Medical Billing Data Entry

BISHMI SUBASH

Mobile number:971*********

Abudhabi,UAE

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

PROFESSIONAL PROFILE

Trained medical biller and coder seeking full-time opportunity with reputed Healthcare Associates with a desire to further the integrity of the health claims industry. Experienced in ICD-10 coding, electronic health records, medical billing, and other administrative tasks. Skilled in coding software applications, data management, and data entry.

OBJECTIVE

I am now looking to progress into other areas of medical coding . I am therefore keen to find a new and suitably challenging role within a market-leading organisation.

KEY MEDICAL BILLING AND CODING SKILLS

●ICD-10

●CPT

●HCPCS

●Medical terminology

●Insurance terminology

●HIPAA/Patient confidentiality

●Data entry

●Data management

●Microsoft Office systems (Word, Excel, Office)

●Medical billing and coding software applications

●Medicare, Medicaid, and private insurance claims

●Clear communication skills

CERTIFIED CODING SPECIALIST PROFESSIONAL SUMMARY

Hard working and fully certified Medical Coding Specialist has a full understanding of ICD-10-CM and CPT coding procedures. Excellent data entry skills allows for accurate coding of medical information and provided care. Has a Masters Degree in Science and Coding Certification as a Medical Coding Specialist and two years of experience.

AHALIA HOSPITAL -HAMDAN -ABUDHABI Nov/2017 – Present

●Per standard process reviews and evaluates participant medical records to identify diagnoses and procedures and accurately assigns and sequences ICD and CPT codes. Abstracts and validates information. Seeks out validating information (queries physicians, clinicians) when provided information is inadequate, ambiguous or unclear for coding purposes

●Assures that accurate, complete client care documentation is completed timely, in preparation for billing (RAPS, charge tickets, etc). Ensures staff are aware of and respond to alerts/queries/questions by computer, voice mail and other means. Provides feedback to clinicians and others that support completion of LIFE plan within site timelines

●Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process

●Codes and abstracts diagnosis and procedure information from patient medical records according to AHA ICD-10-CM/PCS and AMA CPT-4 coding conventions, UHDDS and CMS guidelines and regulations. Utilizes the 3M Encoder to verify and assign AHA ICD-10-CM/PCS and AMA CPT-4 codes, and MS-DRG/APR-DRG assignment

●Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling. Prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation

●Maintains daily productivity and turnaround times as outlined in Department’s Performance Improvement plan (attachment A)Responsible for remaining up-to-date with knowledge of AHA ICD-9-CM/ICD-10-CM/PCS and AMA CPT-4 coding conventions, MS-DRG and APR-DRG principles and guidelines

●Advise and instruct coders/providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification

TRAINING & EDUCATION

Training : Trained and specialized in Medical Coding from a reputed institution at Hyderabad

Academic Project:

Successfully completed project on “Future therapy for the treatment of Hepatitis C” from reputed Hospital Medwin –Hyderabad for Academic purpose.

Findings: Studied all about Hepatitis C, and the study was based on Bio informatics Approach to identify a New Drug.

EDUCATION:

Post graduate: M.Sc Microbiology -60%

Muthiammal College of Arts and Science

(Periyar University)

Rasipuram, Namakkal District – TN

Under Graduate:B.Sc Biotechnology (2002 – 2005) – 65%

Kavitha Memorial Degree College,

(KaKathiya University- Varangal Dist)

Khammam – AP

Intermediate: 2000 – 2002 – 70%

Krishnaveni College (Board of Intermediate)

Manuguru – AP

Schooling: 2000 – Year of passing – 65%

Atomic Energy Central School,

(CBSE)

Manuguru – AP

KEY I.T. SKILLS

Word, Excel, Access, PowerPoint, Internet & Email

Personal Details:

Husband’s Name : Subash chellamany

Date of Birth : 16th March ’1985

Marital Status : Married

Visa status : work visa

Nationality : Indian

Religion : Hindu

Languages Known : English, Hindi, Malayalam, Tamil and Telugu.

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