RISWANAPARVEEN PULAKAMPATTI MUTHALIFA IQBAL ALI

Ensure that patient and insurance companies are properly billed for all services.Coding end verification -CPT/HCPCS/ICD10 verification in claims(Anesthesia, Surgery, Radiology, Evaluation and Management
(EM)) Denial management of patient accounts with a specialty in Medicare/Medicaid insurance and commercial payers.Presented various denials trending to Team Leader of reimbursement. Collaborated with internal departments to increase payments on initial claims and reducing denials.Worked in cross functional roles, including insurance verification, process improvement and reporting.Auditing the worked claims before sending to AR departments and giving
feedback to the team mates.Provide assistance and backup to the support staff and fellow team members

Working in Chart review process (CRP). Applying the appropriate coding guidelines for assignment of the primary diagnosis and co-morbidities for outpatient accounts.Demonstrates knowledge of the content of the electronic medical record for both inpatient and outpatient accounts. Applies the appropriate guidelines for assignment of primary and secondary
procedures. Good knowledge about ICD procedures.
Maintains an average productivity rate of 50 charts per day. Maintains confidentiality of patient’s Protected Health Information (PHI) in both electronic and paper formats.