PIO JOSE Z. DIMARUCUT, CPC

objective

Medical Coder/Biller

Dedicated Certified Professional Coder who possesses the ability to learn new procedures quickly and efficiently with adequate knowledge and experience in Local Standards in Medical Coding and Billing, Revenue Cycle Management, CDI, Internal and Jawda Audit.

Qualification/Certification Education/Training

Certified Professional Coder (CPC)2016

Al Talouk Medical Coding Training (Abu Dhabi, UAE) Bachelor of Arts: Philosophy, 2008

Colegio San Jose de Alaminos – Alaminos City

Philippines

(AAPC) - Certified Professional Coder

o AAPC Member ID : 01486457

-member since February 2017, constantly pursuing

Continuing Education Units

Personal Details Technical Skills

Birth date: 30/04/1984

Email Address: adfmb2@r.postjobfree.com

Address: Talent Baqala Building, Al Nahyan

Compound, Abu Dhabi, UAE

Telephone: 02 874 2599

Mobile number: +971-**-***-****

Passport No. EC6502672

• Exceptional paperwork and proofreading skills

• Knowledge and experience in local coding guidelines and procedures

• Typing Speed: 55 WPM using keyboard

• Computer intermediate to advance skills in: Word, Excel, PowerPoint, Internet, Email, Social Media, basic computer troubleshooting.

•Claims/Revenue Database creation, updating,

handling, and reporting

Related Experience

RELATED WORK EXPERIENCE

Medical Coder cum I.T., March 2017 to 1 December 2017 Mahara Home Health Care – Electra St. Abu Dhabi, UAE Main responsibilities:

Preparing Pre-Authorization for Daman Patient’s insurance through online submission

Completing Resubmissions, Internal corrections, renewal/continuity

Submit Billing through e-claims software.

Additional responsibilities:

Prepare the company for DAMAN initial inspection for Insurance Agreement.

Assist in all computer and online transactions

Maintaining computers and networks for official online tasks. Character reference as per request.

Senior Medical Coder cum Insurance coordinator, 16 March 2018 to 09 August 2020

Ishraq Home Health Care, Sky Tower, Al Reem Island, Abu Dhabi, UAE Main Responsibilities

Audit nurses’ and physician’s documentations as per HAAD, JAWDA, and DAMAN standards.

Abstract CPT and ICD codes from medical reports and assessment documentations.

Prepare Billing table as per collated bed side documentations

Submit homecare services rendered as claims through online e-claims portal.

Tract and handle remittance advice – as well as initiate immediate resubmission as per DAMAN standards

Audit company services as per DAMAN/HAAD Standards for denial reduction/management.

Create/Update database for the following:

o Authorization

o Claims submission

o Payment/Remittance

o Financial report, insurance side

Additional Responsibilities:

Provide in-house training to physician, nurses, and physiotherapist regarding proper documentation in supporting procedure/management and diagnosis codes.

Assist the finance department/accountant in preparing budget/financial projection

Audit pertinent departments related to provision of healthcare in relation to Health Authority Standards.

Assist the office administration staff in proper database procedure and systematic digital files safekeeping. Jawda-Tasneef Audit Score:

Date: 23/12/18 Date: 27/11/19

Claims processes (interview) = 96.5 Claims processes (interview) = 93.00 Claims Data (accuracy) = 92.5 Claims Data (accuracy) = 92.75 Memberships

AAPC Dubai Chapter – Member

American Academy of Professional Coders Local Chapter in Dubai, United Arab Emirates.

Member since 2016

Provides Continuing Education Units for updating and CPC certification renewal.

Contact this candidate