Overview
Work History
Education
Skills
Timeline
Generic

Purvi Joshi

Old Bridge,NJ

Overview

11
11
years of professional experience

Work History

Coding Specialist

Phoenix children's Hosp AZ.
05.2023 - Current
  • Responsible for coding all Surgical Specialties
  • Surgical Case Mix: General Surgery, Reconstruction Surgery, Wound Care, Hand Reconstruction, Mouth Reconstruction, Cleft Palate, Fracture coding, Cranial surgery coding
  • Intracranial cases, jaw cases, and facial BFOARS, open crannies, mini crannies, cranioplasties, lefort III, and orthognathic cases
  • Skin Lesions, Scar Revision, Breast Reconstruction
  • Anesthesia Coding for all procedure regarding plastic surgeries
  • Plastic Surgery, Augmentation, Lift, Reduction, Gynecomastia, Facial, Lift, Ear Surgery, Ear Lope Repair, Eyelid Surgery
  • Responsible for Coding all Surgical Denials and adding surgical and E&M Modifiers
  • Performs a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding
  • Performs coding for records about surgeries performed with a minimum of 96% accuracy and as per turnaround time requirements
  • Exceeds the productivity standards for Medical Coding for Surgery - as per the productivity norms for inpatient and/or specialty-specific outpatient coding standards
  • Maintains a high degree of professional and ethical standards
  • Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards
  • Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences
  • System: Allscript EMR Software

Coding Specialist

The Plastic Surgery Center
Red Bank, NJ
09.2021 - 04.2023
  • Code all Surgical Specialties with a minimum of 95% accuracy and as per turnaround time requirements
  • Responsible for coding all Surgical Denials and adding surgical and E&M Modifiers
  • Exceed productivity standards for Medical Coding for Surgery
  • Maintain a high degree of professional and ethical standards
  • Focus on continuous improvement by working on projects that enable customers to arrest revenue leakage while following standards
  • Participate in coding team meetings and educational conferences
  • System: NexTech EMR Software
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
  • Reviewed, analyzed, and managed the coding of diagnostic and treatment procedures contained in outpatient medical records
  • Correctly coded and billed medical claims for various hospital and nursing facilities
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Verified signatures and checked medical charts for accuracy and completion
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services
  • We utilized active listening, interpersonal, and telephone etiquette skills when communicating with others
  • Resourcefully used various coding books, procedure manuals, and online encoders
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Trained and mentored junior coders to support growth and development and apply high-quality coding practices
  • Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information
  • Generated reports to identify coding trends and discrepancies

Billing and Coding Specialist

Progressive Pain Management
, NJ
09.2018 - 09.2021
  • Perform coding on all diagnoses, procedures, professional services, and supplies with the most accurate and descriptive ICD-10-CM/CPT-4/E&M, and HCPCS code for reimbursement purposes
  • Prepare claims and submit them to insurance
  • Timely management of unpaid claims, denials, aging reports, and Clearinghouse rejections
  • Ensure appropriate billing, follow-up, collection, appeal efforts, and status documentation are recorded on accounts
  • Review and post insurance payments
  • Meet daily and monthly departmental production goals
  • Timely follow-up on outstanding patient balances and reported delinquent accounts
  • Assist with other billing-related tasks on a needed basis
  • Insurance Verification for major surgical procedures
  • System: E-Clinical Works, Allscripts
  • Verified the accuracy of accounts payable payments, resulting in a high reduction in payment errors and check reissues

Follow-Up Representative

Interventional Pain Management
, NJ
01.2014 - 08.2018
  • Follow up with Medicare/Medicaid to ensure timely resolution of all outstanding claims
  • Use MPower workflow system, client host system, and other tools available to collect payments and resolve accounts
  • Maintained up-to-date knowledge of product and service changes
  • Increased efficiency and team productivity by promoting operational best practices

Education

Certified Professional Coder -

AAPC

Diploma - Health Information and Coding

MIDDLESEX COMMUNITY COLLEGE
NJ

Bachelor of Science - Microbiology

GUJARAT UNIVERSITY
India

Skills

  • EMR
  • EClinicalWorks
  • 3M
  • Encoder
  • Codify Allscripts
  • Criterions
  • Kareo
  • ICD-10 Coding
  • Major Med, Medicare, Workers Comp, PIP Insurance
  • Operations Management
  • Quality Assurance and Auditing
  • CPT and HCPCS Coding
  • Medical Billing
  • Medical Records Management
  • Insurance claims analysis
  • Certified Coder

Timeline

Coding Specialist

Phoenix children's Hosp AZ.
05.2023 - Current

Coding Specialist

The Plastic Surgery Center
09.2021 - 04.2023

Billing and Coding Specialist

Progressive Pain Management
09.2018 - 09.2021

Follow-Up Representative

Interventional Pain Management
01.2014 - 08.2018

Certified Professional Coder -

AAPC

Diploma - Health Information and Coding

MIDDLESEX COMMUNITY COLLEGE

Bachelor of Science - Microbiology

GUJARAT UNIVERSITY

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