Medical coder/RCM officer
Cephal medical billing, Revenue cycle management company, Al Qusais, Dubai
Total years of experience :15 years, 5 Months
Submission of E-Claim’s to DHA for various insurance companies for different providers which are processing the payments through E-Claim’s
Maximized reimbursement by ensuring accurate ICD-10-CM and CPT coding and conducting regular quality audits of providers' selected codes compared to chart documentation.
Reducing the rejections to the minimum through clearly analyzing the patients’ policies for coverage and requirement of Preapprovals which minimizes the risk of claim rejections.
Analyzing the Denials and rectifying internal compliant and corrections.
Rewarded by management for bringing the rejections to minimum.
Responsible for productivity and quality of coding activities
Single handedly take care of the Submissions of E-Claims to DHA for Reimbursement.
Take care for Preauthorization of the procedures and diagnostics which crosses the limits suggested by insurance companies for minimizing the denials.
Provide training and development sessions.
Worked as ‘POC’ for assigned providers.
Verified health insurance policies for all major Insurance.
Ascertain that quality and integrity of coding including accurate determination of principle
diagnosis and secondary diagnosis is accurate.
Made necessary changes according to client needs to improve the quality of the work.
Conducts periodic training to update the team with current information
• Filing of all incoming and outgoing correspondences, drawings, submittals, approvals as per company filing system
• Managing the scanning of all documents, maintain database and distribution as per Management requirement
• Preparation of quotations, LPO’s, Invoices, outstanding Statements etc.
• Managing all correspondence i.e. drafting letters, Memos, circulars, replies & requests
• Coordinating with the sites Project supervisors/Clients/Subcontractors
• Maintaining Log of attendance, LPO’s correspondence, Submittals etc.
• Preparing of Daily allocation sheet & time sheets.
• Preparing SIF file & payroll through WPS.
• Making of Airport passes, Jafza Passes and other passes as per the requirement for various projects.
• Assembling Documents for workers safety induction in new project sites
• Maintaining HR files & assisting PRO for document assembly for new visas
• Doing follow up for receivable payments from clients
• Handles the general administrative or clerical tasks for the team e.g. office supplies
Day to day supervision of diagnostic methods and examination of clinical specimens for bacterial, fungal and parasitic infections.
Filing and Typing up reports.
Provide administrative assistance to medical secretaries.
In-depth ability to perform microbiological procedures; culture and isolate micro-organisms and read plates.
Specialized in Microbiology but also handling work in Hematology, Biochemistry and parasitology, virology and immunology.
Observing safety precautions and handling of infectious specimens according to protocols.
Keep accurate records of quality control, maintenance and workload data according to laboratory policies.
Involvement in SOP preparation and maintenance.
• Attend all incoming telephone calls and transfer telephone inquiries to the respective person. Also, take messages and convey the same while the executive staff is away
• Maintain a neat and organized private work area and file
• Good interpersonal skills to interface with co-workers and clients
• Manage incoming and outgoing mail, faxes, emails and courier
• Manage visitors and take care of guests
• Schedule and coordinate meetings and appointments
• Typing of tenancy contract for real estate departments
teaching
• Skilled in abstracting information and assigning codes to describe each documented analysis. • Strong familiarity with coding related to medicine, surgery, radiology and pathology. • Working knowledge of official coding conventions and rules established by AMA. CPT Code Assignment ICD 10-CM Coding Guidelines Medical Terminology Payment Methodologies HIPPA Compliance Anatomy Surgery and Modifiers HCPCS Level II
Msc (Applied Microbiology), with 67% aggregrate.
B.SC (Zoology), with 86% aggregrate.