Radha Handa, CPC
Auburn,WA
Summary
I am a certified professional coder (CPC) from AAPC with over 12 years of coding and billing experience and last employed as an HIM Coder. I am hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. I am a highly motivated employee with desire to take on new challenges with strong worth ethic, adaptability and exceptional interpersonal skills. I can adapt at working effectively unsupervised and quickly mastering new skills. I have experience of multiple software systems i.e Epic, Optum, Encoder Pro, Nexgen, Medisoft, Vision and Allscripts.I have been part of the ICD-10 implementation team that included mapping of ICD-9 codes to correct ICD-10 code descriptions and training the physicians on ICD-10 code selections and specific documentation guidelines. My other areas of expertise in coding include Ob-gyn, Dermatology, Endocrinology, Pathology, Urgent care, General surgery, Family Medicine, Urology, Lifestyle medicine, Bariatric surgery, Palliative care, denials, monthly coding reports for external audits, E/M and physician documentation audits, insurance and coding denials, and physician training and education.
Overview
12
12
years of professional experience
1
1
Certification
Work History
HIM Coder II
Kaiser Permanente
Renton, WA
05.2021 - 07.2022
- Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from the EMR documentation in a hospital setting
- Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, PT and HCPCS Level II codes
- All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits and Kaiser
- Permanent's organizational and institutional coding guidelines.
Coder/Abstractor II
Valley Medical Center
Renton, WA
12.2015 - 04.2021
- Responsible for abstracting and providing CPT,ICD-10/ ICD-10-PCS & HCPCS codes for diagnosis, procedures for clinic/inpatient encounters maintaining coding productivity and accuracy expectations
- Review and resolve coding-based edits, corrects errors, and educates clinic and medical staff on appropriate use of CPT, ICD-10, or HCPCS codes
- Reviews coding-based denials, corrects errors, and educates clinic and revenue cycle staff on appropriate coding procedures when services are denied due to inappropriate diagnosis or procedure coding
- Experience in coding specialities like Dermatology, Ob-gyn,
- Endocrinology, Urology, Family Medicine, Primary and Urgent care, General Surgery, Bariatric surgery and lifestyle medicine.
- Paid attention to detail while completing assignments.
Medical Coding Specialist
Seattle Indian Health Board
Seattle, WA
06.2013 - 11.2015
- Assign special codes to each diagnosis and medical procedure performed, ensuring that the correct codes are assigned, and the insurance company receives the proper billing information so they can quickly and efficiently review, and process received claims and the medical facility can receive reimbursement in a timely manner
- Submit claims to insurance, follow up to see if a claim is accepted or denied and investigate rejected claim to see why denial was issued
- Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding
- Knowledge of several different coding systems, including ICD-9, ICD-10, CPT and Level 1 & Level 2 HCPCS.
Patient Services Specialist
Harborview Medical Center
Seattle, WA
10.2012 - 05.2013
- Receives and greets patients/families, visitors, and staff, checks on-line systems for patient location as appropriate, appropriately performs telephone assessment and triage of patient problems, determines financial sponsorship for all registrations and assigns correct account type and payer plan, obtains the necessary signatures for consent for treatment, financial agreement and privacy information according to HIPAA regulations, maintains departmental statistics as requested, using the Epic systems, checks for future/past appointments and PCP information, obtains interpreters for patients as appropriate, assists and directs patients, families an unfamiliar staff to appropriate medical center services, checks hospital's systems for PCP information and future/past appointments, follows integrity and compliance guidelines, demonstrates awareness of and functions within safety, infection control, emergency and equipment guidelines, coordinates communication flow within the department.
Medical Billing/Coding Specialist
NeighborCare Health
Seattle, WA
11.2011 - 06.2012
- Responsible for on-site routine and complex encounter coding based on review of entire clinical records
- Billed Medicare, Washington State DSHS, Private Insurance Payers
- Used correct coding processes as implemented by NeighborCare Health clinics
- Worked on coding projects such as auditing un-billed claims for billable services.
Medical Billing/Coding Specialist
Group Health Cooperative
Tukwila, WA
11.2010 - 07.2011
- Reviewed coding edits for accuracy by auditing chart notes to assure correct CPT, Modifier and ICD-9 codes
- Services in review were for GHC multidisciplinary clinics (outpatient) such as OB, Cardiology,
- Urology, Family Medicine, etc
- Coding revision involved the use of IBM to check the status of the claim or any required changes in the claim before it goes to the insurance.
Volunteer Front Desk Receptionist
Valley Medical Center
Renton, WA
06.2010 - 09.2010
- Greet visitors, prioritizing lobby visitors appropriately, answer a multi-line phone, check & relay messages to appropriate places, deliver flowers and gifts to patient's rooms, PDX operator, accept deliveries, notify member of staff if a client with appointment arrives, computer operations
- Externship 180 Hours
- Valley Family Medicine
- Scrubbing of the charts, abstract information from medical records, sorting and filling and get the records ready for being scanned.
Education
Associate - Applied science
Renton Technical College
03.2010
High school diploma -
senior secondary school
03.2004
Skills
- Certified Professional Coder and HIPAA certified
- CPT, ICD-9, ICD-10 and HCPS coding
- Medicaid, Medicare and third-party/commercial coding & billing
- Code from Physicians notes and Medical Records
- Audit provider charts and provide coding and documentation training
- E/M clinic outpatient coding
- Proficient in Word/Excel/Outlook
- Good critical thinking and communication skills
- Computer operations
- Proficient in 10-key/typing 55 wpm
- Quick learner, detail oriented
- Epic systems
- NexGen
- Medisoft
- Vision
- Allscripts
- General surgery
- Urology
- Bariatric surgery
- Endocrinology
- Dermatology
- Lifestyle medicine
- Anatomy Knowledge
- Auditing
- Insurance Verification
- Medical Billing
- Hospital Experience
- Ob gyn
- Physiology Knowledge
- EHR systems
- Interpersonal Communication
- Data Entry
- Treatment Documentation
- Time Management
- Patient Data Abstracts
- Problem-Solving
- Healthcare Claim Coding
- Medical Terminology
- Coding Error Resolution
- Doctor Communication
- Patient Health Information Access
Certification
Certified Professional Coder (CPC)
March 2010 to Present
Timeline
HIM Coder II
Kaiser Permanente
05.2021 - 07.2022
Coder/Abstractor II
Valley Medical Center
12.2015 - 04.2021
Medical Coding Specialist
Seattle Indian Health Board
06.2013 - 11.2015
Patient Services Specialist
Harborview Medical Center
10.2012 - 05.2013
Medical Billing/Coding Specialist
NeighborCare Health
11.2011 - 06.2012
Medical Billing/Coding Specialist
Group Health Cooperative
11.2010 - 07.2011
Volunteer Front Desk Receptionist
Valley Medical Center
06.2010 - 09.2010
Associate - Applied science
Renton Technical College
High school diploma -
senior secondary school
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