PURVI JOSHI
Old Bridge,NJ
Summary
Medical Billing and Coding Specialist with 5 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. killed in ICD-10 and CPT coding, EMR software, and insurance claims processing.
Overview
4
4
years of professional experience
1
1
year of post-secondary education
Work History
Coding Specialist
The Plastic Surgery Center
Red Bank, NJ
09.2021 - Current
- Code all Surgical Specialties with a minimum of 96% 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 being in compliance with 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 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.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Resourcefully used various coding books, procedure manuals, and on-line 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 amd 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
03.2019 - 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 the insurance
- Timely management of unpaid claims, denials, aging reports, and Clearinghouse rejections
- Ensure appropriate documentation of billing, follow-up, collection, appeal efforts, and status 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 accuracy of accounts payable payments, resulting in high% reduction in payment errors and check reissues.
Follow-Up Representative
Medi-Centrix, A.R
Neptune, NJ
12.2018 - 03.2019
- Follow up with Medicare/Medicaid to ensure timely resolution of all outstanding claims
- Use the 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
Diploma - Health Information and Coding
03.2017 - 11.2017
Bachelor of Science - Microbiology
07.1995 - 08.1995
Skills
EMR, eClinicalWorks, Allscripts, Criterions, Kareoundefined
Timeline
Coding Specialist - The Plastic Surgery Center
09.2021 - Current
Billing and Coding Specialist - Progressive Pain Management
03.2019 - 09.2021
Follow-Up Representative - Medi-Centrix, A.R
12.2018 - 03.2019
MIDDLESEX COMMUNITY COLLEGE - Diploma, Health Information and Coding
03.2017 - 11.2017
GUJARAT UNIVERSITY - Bachelor of Science, Microbiology
07.1995 - 08.1995
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