Team Lead- Medical Coding
Pacific BPO Pvt. Ltd., Noida
Total years of experience :17 years, 4 Months
Jan’11 Onwards Pacific BPO Pvt. Ltd., Noida Team Lead Medical Coding
q Leading team with accountability for floor control, talent engagement and retention.
q Performing medical coding of all medical terms and medications.
q Generating coding queries for clarification of terms.
q Creating coding reports and review coded data.
q Handling resolution of rejected and delinquent claims.
q Keeping current on payment trends and coding changes.
q Providing oversight and instruction for members.
q Checking all medical records and admission information.
q Heading process improvement initiative for quality improvement avoiding errors in coding.
Jan’10 - Dec’11 Pacific BPO Pvt. Ltd., Noida Quality Analyst Medical Coding
q Actively involved in managing outpatient coding for medical centers registered with the hospital.
q Entrusted with responsibility of claims relevant to physical therapies, ENT, primary care and, dental, eye/vision, surgeries, diagnostic testing, ER, and E&M.
q Reviewed charts for correct admit/discharge dates and entering proper surgery dates.
q Conducted research and analyze the medium to complex level codes for different surgical techniques
q Was responsible for accurate coding and abstracting of clinical information from medical records.
q Identified issues resulting in non-payment of claims due to internal and external issues.
q Assembled, filed and retrieved medical charts.
q Processed insurance claims using the system.