Visali Kota
Ball Ground
Summary
Results-driven In Patient Coder with a proven track record at Omega Health Care, achieving over 95% accuracy in E&M coding. Expert in ICD-10-CM and CPT coding, with strong analytical skills to minimize claim denials. Committed to maintaining patient confidentiality while ensuring optimal reimbursement through meticulous documentation review.
Overview
5
5
years of professional experience
1
1
Certification
Work History
In Patient Coder Physician
Omega Health Care
09.2024 - Current
- Assign appropriate CPT, ICD-10-CM, and HCPCS codes and modifiers utilizing a deep understanding of AMA guidelines, anatomy, and physiology.
- Execute precise Evaluation and Management (E&M) provider coding for inpatient and Emergency Department (ED) visits, consistently maintaining a >95% accuracy rate.
- Reviewed and verified medical charts to confirm completeness and accuracy of clinical documentation per client specifications.
- Analyzed coding data to secure optimal reimbursement and reduce claim denials.
- Consistently meet high-volume production requirements while sustaining exceptional quality scores of 97-98%.
E&M Coder IP/OP
Corida Technologies
01.2021 - 04.2022
- Identified and assigned principal/secondary diagnoses, external causes, and E&M levels to ensure accurate coding and compliance.
- Associated diagnosis codes to appropriate CPT procedure codes, sequencing them strategically to ensure proper reimbursement.
- Reviewed medical records, coding, and surgical procedures to ensure provider coding accuracy and uphold reimbursement integrity.
- Upheld patient confidentiality and adhered to clinical coding standards to maintain compliance and protect sensitive information.
Education
Bachelor of Naturopathy and Yogic Sciences -
Gandhi Naturopathic Medical College
Hyderabad, India12-2015
Skills
- ICD-10-CM
- CPT
- HCPCS Level II
- Medical terminology
- Claim preparation
- Insurance verification
- Denial minimization
- Medical records management
- Anatomy
- Physiology
- AMA guidelines
- CMS guidelines
- Invoice management
- Patient confidentiality
Certification
Certified Professional Coder (CPC)
Core Competencies
ICD-10-CM, CPT, HCPCS Level II, Extensive medical terminology, anatomy, and physiology, Claim preparation, invoice management, insurance verification, and denial minimization, Medical records management, AMA/CMS guidelines, and strict patient confidentiality
Timeline
In Patient Coder Physician
Omega Health Care
09.2024 - Current
E&M Coder IP/OP
Corida Technologies
01.2021 - 04.2022
Bachelor of Naturopathy and Yogic Sciences -
Gandhi Naturopathic Medical College