Medical Home Health

CPC Medical coder resume

Hari Krishna Kalvakuntla

Karimnagar

Andhra Pradesh

Cell: +91-955*******

Email: ***********.***********@*****.***

Objective

Seeking a Medical Coder position in a hospital/out patient

clinic/healthcare IT organization where i can utilize my medical knowledge

to code the diagnosis, procedures with accuracy.

Qualifications Summary

. Well qualified CPC Coder (CPC Membership ID # 01331480)

. 4+ years experience in Medical Coding in variety of disciplines

. Extremely knowledgeable with regard to Medical Coding guidelines and

coding techniques (ICD-9, CPT-4, HCPCS, and DRG's).

. Proficient in outpatient coding and Home care facility coding.

. Strong knowledge of Anatomy & Physiology, Advanced Medical

Terminology, Psychology, and Pharmacology.

. Very efficient in Microsoft Office Software, including Word, Excel,

and PowerPoint, in addition to EHR software such as Excelicare

. Effective communication and interpersonal skills.

Education

Bachelors degree in Physiotherapy - NTR University of Health Sciences,

Vijayawada, Andhra Pradesh

. Physiotherapy (Aug 2004)

Santa Barbara City College, Santa Barbara, CA

. A.A degree in P.E emphasis in Exercise Science (Dec 2009)

Work Experience

Senior Medical Coder and claims specialist: Feb 2013 - till date, Pratima

Hospitals, karimngar, Telangana, INDIA

Auditing the charts on retrospective basis

Assisting the biller in claim adjudication process

Recertifying the complicated coded charts for proper coding

Checking the rejected claims on timely basis and solving them with just

right coding

Medical Coder: May 2011 - May 2012, Professional Home Health Care,

Southfield, MI

. Perform Home health care coding based on RN,PT or case manager's

diagnosis

. Conducted the audits on Prospective, retrospective basis

. Code medical records with ICD-9, CPT-4, and HCPCS Level II coding,

processing 60 to 90 claims daily while maintaining 95% accuracy and

achieving productivity goals.

. Utilize Health care Synergy software and input information into

computerized patient record system.

. Duties also include handling wide variety of medical claims including

physical therapies, RN, OT, MSW Always comply with state regulations

and JCAHO requirements for coding guidelines and CMS policies.

Medical Coder: Aug 2009 - May 2011, Family Alliance Home Health Care,

Southfield, MI

. Abstracted medical records with ICD-9-CM, CPT, and DRG coding.

. Reviewed charts for correct admit/discharge dates and entered proper

admitted dates.

. Attended seminars for updates on ICD-9-CM and completed DRG assurance

clinical documentation program.

Team Lead- Clinical Application Analyst: Aug 2005 - May 2007, Hyderabad,

AP, INDIA

Performed Tasks:

. Data Mapping: Doing the Gap Analysis of NCDDP- EC and EC- NCDDP with

the comparison of data items of NCDDP to EXCELICARE [GCS Breast SCAN,

GCS NOSCAN Gynae, Infection Audit Control system] and making sure the

Excelicare following the NCDDP data items.

. Preparing Specifications and User Manual and UDF Checklist [Testing

results] within the given time for a project.

. Interacting with DB team and Web team to resolve some issues in the DB

and related to EC Web Functionality.

. Planning in a proper way to achieve the assigned tasks within the

allotted time.

. Clarifying and Recorrecting some Misconceptions, Spellings and

resetting of forms availing medical terminology.

. Giving proper functional inputs while designing forms and making them

reasonable and meaningful

. Helping in achieving accurate Medical Mathematical Functions {(E.g.;

BSA (Body surface area), BMI (Body mass Index)} eventually in helping

the clinicians more comfortable with Excelicare.

. Preventing the contra versions by updating the most recent Medical

alterations through searching in Medical Journals.

Personal Profile:

Father's Name : K. Ravinder Rao

Residential Address : H-No 11-57/1, P.No 18 & 19

Alwal, Hyderabad - 500015, India

Date of Birth & Age : 27.08.1982, 30 years

Languages known : English, Hindi & Telugu

Marital Status : Married

Religion : Hindu

Nationality : Indian

Hobbies : Listening music

Strengths : Self Confidence & strong commitment, dedication

towards work

References

1. Mrs. Ann riegle RN

Director of Nursing

Professional Home Health Care, Southfield, MI

E-mail: ****************@*****.***

2. Mrs. Barbara turner

Director of Nursing

Family Alliance Home Health Care, Southfield, MI

E-mail: ****************@*****.***

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