Mae Silook

Provide support and technical assistance in the management and administration of the Purchased/Referred Care Program. The PRC Program provides support services to beneficiaries by serving contracted health care services that would otherwise not be available. The PRC program provides a mechanism of payment for services purchased in the private sector and ensures that payments are made accurately and timely

• Reviewed and analyzed medical records for accurate coding compliance with industry standards.
• Collaborated with healthcare providers to resolve coding discrepancies and improve documentation quality.
• Educated staff on coding updates, enhancing knowledge of regulatory changes and best practices.
• Implemented efficient coding processes, reducing claim rejections by improving accuracy in code selection.
• Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
• Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.