Priyanka Prakash
Sacramento,CA
Summary
Certified medical coder with 9 years of professional experience in application and evaluation of varies code sets.
Abstracted and assigned ICD-10 codes to patient medical records, while maintaining a 95% accuracy. Pursuing a role where hard work and dedication will be highly valued.
Overview
13
13
years of professional experience
Work History
Medical Coder
Sutter Health
Sacramento, CA
06.2015 - Current
- Assigned and abstracted ICD-10 codes with accuracy to patient medical records.
- Sustained up-to-date familiarity with CPT and ICD-10 coding principles, government regulation, protocols, and third-party billing requirements.
- Enhanced coding knowledge through ongoing education and certification renewal.
- Analyzed patient health records, medical histories and physician diagnoses to gain insights required for accurate coding.
- Validated the accuracy of ICD-10 codes by verifying proper coding and sequencing of diagnoses.
- Implemented and upheld HIPAA standards to safeguard patient data confidentiality.
- Assisted in resolving coding queries raised by staff and coders pertaining to particular cases or coding matters.
- Ensured knowledge of coding changes, updates, and new rules was current.
- Achieved consistent high accuracy rate in the daily production of completed accounts.
- Resolved coding discrepancies and denials, maximizing reimbursement.
- Answered questions and fulfilled requests with friendly and knowledgeable service.
Medical Biller/Front Office Receptionist
Sylvan Eye Associates
Modesto, CA
09.2013 - 06.2015
- Maintained confidentiality on all patient record data.
- Obtained prompt payments for open bills by interacting with appropriate parties.
- Verified insurance eligibility for patients by calling appropriate parties.
- Sent meticulous and accurate bills to collect payment from customers according to company protocol.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed and sent invoices, adjustments and credit memos to customers.
- Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
- Investigated and resolved issues to maintain billing accuracy.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Scheduled and confirmed appointments.
- Processed payments and updated accounts to reflect balance changes.
Customer Service Clerk
Savemart
Modesto, CA
08.2011 - 08.2013
- Delivered exceptional customer service
- Assisted customers in selecting appropriate products or services to meet their needs.
- Participated in team meetings to discuss strategies for improving customer service processes.
- Assisted with stocking shelves with merchandise according to store guidelines.
- Answered incoming calls from customers regarding product information, order status, returns, and other related inquiries.
- Resolved customer complaints in a timely manner.
- Maintained front check out area to keep traffic flows running smoothly and efficiently.
Medical Records Specialist
Garden City Health Care Center (Externship)
Modesto, CA
11.2012 - 01.2013
- Pulled patient charts for upcoming appointments.
- Kept department clean, organized and professional.
- Tracked and processed release of information requests.
- Verified legitimacy, accuracy and authority of records requests.
- Filing and charting records
Education
Certified Professional Coder (CPC)
05-2024
Certified Coding Associate (CCA)
04.2021
Associates Degree of Administrative Healthcare Management -
San Joaquin Valley College
Salida, CA10.2012
High School Diploma -
Fred C. Beyer High School
Modesto, CA06.2011
Skills
- Administrative Support and Communication
- Office Management
- MS Office
- 3M Encoding Software
- Electronic Health Records (EHR), EPIC
- Teamwork and Organized
- Medical Terminology
- Data Analysis
- Account Collections
- Billing and Invoicing
- Customer Contact
- Coding Error Resolution
- Healthcare Claim Coding
Timeline
Medical Coder
Sutter Health
06.2015 - Current
Medical Biller/Front Office Receptionist
Sylvan Eye Associates
09.2013 - 06.2015
Medical Records Specialist
Garden City Health Care Center (Externship)
11.2012 - 01.2013
Customer Service Clerk
Savemart
08.2011 - 08.2013
Certified Professional Coder (CPC)
Certified Coding Associate (CCA)
Associates Degree of Administrative Healthcare Management -
San Joaquin Valley College
High School Diploma -
Fred C. Beyer High School
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