CURRICULUM VITAE

K. ANURADHA Visa Status: Residence Visa

***, ******** *** *** ****** No: 056*******

Shabia 10, Musaffah adbsjm@r.postjobfree.com

ABU DHABI

PROFESSIONAL SUMMARY

A Health Claims Specialist Certified by the American Academy of Professional Coders (AAPC) seeking a position as MEDICAL CODER in which my skills and talents can contribute to a company in the health care industry.

SKILL HIGHLIGHTS

Knowledge in Medical Coding – ICD-10, ICD-9-CM, CPT and HCPCS Coding Guidelines

Utilized various coding books, procedure manuals and on-line Medicalcode expert

Strong work ethic and HIPAA compliance

Sound knowledge of anatomy/physiology, medical abbreviation and terminology

Excellent interpersonal and communication skills

Very efficient in using MS Office Software, including MS WORD, EXCEL, POWER POINT

Able to type 65+ wpm

OBJECTIVE

Optimal utilization of my MEDICAL CODING expertise in all segments of medical coding field. To work in a challenging environment to prove my skills in my core areas of medical coding by competence.

WORK EXPERIENCE

1. Al Ahalia Hospitals, Abu Dhabi, UAE

(Medical Coder/Reconciliation Executive from February 2018 to February 2020)

Tracking the RA's posted by the insurance companies and following the payment details.

Analyzing the denied claims and resubmitting those claims accurately as per denial reason, applying the DHA-HAAD protocols for resubmission

Providing regular feedback to the management on areas of improvement in terms of billing, coding and documentation, etc.

Reviewing the RA's from the insurance companies and identifying the areas of potential rejections and improvement.

Analyzing the rejections from the XML remittance advice

Sorting the rejection as per denial reason, sending the rejected claims for the respective doctor’s for justification of claims and followup within the specified time.

Preparing rejected claims for resubmission

Resubmitting the claims with proper codes and format to the insurance companies

Making sure that the final rejections is at its minimal level

Meeting resubmission productivity target within the stipulated time for all insurance companies.

2. MedCare Hospitals, Dubai, UAE

(Medical Coder from January 2016 to January 2018)

Coding medical records with ICD-10, ICD-9, CPT-4 coding, processing 100 to 120 claims daily while maintaining 98% accuracy and achieving productivity goals.

Utilized Mediware, EMR and input information into computerized patient record system.

Coordinated with doctors and insurance to ensure 100% accurate documentation for exact diagnosis/signs and symptoms/health status for which accurate care given, in order to minimize rejections for claims management.

Tracking down of requested medical records.

Utilized various coding ICD books and on-line, Medical code Expert as a resource

Conducted peer reviews to ensure compliance with coding guidelines.

Preparing and reporting DHA reports from hospital HIS and uploading to DHA.

Preparing and reporting Medical Tourism Report to DHA.

Preparing various KPI (Key Performance Indicators) and presenting the same to the internal quality team.

Has been part of team acquiring JCIA for our hospital.

Worked closely with Medcare Medical Centers doctors in ensuring accurate EMR documentation and clinical document justification.

Maintained strict patient and physician confidentiality.

3. Episource India Private Limited, Chennai, Tamil Nadu, India

(Medical Coder from December 2013 to November 2015)

Coding medical records with ICD-10, ICD-9, CPT-4 coding, processing 60 to 70 claims daily while maintaining 98% accuracy and achieving productivity goals.

Utilized Data Rap, Ascender, Code Point, Salesforce software and input information into computerized patient record system.

Performed HCC coding (Hierarchical Condition Categories)

Tracking down of requested medical records.

Utilized various coding ICD books and on-line, Medicalcode Expert as a resource

Conducted peer reviews to ensure compliance with coding guidelines.

Maintained strict patient and physician confidentiality.

4. Nuance India Private Limited, Chennai, Tamil Nadu, India

(Medical Transcriptionist from April 2013 to November 2013)

Transcribed Doctors’/Medical Professionals’ dictations maintaining HIPAA compliance

Handled departments of General Surgery, Radiotherapy, Cardiology, Rheumatology, Urology, Gastroenterology, Radiology

Edited transcribed documents.

5. Cameo Corporate Private Limited, Chennai, Tamil Nadu, India

(Medical Transcriptionist from September 2007 to March 2013)

Transcribed doctors’/medical professionals’ dictations maintaining HIPAA compliance

Handled departments of Orthopedics, Cardiology, Gastroenterology, Hematology/Oncology, Radiology, General Surgery, Neurology, Obstetrics and Gynecology, Ophthalmology, Pain Management

6. Rapid Care Transcriptions Private Limited, Chennai, Tamil Nadu, India

(Medical Transcriptionist from July 2005 to August 2007)

Transcribed doctors’/medical professionals’ dictations maintaining HIPAA compliance

Handled departments of Cardiology, Obstetrics and Gynecology, ENT, General Surgery, Neurology, Gastroenterology

7. BM Hospitals, Chennai, Tamil Nadu, India

(Pharmacist from January 2002 to June 2005)

Dispensed drugs in accordance to prescriptions

Conducted medical camps

Stock maintenance of drugs

8. Sheela Hospitals, Coimbatore, Tamil Nadu, India

(Pharmacist/Drugs Stores In-charge from January 1998 to April 1999)

Dispensed drugs in accordance to prescriptions

Purchase of drugs and hospital medical equipments

Stock maintenance of drugs and medical equipments

CERTIFICATION

Certified Professional Coder from AAPC

ICD-10-CM Certification from AAPC

EDUCATIONAL QUALIFICATION

Diploma in Pharmacy - C.L. Baid Metha College of Pharmacy, Chennai, Tamil Nadu, India - (1993-1996)

Medical Coding Training (Zimed Code) - 2013

Medical Transcription Training (INSNET Educational Services) - 2005

Advanced diploma in Computer Application - 2002

Diploma in Computer Application - 2002

PERSONAL DETAILS

Name : K. Anuradha

Date of Birth : 09.08.1975

Father’s Name : T. Krishnan

Nationality : Indian

Passport No : N2504652

Gender : Female

Languages known : English, Tamil, Telugu and Malayalam

DECLARATION

I hereby declare that all the information given above is true to the best of my knowledge.

Yours sincerely

(K. ANURADHA)

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