CODING SUPERVISOR
NMC HOSPITAL
مجموع سنوات الخبرة :25 years, 5 أشهر
Ensuring accurate coding on the claims & pre-approvals and review discharge summaries. Maximized reimbursement by ensuring coding accuracy.
Supervision of coding, billing, preapproval and reconciliation team.
Follow up with physicians and resolve MRD deficiencies and coding guidelines.
Maximized reimbursement by rectifying under billing and educating staff on billing guidelines.
Monitoring and ensuring that services availed by the patient are billed to the insurance companies every 10 days and submitting audit reports.
Analyzing denial claims and making necessary modifications for resubmission, CEED error verification and check the quality of the assigned codes.
Clinical Research Coordinator at PULSE Clinical Research Organization- 03/2012-present
Hyderabad- India,
➢ Responsible for coordinating all aspects of the clinical trial and day to day operations
➢ like developing study source documents, visit schedules, pre-screening questionnaires,
➢ logs, forms, letters and & determining storage and supply need to ➢ ensure integrity of data and safety of subjects of research program
➢ Phase BA/BE study on healthy children - Fortify syrup
➢ Phase III Darbepoetin study on CKD Dialysis patients
Professional Association of Medical Doctors-Plano, TX
Health Services and Medical revenue manager
04/2007-12/2011
Provided Administrative support for three physicians.
➢ Billing-Submit claims to health insurancecompanies, Ensure ICD-9, CPT andHCPCScodes on the claims, processing the responses of the companies, d requesting payment from patients when necessary.
➢ Carefully reviewed medical records for accuracy and completion as required by insurancecompanies.
➢ Assigned additional diagnosis codes based on specific clinical findings (lab, radiology, and pathology reports as well as clinical studies) in support of existing diagnosis.
➢ Accurately entered procedure codes, diagnosis codes and patient information into billing software.
➢ Thoroughly reviewed remittance codes from EOBs/ARs.
➢ Knowledge of Medisoft and use word and excel extensively for different charts and reports. ..
➢ Excellent communication, leadership and organizational skills.
➢ A hands-on working manager who will assist the staff with their duties, as required.
ANGEL AID ASSISTED LIVING FACILITY-Boynton Beach, FL 03/2006-03/2007
Health Services Administrator
• One year experience of long term care facility billing, accounts receivable, Accounts payable.
➢ Understand the need for the facility's fiscal stability and actions required in case of fiscal instability.
➢ Identify the need for mandatory in-service training for various staff members, including, but not limited to, infectious disease, Resident's rights and abuse, HIV/AIDS, CPR and first aid and document training.
➢ Knowledge of adverse incidents and demonstrate knowledge of how to report it.
➢ Documentation of resident's visits and diagnostic test results.
➢ Managing and updating resident's charts and daily dietary charts.
YASHODA SUPER SPECALITY HOSPITAL-Hyderabad, India
02/1998-06/2005
Health Services and Medical Records Manager
➢ Responsible for the maintenance and medical transcription of all patient's Medical records
➢ Ensure that databases are complete, accurate, and available only to authorized personnel
➢ Work closely with physicians to oversee personnel matters, billing and collection, budgeting, planning, equipment outlays
➢ Patient flow and lab reports.
➢ Deal with the enquiries and problems regarding the medical information.
➢ Ensure that the requirements are followed and obtained the proper consent.
➢ Maintained the records of the patients by verifying their name, address, identity, etc.
➢ AAPC (American Academy of Professional Coders License) CPC CERTIFICATE ➢ CPC- SuvarnaCheruku, CPC (01240211) ➢ Certification in Electronic Health Records, Insurance Billing and coding. ➢ Medical Transcription, ➢ MS-Office, MS-word, MS-Excel
Topics in organic chemistry including, but not limited to alkanes, alkenes, alkynes, alcohols, ethers, alkyl halides, aromatic compounds, carboxylic acids, amides, esters, amines, phenols, amino acids, peptides, proteins, carbohydrates, nucleic acids, heterocycles, organometallics, spectroscopy, secondary bimolecules, polymers, nanochemistry, medicinal chemistry, fullerenes, stereochemistry and organic synthesis.physical and chemical properties, synthesis ect.