Vrushika Patel
Chicago,IL
Summary
Medical coding and billing professional with solid background in managing healthcare claims and ensuring compliance with industry standards. Proven ability to streamline billing processes and resolve discrepancies efficiently. Effective collaborator and adaptable team member, consistently meeting organizational goals and adapting to changing demands. Skilled in ICD-10, CPT, and HCPCS coding and maintaining patient confidentiality.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Family Practice Urgent Care
06.2022 - 11.2024
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Optimized appointment scheduling processes to minimize conflicts and maximize physician availability for patients.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
- Reduced wait times by swiftly processing insurance claims, verifying coverage, and obtaining pre-authorizations when necessary.
- Provided support during emergencies by administering first aid treatments under physician supervision until further assistance arrived.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Assisted in preparation of medical reports for external parties.
- Sorted and distributed incoming and outgoing medical records.
- Identified new methods to optimize medical records management.
- Developed and implemented new filing system for medical records to improve efficiency.
- Generated and maintained statistical data related to medical records.
- Processed and tracked requests for medical records from external organizations.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Maintained accuracy, completeness, and security for medical records and health information.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Input data into computer programs and filing systems.
- Followed exact procedures for handling transfers and other releases of medical records.
- Assisted in training new staff on medical record processing and filing procedures.
Medical Assistant
Urgent Care Home Health
02.2021 - 03.2024
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.
- Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
- Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
- Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
- Developed and implemented new filing system for medical records to improve efficiency.
- Processed and tracked requests for medical records from external organizations.
- Assisted in preparation of medical reports for external parties.
- Tracked and monitored requests for medical records release.
- Researched and resolved medical record discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Maintained accuracy, completeness, and security for medical records and health information.
- Scanned and uploaded medical records into electronic medical records system.
- Followed up with medical staff regarding missing information in patient records.
- Generated reports to identify coding trends and discrepancies.
Education
Bachelor of science -
The Maharaja Sayajirao University of Baroda
Skills
- Medical terminology expertise
- CPT coding knowledge
- Medical record review
- ICD-10 Proficiency
- Insurance coding (ICD-9 and CPT)
- Claims Processing
- Diagnostic Coding
- Payment posting
- Healthcare Reimbursement
- Denial Management
- Clinical Documentation Improvement
- Medical billing software
- Anatomy and physiology
- Medical Billing
- Medical Terminology
- Data Entry
- Insurance claims analysis
- Data security procedures
- Coding appeals
- Data entry and management
- Patient data compilation
- Medical coding and abstracting
- Healthcare claim coding
HIPAA Compliance
Medical Coding Ethics
Procedural Coding
Websites
Certification
- SQL BASIC CERTIFICATE - HACKERRANK
- SQL FOR DATA SCIENCE - University of California, DAVIS (COURSERA)
- Data Visualization in Power BI
- Introduction to Tableau
- Analyzing Data in Tableau
- Introduction to Python
Personal Information
Citizenship: US Citizen
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Supervised team of staff members.
- Resolved product issue through consumer testing.
Languages
English
Full Professional
Timeline
Medical Coding and Billing Specialist
Family Practice Urgent Care
06.2022 - 11.2024
Medical Assistant
Urgent Care Home Health
02.2021 - 03.2024
- SQL BASIC CERTIFICATE - HACKERRANK
- SQL FOR DATA SCIENCE - University of California, DAVIS (COURSERA)
- Data Visualization in Power BI
- Introduction to Tableau
- Analyzing Data in Tableau
- Introduction to Python
Bachelor of science -
The Maharaja Sayajirao University of Baroda
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