Manasa Damarla
Sterling Heights,MI
Summary
Certified Professional Coder (CPC) with over 11 years of extensive experience in outpatient and inpatient coding, specializing in ED Pro Fee and facility coding, DRG, diagnostic radiology, and HCC coding. Demonstrated expertise in remote coding for 8 years, achieving a 98% accuracy rate in coding and compliance audits, significantly minimizing claim denials. Proficient in ICD-10-CM/PCS and skilled in industry-leading tools such as 3M 360, Optum CAC, Epic, and Cerner to enhance documentation and coding efficiency. Committed to delivering high-quality results that ensure compliance and optimize revenue cycle management.
Overview
13
13
years of professional experience
1
1
Certification
Work History
ED – Outpatient Coder
KODE Health
05.2023 - Current
- Responsible for coding the professional and facility encounters for Emergency room encounters, physician charges, according to AMA, ICD-10 CM, CPT-4 coding conventions and guidelines.
- Coding and charge entry for several ED/OBS patients for I&I over multiple stays. Coded ancillary Hospital, clinic services.
- Assisted in coding for trauma centers at levels I, II, and III. Supported educational initiatives at teaching facilities.
- Reviewed and applied CPT/HCPCS codes, E/M levels, and trauma activation charges to aid in efficient claims processing.
- Managed assignment of principal and secondary diagnoses, procedures, and discharge dispositions.
- Working knowledge of APC payment methodologies, AHA Coding Clinic, and CPT Assistant. Resolving NCCI/LCD and medical necessity claim edits.
- Educated healthcare providers on effective documentation techniques to increase coding accuracy.
- Assisted junior coders with complex coding scenarios to foster skill development and knowledge sharing. Conducted internal audits to evaluate processes and compliance.
ED Coder
Omega healthcare
09.2021 - 05.2023
- Assigned diagnostic and operative procedures in compliance with ICD10-CM and CPT classifications following the guidelines of CMS and ACEP to Emergency room medical records.
- Performed E/M coding for facility and professional components related to emergency services.
- Accurately assigned injection and infusion codes to support billing operations.
- Reviewed medical record to validating HCC categories ensuring precise coding submissions.
- Demonstrated expertise in emergency coding, hospital facility operations, observation coding, and ancillary services.
Certified Professional Coder
The Emergency Center, Phoenix-AZ (Juniper Ridge RCM)
Phoenix, AZ
07.2020 - 07.2021
- Achieved over 99% accuracy in ED Pro Fee and facility coding for approximately 120 cases daily.
- Applied modifiers effectively, ensuring accurate coding of narrative diagnosis and verification of diagnosis.
Team Coach
Infix Health Services Pvt Ltd.
10.2016 - 11.2019
- Accurately identified diagnoses and assigned principal diagnosis, secondary diagnosis, admit diagnosis and correctly assigned inpatient charts, ED and E & M levels.
- Coded various medical services using ICD-9/ICD-10CMPCS, CPT, and DRG coding systems.
- Conducted thorough medical record reviews for accuracy of diagnosis and surgical procedures.
- Collaborated effectively with teams while demonstrating strong independent work capabilities.
Sr. Certified Coder
Infix Health Services Pvt Ltd.
10.2013 - 09.2016
- Translated diagnostic radiology terminology for coding software with precision and clarity.
- Assigned diagnosis using laboratory, radiology, and pathology results, and clinical studies effectively.
- Maintained over 98% accuracy on 450 daily claims involving ICD and CPT code assignments.
- Consistently met strict deadlines while ensuring compliance in coding practices.
Education
Bachelors - Pharmaceutical Sciences
RGUHS
2010
Skills
- ICD-10 and CPT coding Proficiency
- Regulatory Compliance expertise
- HIPAA regulations
- Anatomy and physiology
- 3M 360, Fusion CAC
- Optum Alife (CAC)
- Epic
- Cerner systems
- Optum Lynx
- Meditech
Certification
- Certified Coding Specialist (CCS), AHIMA
- Certified Professional Coder (CPC), AAPC
- Certified Emergency Department Coder (CEDC), AAPC
- ICD-10-CM Certified
- FIMC - HCC, PMBAUSA, 2024
Timeline
ED – Outpatient Coder
KODE Health
05.2023 - Current
ED Coder
Omega healthcare
09.2021 - 05.2023
Certified Professional Coder
The Emergency Center, Phoenix-AZ (Juniper Ridge RCM)
07.2020 - 07.2021
Team Coach
Infix Health Services Pvt Ltd.
10.2016 - 11.2019
Sr. Certified Coder
Infix Health Services Pvt Ltd.
10.2013 - 09.2016
Bachelors - Pharmaceutical Sciences
RGUHS
PROFESSIONAL DEVELOPMENT
- Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding.
- Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding.
- Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls.