Medical Coder Coding

SOWMYA MANCHALA

CPC Certified - Medical Coder

Contact

**** ********* *****

Lawrence, Kansas City, USA

Phone: +1-785-***-****

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

Objective

Dedicated and CPC-certified medical coder with three years of hands-on experience in accurately translating complex medical procedures into alphanumeric codes. Seeking a challenging medical coding position to leverage my expertise in ensuring compliance, minimizing denials, and optimizing revenue for healthcare providers.

Education

Trinity college of pharmaceutical sciences, Telangana, India

Master’s in pharmacy

Thought Flows medical Academy.

(CPC Training), Coimbatore, India

(6 Months)-2022

Key Skills

• ICD-10-CM, CPT, and HCPCS Level II coding

• Medical coding – HCC, ED

•Denials, Billing software

• Coding audits and quality control

• Compliance and HIPAA regulations

• Medical terminology and anatomy knowledge

• Strong analytical and problem-solving abilities

•Epic

Achievements

Received gold medal from Satvahana University for scoring highest percentage in Masters.

Professional Experience:

MARCH 2023 – DECEMBERT 2023 (9 MONTHS)

HCC Coder Weller IT, Florida USA

• Worked as HCC coder for 6 months as a Certified Professional Medical Coder with Weller IT, Florida USA.

• Possessed a deep understanding of medical terminology, anatomy, and physiology.

• Demonstrated proficiency in adhering to coding guidelines of ICD-10-CM & CPT.

• Ensured strict adherence to established coding guidelines, third-party reimbursement policies, regulations, and accreditation standards.

Responsibilities:

• Precisely assigned ICD and CPT codes to patient medical records.

• Scrutinized patient charts to identify any discrepancies in the medical documentation.

DECEMBER 2017 – AUGUST 2021 (3 YEAR 9 MONTHS)

Medical coder, ED Coder Pena4 Solutions, Hyderabad, Telangana, India.

• Accurately apply ICD-9-CM, CPT, and HCPCS Level II codes to medical records while emphasizing precision and adherence to compliance standards.

• Achieve a coding accuracy rate of 95%, leading to a substantial reduction in denial rates and a notable revenue boost for the organization.

• Provide guidance and mentorship to junior coders, imparting coding guidelines and best practices.

• Engage actively in coding team meetings, where we deliberate on coding guideline revisions and collaboratively address intricate cases.

Responsibilities:

• Scrutinizing both electronically transcribed and handwritten electronic medical records to accurately assign codes for medical conditions, injuries, diagnoses, procedures, and modifiers on admission and discharge records.

• Establishing the necessary connections between diagnosis codes and relevant CPT codes to facilitate accurate billing procedures.

• Sustaining a consistent level of quality at 98%, consistently meeting client expectations.

• Demonstrating a proactive approach and exhibiting efficient time management capabilities.

NOVEMBER 2016-OCTOBER 2017

Assistant professor,

Sri Indu college, Hyderabad, Telangana, India Responsibilities:

•Involved with graduation students and taught subjects like Human Anatomy and Physiology and Biochemistry.

•Performed lab experiments of different body systems from anatomy and metabolic panels for Biochemistry with the students.

Certifications

Certified Professional Coder (CPC) – February 2023

Overview

I have 3 years of experience as a Certified Professional Medical Coder with Weller IT, USA and Pena4 Solutions in Hyderabad, India. where I've demonstrated a deep understanding of medical terminology, anatomy, and physiology while adhering to the coding guidelines of ICD-10-CM and CPT. My role involved accurately assigning ICD and CPT codes to patient records, conducting meticulous chart reviews, and utilizing computer-assisted coding systems, with a particular focus on radiology information systems. I've also consistently maintained a coding accuracy rate of 95%, resulting in reduced denial rates and increased revenue for the organization. Additionally, I've contributed to the development of junior coders by providing training and mentoring, and actively participated in coding team meetings to discuss guideline updates and resolve complex coding cases. My proactive approach and strong time management skills have been key assets in maintaining a 98% quality standard and meeting client expectations.

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