Senior Medical Coder
nmc hospital
Total years of experience :14 years, 11 Months
JOB DESCRITION
The incumbent checks and sequence the most accurate ICD-9-CM/CPT/HCPCS/DRG for diagnosis and procedures for documentation information .Assure the final diagnosis and operative procedures as stated by the physician are valid and complete
Coding specialty-wise inpatient and outpatient health records this includes ICD-9-CM, CPT codes and reporting hospital mortality, morbidity coding.
Educating and training to healthcare professional about coding methodology and proper documentations
Assigning inpatient DRG codes from 3M as per given guidelines and using a knowledge base of clinical rules, to finds claims that should be bundled under a code(s), and detects clinically inappropriate diagnosis, procedures and incomplete entries to avoid denials and incorrect billing.
Providing monthly feedbacks to concern specialty or department.
Handling of coding denials and communicating with the insurance providers about various coding queries and concerns.
Deficiency checking and assembling of Inpatient and Outpatient files
Abstract all necessary information from Health records to identify secondary complication and co-morbid conditions.
Analyzes doctor’s documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes.
Ensure coding is as per HAAD guidelines and regulation.
Provide feedback to Doctors regarding coding errors or oversights.
Provide Orientation to new doctors as per ICD-9-CM and CPT coding guidelines resulting in proficient Clinical documentation.
Perform follow-up coding of Medical Record as a result of Internal and External reviews/audits.
Maintain inter and intradepartmental Communication for the smooth functioning of the department.
Prepare daily/ monthly coding audits report and submit to the management for statistics and data analysis.
Perform miscellaneous job related duties as assigned.
➢ From July 2009 to January 2012
Hyderabad Elico Healthcare services Pvt. Ltd.C 56, Sanath Nagar, and Hyderabad 18.
Designation: Medical Coder
Currently Working as Medical Coding Executive at NMC Specialty Hospital, Abudhabi.
Designation: Senior Medical Coder
• Experience in Emergency department coding.
• Experience in Facility coding
• Experience in IP coding
• Experience in E & M
To analyze medical records and assigns codes to classify diagnoses and procedures to support the reimbursement system, to support assessment of clinical care, and to support medical research activity.
Allocate codes to patients' current period of care, using knowledge of the information contained within the International Classification of Diseases,
JOB DESCRITION
The incumbent checks and sequence the most accurate ICD-9-CM/CPT/HCPCS/DRG for diagnosis and procedures for documentation information. Assure the final diagnosis and operative procedures as stated by the physician are valid and complete
Coding specialty-wise inpatient and outpatient health records this includes ICD-9-CM, CPT codes and reporting hospital mortality, morbidity coding.
Educating and training to healthcare professional about coding methodology and proper documentations
Assigning inpatient DRG codes from 3M as per given guidelines and using a knowledge base of clinical rules, to finds claims that should be bundled under a code (s), and detects clinically inappropriate diagnosis, procedures and incomplete entries to avoid denials and incorrect billing.
Providing monthly feedbacks to concern specialty or department.
Handling of coding denials and communicating with the insurance providers about various coding queries and concerns.
Deficiency checking and assembling of Inpatient and Outpatient files
Abstract all necessary information from Health records to identify secondary complication and co-morbid conditions.
Analyzes doctor's documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT codes.
Ensure coding is as per HAAD guidelines and regulation.
Provide feedback to Doctors regarding coding errors or oversights.
Provide Orientation to new doctors as per ICD-9-CM and CPT coding guidelines resulting in proficient Clinical documentation.
Perform follow-up coding of Medical Record as a result of Internal and External reviews/audits.
Maintain inter and intradepartmental Communication for the smooth functioning of the department.
Prepare daily/ monthly coding audits report and submit to the management for statistics and data analysis.
Perform miscellaneous job related duties as assigned.
• University: BHARATHIDASAN UNIVERSITY Year: 2008 Class: 1st (72%) Biotechnology, Microbiology, Biochemistry
Bachelor of Science (Biotechnology); 2006 Kakatiya University Warangal; India 70%
Class XII; 2002 Intermediate State Board, Andhra Pradesh: India.. Biology, Physics, Chemistry
• Institution: OXFORD CREATIVITY E/M SCHOOL • University: STATE BOARD • Year: 2000