Medical Professional Experience

Navaskhan N

Mobile: **** 875-***-**** ~ E-Mail:************@*****.*** ~ Skype ID :************@*****.***

Scaling new heights of success with hard work & dedication and leaving a mark of excellence on each step; aiming for challenging assignments as Medical Coder with a reputed organization, preferably in Healthcare sector

Synopsis

A dedicated and result-oriented professional with nearly 4 years of experience in Medical Coding

Exposure in analyzing clinical statements and assigning standard codes using a classification system

Proficient in reviewing patients’ medical records and assigning codes to diagnoses & procedures performed so that the facility can bill insurance and other third-party payers (Medicare/ Medicaid) as well as the patient

Adept in helping doctors’ to understand what treatments will work best for specific patients based on prognosis and prior therapies

Expertise in ensuring that providers follow laws regarding medical records and providing data to hospitals & doctors for tracking the most effective therapies

Thorough understanding of clinical record documentation for O.P. claims

Deft in retrieving patients’ records for doctors & nurses who need prior history for future diagnosis and treatment

Excellent communication & interpersonal skills with ability to grasp new concepts quickly and utilize the same in a productive manner

Knowledge Purview

Well versed with coding of diagnosis & procedures and medical record documentation

Sound understanding of:

Medical terminology, Anatomy and Physiology

Medical coding guidelines and coding techniques (ICD-10 CM, ICD-9 CPT-4 and CCI Edits)

Coding tools like Encoder and Webs Rat 3M Codebook

Classification of diseases

Professional Experience

Jan 13th ’16 - Current: Ajuba solutions Private Ltd, Senior-Medical Officer

Role:

Manage outpatient coding (ED Facility Coding) for medical centers registered with hospitals

Out-Patient (OP) Record coding

Reviewed member charts, lab and consult reports for identifying documented diagnosis

Assigned ICD-10, CPT and HCPCS codes

Advised providers of missed opportunities

Performed audits of Prospective and Retrospective employees

Process a minimum of 100 claims a day conforming to ICD-10 and CPT standards

Highlights:

Merit of achieving 98% accuracy in coding level in the organization

May 1st ’13 - Jan 9th ‘16: Visionary RCM Infotech Private Ltd, Quality control Analyst

Role:

Assign and sequence the correct ICD-10 CM and HCC Coding and CPT code accurately and completely.

Interpret and applied regulatory guidelines to coding and reimbursement decisions.

Assure adherence to department quality and productivity standard.

Reconciles NCCI correct edits and discrepancies prior to final coding.

Maintain 100% correct coding and accuracy.

Experience in coding ER E/M level, Radiology, Laboratory, MRI, Pre-Natal, Labor Observation, Pre -admission Testing.

Using Modifier and HCPC and adding charges when needed.

Strengths

ICD9-CM & ICD10-CM/CPT/HCPCS; Flash Code.

Exposure in different Coding Tools and Software Such as Chart Navigator, Mediconnect, Leprechaun.

Health Information Standards.

Medical Terminology.

Anatomy & Physiology.

Medicare & Medicaid Regulations.

Able to perform all speciality coding within very short time period as, I am through with whole CPT, ICD & HCPCS guidelines.

Education

Completed B.Sc.,Microbiology at Syed Hameedha Arts & Science College ( Affiliated to Alagappa University ), Kilakarai in 2006-2009.

Completed Diploma in Medical Laboratory Technician at Vinayaka Mission Deemed University, Selam, in 2006.

Completed Higher Secondary Course in Hameediah Boys Higher Secondary School in Kilakarai, Ramanathapuram-District.

Completed Secondary Course in Hameediah Boys Higher Secondary School in Kilakarai, Ramanathapuram-District.

Certifications

Certified Medical Coder - CPC, Visionary RCM InfoTech private Ltd, Chennai (AAPC Member ID_01325762)

ICD-10 CM Proficiency Certified Coder from AAPC

Technical Skills

Well versed with MS Office (Word, Excel, Outlook & PowerPoint) and Internet Applications

Proficient in software like EPIC, Imagenow and Excode

Personal Details

Name : NAVASKHAN NAINA GANI

Date of birth : 15/04/1987

Sex : Male

Nationality : Indian

Religion : Islam

Mother Tongue : Tamil

Languages known : Spoken: English, Tamil.

Passport Details : No: N1810700

Date of Issue : 29/07/2015

Date of Expiry : 28/07/2025

Place of Issue : Madurai, TamilNadu

Marital Status : Married

Permanent Address:

19/66,North Street,

Kilakarai-623 517,

Ramanathapuram-District,

Tamilanadu-State.

References

1) Mrs. Sophia

Visionary RCM InfoTech,

Chennai- 600032, India

Mob: +91-900*******.

2) Dr .Chinnamma Abraham

Billroth Hospitals.

Shenoy Nagar, Chennai-600 030

Tel: +91-994*******

Declaration

I hereby declare that all the above information is true and correct to the best of my Knowledge and belief.

Place : Yours Sincerely,

Date : NAVASKHAN.N

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