Shivasankari G
Komarapalayam,Tamilnadu
Summary
Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Senior Analyst
R1RCM Global Pvt.ltd
03.2022 - Current
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Utilized advanced knowledge of anatomy, physiology, and medical terminology to accurately assign codes for complex or rare diagnoses and procedures.
- Verified, coded and added modifiers to diagnoses.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Senior Specialist
Logixhealth Solutions Pvt Ltd
12.2016 - 01.2022
- Enhanced medical coding accuracy by meticulously reviewing patient records and diagnoses.
- Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
- Increased staff proficiency with ICD-10-CM and CPT code sets through ongoing training sessions and individual coaching.
- Maintained strict adherence to HIPAA regulations by protecting confidential patient information during the coding process.
Education
CPC -
Certification
10.2021
Bachelor of Science - Biochemistry
Kongu Arts And Science College
Erode05.2016
H.sc -
Government Girls Higher Secondary School , Bhavani
Bhavani05.2013
S.S.L.C -
Government Girls Higher Secondary School , Bhavani
Bhavani05.2011
Skills
- Critical Thinking Abilities
- CPT coding knowledge
- Analytical thinking
- Anatomy and physiology knowledge
- HCPCS Level II understanding
- ICD-10 proficiency
- Have knowledge about medical guidelines
- To Understand the Patient report
- Have knowledge about the All summaries and OP EM
- Stabilizing New Clients
- Ability to handle multiple clients
Accomplishments
To receive Star of quarter award and operate with purpose award 2 times
To receive a Rewards and Recognition 5 times for maintaining excellent Quality and Productivity
Certification
- CPC - Certified Professional Coder
Languages
Tamil
Native or Bilingual
English
Full Professional
Hindi
Full Professional
Timeline
Senior Analyst
R1RCM Global Pvt.ltd
03.2022 - Current
Senior Specialist
Logixhealth Solutions Pvt Ltd
12.2016 - 01.2022
CPC -
Certification
Bachelor of Science - Biochemistry
Kongu Arts And Science College
H.sc -
Government Girls Higher Secondary School , Bhavani
S.S.L.C -
Government Girls Higher Secondary School , Bhavani
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