Curriculum Vitae of Ashra Gea H. Ututalum

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ASHRA GEA H. UTUTALUM, CCS, RPT

Medical Insurance Coordinator, Biller, Coder, Transcriptionist. Physical Therapist

Flat 604, 6th Floor Al Mansoor Tower-Opposite ADCB, Sheikh Zayed Bin Sultan, Abu Dhabi

+971*********

add8vw@r.postjobfree.com

A healthcare information management professional eager to contribute to the team's success through hard work, attention to detail and excellent organizational skills who cares about excellent quality patient care, business process, and customer service with more than 4 years working experience as medical transcriptionist, biller, coder and insurance coordinator in Abu Dhabi (cumulatively more than 10 years in the healthcare information management processes as medical transcriptionist, editor and QA in the Philippines) who is a certified coding specialist (CCS) and as a physical therapist from country of origin, I am truly motivated to learn, grow and excel in the healthcare industry. Records review

Medical coding and billing accuracy Nov.2019 - AHIMA Clinical Coding Specialist (CCS) Regulatory Compliance Aug.2002 - Registered Physical Therapist in the Philippines (RPT). MS Office

Communication

Ethical/Professionalism

Independent/Focused

Customer service Bachelor of Science in Physical Therapy Brent Hospital Colleges, Inc.

Zamboanga City, Philippines

MEDICAL INSURANCE COORDINATOR

June 2018 – Current

Samaya Specialized Center ( Ophthalmology and Dental daycare center), Al Bateen St., Abu Dhabi

Strong knowledge of medical terminology and disease processes as related to codes.

Has extensive knowledge of code reporting regulations and guidelines (ICD-10-CM, CPT, PCS, HCPCS)

Utilizes software to manage and confirm patient data, such as insurance, demographic and medical history information.

Reviews charts and flags incomplete or inaccurate information.

Maintains accuracy, completeness and security for medical records and health information.

Communicates effectively with staff, patients and insurance companies by email and telephone.

Well-acquainted with the exclusions of all major insurance companies in Abu Dhabi.

Handles calls and serves as interface between insurance carriers and healthcare provider.

Responsible for claims submission through Greenrain messenger to Insurance companies.

Responsible for claims submission and management of claims approval from all major insurance companies in Abu Dhabi.

Participates in quality assurance program, including on-site evaluations, internal and external audits. MEDICAL TRANSCRIPTIONIST (Medical Biller and Coder) May 2016 – June 2018

Samaya Specialized Center (outpatient/ophthalmology daycare center), Al Bateen St., Abu Dhabi

Accurately documented physician-patient encounter to record information such as diagnosis, treatments and prescriptions in the Electronic Medical Record.

Attended patient appointments and wrote narrative account of events using proper abbreviations, grammar and spelling.

Knowledgeable in CPT and ICD-10 coding principles, government regulations and third-party billing rules.

Verified, coded and added modifiers to diagnoses. SKILLS

WORK EXPERIENCE

CREDENTIALS

EDUCATION

Curriculum Vitae of Ashra Gea H. Ututalum

2020

2 P a g e

Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.

Demonstrated outstanding communication skills in dealing with physicians.

Worked cohesively with physicians and other clinical staff to complete the documentation requirements.

Identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.

Determined information to be included in reports.

Transcribed sensitive documents with complete confidentiality.

Scanned and filed medical to maintain organized and up-to-date filing system.

Reviewed documentation for compliance with requirements and accuracy of information.

Researched questions and concerns from providers and provided detailed responses.

Maintained compliance with legal and medical requirements, internal protocols and oversight committee standards.

Ensured reliability by working under short notice to meet deadlines.

Treated patients, family members, visitors, peers, staff and providers pleasantly. QUALITY ASSURANCE SPECIALIST

Oct. 2010 – Mar.2016

Vuescribe Health Information Management, Inc. Mandaluyong Philippines

Inspected, verified and documented quantifiable characteristics of documentation, comparing against customer specifications and company quality standards to achieve if not 100% at least 99% accuracy.

Educated employees on specific QA standards and confirmed adherence to standards.

Gathered data on integration issues and vulnerabilities and reported all findings, including improvement recommendations.

Prepared QA evaluation reports and submitted to management. MEDICAL EDITOR

Feb.2009 – July 2010

Scribe-well Inc. LTD., Makati City, Philippines

Oct. 2004 – Jan. 2009

SPi Technologies, Inc., Parañaque City, Philippines

Edited, proofread documents transcribed reports by medical transcriptionist for a multispecialty center in the United States.

Ensured that clear and consistent patient care documents are delivered on or before the turn-around time as quick as 5 minutes for high priority reports and 24 hours as per usual.

Performed QA duties such as error analysis and provide constructive feedback to the transcriptionists. PHYSICAL THERAPIST

Sept. 2002 – Aug. 2005

Husain Physical Therapy Clinic, Zamboanga City, Philippines

Evaluated and treated wide range of conditions, including chronic and acute pain, disc prolapse, whiplash, dislocations, arthritis, multiple sclerosis, Parkinson's, stroke and neuropathies.

Interpreted results and proposed intervention plans, including short and long-range goals, frequency and duration.

Planned and administered range of treatments and therapeutic exercise programs involving active and passive ranges of motion and muscle reeducation.

Taught patients how to live within limits of capabilities and celebrated successes.

Observed and recorded patients' responses to therapies and exercises to report to practitioners and recommend adjustments to treatment plans.

Treated each patient according to written plan of care to meet predetermined goals.

Monitored and recorded patient progress in response to therapy.

Implemented policies and procedures with utmost working ethics while communicating effectively to team members.

Diligently observed patient safety, risk management and infection control policies and procedures at all times.

Communicated effectively with other care providers (physicians, nurses, business office, and medical records) to provide for continuity of patient care.

Exhibited courtesy, compassion and respect to patients, families, caregivers, visitors, physicians, administrators and co-workers.

Remained involved in aftercare and follow-up for each client served.

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