Medical Coder
Resume:
PURVI JOSHI
***********@*****.*** 732-***-**** Old Bridge, NJ 08857
Skills
EMR
EClinicalWorks
3M
Encoder
Codify Allscripts
Criterions
Kareo
ICD-10 Coding
Major Med, Medicare, Workers Comp, PIP Insurance
Operations Management
Quality Assurance and Auditing
CPT and HCPCS Coding
Medical Billing
Medical Records Management
Insurance claims analysis
Certified Coder
Experience
Phoenix children's Hosp AZ.
Coding Specialist
05/2023 - Current
Responsible for coding all Surgical Specialties
Surgical Case Mix: General Surgery, Reconstruction Surgery, Wound Care, Hand Reconstruction, Mouth Reconstruction, Cleft Palate, Fracture coding, Cranial surgery coding
Intracranial cases, jaw cases, and facial BFOARS, open crannies, mini crannies, cranioplasties, lefort III, and orthognathic cases
Skin Lesions, Scar Revision, Breast Reconstruction
Anesthesia Coding for all procedure regarding plastic surgeries
Plastic Surgery, Augmentation, Lift, Reduction, Gynecomastia, Facial, Lift, Ear Surgery, Ear Lope Repair, Eyelid Surgery
Responsible for Coding all Surgical Denials and adding surgical and E&M Modifiers
Performs a variety of activities involving the coding of medical records by ascribing accurate diagnosis and CPT codes as per ICD-10 and CPT-4 systems of coding.
Performs coding for records about surgeries performed with a minimum of 96% accuracy and as per turnaround time requirements.
Exceeds the productivity standards for Medical Coding for Surgery - as per the productivity norms for inpatient and/or specialty-specific outpatient coding standards.
Maintains a high degree of professional and ethical standards.
Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.
Focuses on updating coding skills, knowledge, and accuracy by participating in coding team meetings and educational conferences.
System: Allscript EMR Software
The Plastic Surgery Center Red Bank, NJ
Coding Specialist
09/2021 - 04/2023
Code all Surgical Specialties with a minimum of 95% accuracy and as per turnaround time requirements.
Responsible for coding all Surgical Denials and adding surgical and E&M Modifiers
Exceed productivity standards for Medical Coding for Surgery
Maintain a high degree of professional and ethical standards.
Focus on continuous improvement by working on projects that enable customers to arrest revenue leakage while following standards.
Participate in coding team meetings and educational conferences.
System: NexTech EMR Software
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Reviewed, analyzed, and managed the coding of diagnostic and treatment procedures contained in outpatient medical records.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Verified signatures and checked medical charts for accuracy and completion.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
We utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Resourcefully used various coding books, procedure manuals, and online encoders
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
Generated reports to identify coding trends and discrepancies
Progressive Pain Management NJ
Billing and Coding Specialist
09/2018 - 09/2021
Perform coding on all diagnoses, procedures, professional services, and supplies with the most accurate and descriptive ICD-10-CM/CPT-4/E&M, and HCPCS code for reimbursement purposes.
Prepare claims and submit them to insurance!
Timely management of unpaid claims, denials, aging reports, and Clearinghouse rejections
Ensure appropriate billing, follow-up, collection, appeal efforts, and status documentation are recorded on accounts.
Review and post insurance payments.
Meet daily and monthly departmental production goals.
Timely follow-up on outstanding patient balances and reported delinquent accounts.
Assist with other billing-related tasks on a needed basis.
Insurance Verification for major surgical procedures
System: E-Clinical Works
Verified the accuracy of accounts payable payments, resulting in a high reduction in payment errors and check reissues
Interventional Pain Management NJ
Follow-Up Representative
01/2014 - 08/2018
Follow up with Medicare/Medicaid to ensure timely resolution of all outstanding claims.
Use MPower workflow system, client host system, and other tools available to collect payments and resolve accounts.
Maintained up-to-date knowledge of product and service changes.
Increased efficiency and team productivity by promoting operational best practices
Education
AAPC
Certified Professional Coder
MIDDLESEX COMMUNITY COLLEGE NJ
Diploma in Health Information and Coding
GUJARAT UNIVERSITY India
Bachelor of Science in Microbiology
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