
09.2021 - 12.2021
Medical Coder
Dynamed Healthcare Solutions
11.2017 - 05.2019
Staff Nurse
Pushpawati Singhania Research Institute
11.2011 - 08.2014
Staff Nurse
Sharda Hospital
09.2009 - 11.2011
Staff Nurse
Malik Deenar Charitable Hospital
08.2008 - 06.2009
Certified Professional Coder(CPC) - Medical Coding
American Association of Professional Coders
General Nursing And Midwifery - Nursing
Malik Deenar School of Nursing
High School Diploma -
St: John's HSS
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