Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Yogita Chahda

Mason,OH

Summary

AAPC Certified professional coder, Seeking medical coding position in the Health Administrative field. I provide dedication, commitment, loyalty, and perseverance to any company I work for. To grow within a company that supports continuing education to further my career and a coder.

Overview

14
14
years of professional experience
4
4
Certification

Work History

HCC/Risk Adjustment Medical Coder

Optum
02.2023 - Current
  • Identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories
  • Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered
  • Review medical record information to identify all appropriate coding based on CMS HCC categories
  • Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
  • Provide support, education and training related to quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards
  • Monitor Coding changes to ensure that most current information is available
  • Demonstrate analytical and problem-solving ability regarding barriers to receiving and validating accurate HCC information.
  • Maintained positive working relationship with fellow staff and management.
  • Maintained up-to-date knowledge of coding changes, updates, and new rules.
  • Maintained schedule of class assignments to meet deadlines.
  • Completed day-to-day duties accurately and efficiently.
  • Maintained CMA score 95%.
  • Worked on different projects for Aetna and Optum using company specific guidelines.

Medical Billing and Coding Specialist Denials (Review Team Member)

Cincinnati Medical Billing services
09.2022 - 02.2023
  • Timely follow-up on submitted claims with no response from the payer and identify errors and resubmit for payment
  • Analyze denial and rejection trends when necessary to ensure compliance with payor and/or regulatory requirements
  • Following up directly with insurance companies regarding payment discrepancies
  • Calling insurance companies regarding payment status or denial of payment
  • Customer service skills for interacting with patients regarding medical claims, payments, or any other concerns
  • Proficient in the use of computer and business software (In particular, Electronic Health Record systems and Microsoft Office products including Word and Excel)
  • Maintain current knowledge base in all aspects of CPT, HCPCS and ICD -10-CM coding
  • Maintaining strictest confidentiality; adhering to all HIPAA guidelines and regulations
  • Attending all mandatory meetings and training sessions applicable per management.

Rep 1 Coder

Cincinnati Children Hospital
05.2022 - 08.2022
  • Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
  • Complying with medical coding guidelines and policies
  • Receiving and reviewing patients’ charts and documents for verification and accuracy
  • Following up and clarifying any information that is not clear to other staff members
  • Collecting information made by the Physician from different sources to prepare monthly reports
  • Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
  • Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses or events that lead to the negligence.

Lead Teacher

KinderCare Taylorsville
Mason, OH
09.2021 - 05.2022
  • Guided student teachers and teaching aids in classroom management, leading by example and thoroughly answering questions
  • Increased student involvement in program offerings through strategic redesign of program processes and methods
  • Planned and implemented different daily activities to enhance overall development and growth of every student
  • Conferred with parents about student progress to boost family involvement and enhance student support
  • Maintained patience and level-headedness in diverse situations to support student development and personal growth
  • Worked one-on-one with students and student teachers to increase overall classroom success
  • Organized rooms in line with current educational thinking to maximize educational opportunities for students.

Lead Teacher

TriHealth Early Learning Center
Montgomery, OH
02.2017 - 06.2020
  • Guided student teachers and teaching aids in classroom management, leading by example and thoroughly answering questions
  • Increased student involvement in program offerings through strategic redesign of program processes and methods
  • Planned and implemented different daily activities to enhance overall development and growth of every student
  • Conferred with parents about student progress to boost family involvement and enhance student support
  • Maintained patience and level-headedness in diverse situations to support student development and personal growth
  • Worked one-on-one with students and student teachers to increase overall classroom success
  • Organized rooms in line with current educational thinking to maximize educational opportunities for students.

Coordinator

JIVA Ayurveda
Faridabad India
09.2010 - 06.2011
  • Managed filing systems for electronic and hard copy documents to keep organized records
  • Maintained master schedule and set up appointments
  • Gathered and organized materials to support operations
  • Drove workflow improvements by streamlining processes
  • Managed conference scheduling and travel arrangements for key personnel
  • Entered and maintained departmental records in the company database
  • Coached employees through day-to-day work and complex problems
  • Developed revisions for systems and procedures by evaluating operational practices and identifying improvement opportunities
  • Entered data, generated reports and produced tracking documents
  • Maintained current and compliant financial records, monitoring and addressing variances through detailed analysis.

Jr. Pharmacist

Medi Source Health Care
Faridabad, INDIA
11.2005 - 04.2007
  • Worked within applicable standards, policies, and regulatory guidelines to promote a safe working environment
  • Created spreadsheets using Microsoft Excel for daily, weekly, and monthly reporting
  • Identified issues, analyzed information, and provided solutions to problems
  • Developed team communications and information for meetings
  • Created plans and communicated deadlines to complete projects on time
  • Monitored company inventory to keep stock levels and databases updated
  • Actively listened to customers' requests, confirming full understanding before addressing concerns
  • Participated in team-building activities to enhance working relationships
  • Used Microsoft Word and other software tools to create documents and other communications.

Education

MBA in Health Care Services -

Sikkim Manipal University

Graduate Degree in Arts -

HP University

2-year associate degree in pharmacy -

BPS Mahila Polytechnic Institute

Skills

  • Medical Terminology
  • Anatomy / Physiology
  • ICD -10-CM
  • CPT Coding Guidelines
  • HCPCS Coding Guidelines
  • HIPAA Compliance
  • Claims Processing
  • Medical Billing
  • Performance Improvement
  • Data Entry

Certification

  • Certified Professional Coder, CPC(AAPC)
  • Certified in Medical Transcription from PENN Foster
  • Certified in CDA (Child Development Associate)
  • Certified in CPR from Red Cross, First Aid training.

Timeline

HCC/Risk Adjustment Medical Coder

Optum
02.2023 - Current

Medical Billing and Coding Specialist Denials (Review Team Member)

Cincinnati Medical Billing services
09.2022 - 02.2023

Rep 1 Coder

Cincinnati Children Hospital
05.2022 - 08.2022

Lead Teacher

KinderCare Taylorsville
09.2021 - 05.2022

Lead Teacher

TriHealth Early Learning Center
02.2017 - 06.2020

Coordinator

JIVA Ayurveda
09.2010 - 06.2011

Jr. Pharmacist

Medi Source Health Care
11.2005 - 04.2007

MBA in Health Care Services -

Sikkim Manipal University

Graduate Degree in Arts -

HP University

2-year associate degree in pharmacy -

BPS Mahila Polytechnic Institute

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Yogita Chahda