CURRICULUM VITAE

SHEELA MARY D.S

Mobile No: +971*********

Email: adg36x@r.postjobfree.com

CAREER OBJECTIVE:

To expand upon my career as a health care professional in an exciting position as a Medical Coder bringing my medical acumen, strong attention to detail and personal attributes of enthusiasm and motivation to grow into the organization.

PROFESSIONAL SUMMARY:

CPC®, Certified Professional Coder (AAPC)

ICD-10 Certification from AAPC

References used for coding include the current International Classification of Diseases (ICD), Clinical Modification; American Medical Association Physicians' Current Procedural Terminology (CPT); Health Care Common Procedure Coding System (HCPCS); Physicians' Desk Reference

Knowledge of medical terminology, anatomy and physiology, reimbursement, HIPPA rules, insurance verification, scheduling, and report creation.

CAREER CHRONOLOGY:

ORGANIZATION

DOMAIN

DESIGNATION

DURATION

Technosoft Global

Services (P) Limited

Medical

Coding/Healthcare

Senior Medical Coder June 2017- March 2019

Larvol, US Healthcare Medical

Coding/Healthcare

Medical Coder,

QA/Editor

Oct 2014 –July 2015

Emmanuel Healthcare

Solutions, Hyderabad

(India)

Medical

Coding/Healthcare

Medical Coding Trainer Dec 2013 – May 2017

iHealth Technologies,

Hyderabad (India)

Medical

Coding/Healthcare

Medical Coder Dec 2012 – Dec 2013

Exxova, Hyderabad (India) Medical

Coding/Healthcare

QA/Editor April 2011 – Feb 2012

WORK EXPERIENCE:

Job Profile 1

Duration: June 2017 – Feb 2019

Organization: Technosoft Corporation

Designation: Senior Medical Coder

Checking daily inventory and Distribution among the coder to achieve daily team target.

Close monitoring client expectations and time limits for production and Quality.

Updating team members every day before start up.

E/M level coding for ED visits. (1995 guidelines).

Understanding and analyzing of ED documentation, EM components and Elements.

ICD – 9 CM codes capturing and linking with CPTs based on medical necessity.

Coding, Surgical and medicinal procedures done in ED by Provider with appending

Proper modifiers as required and PQRS.

Helping team members all around the day for coding issues and Technical Issues. Job Profile 2

Duration: Dec 2013 – May 2017

Organization: Emmanuel Healthcare Solutions

Designation: Managing Director cum Trainer

Job Components / Major Responsibilities:

Managing Director cum Trainer

Conducted trainings program on CPC with ICD-10-CM, COC, CEMC Certification exams

Conduct Live Training on E/M, ED Professional, ED Facility, HCC and Radiology.

I have trained 500+ students till now and they were placed internationally.

One of the members in E/M University.

Holding Corporate membership of AAPC

Job Profile 3

Duration: Dec 2012 – Dec 2013

Organization Larvol Group, US Healthcare

Designation: Medical coding Auditor

Job Components / Major Responsibilities:

Worked as medical coding auditor part time home based project

Auditing EM levels and diagnosis

Sending reports with instructions

Giving clarifications on call

Job Profile 4

Duration: Dec 2012 – Dec 2013

Organization: iHealth Technologies (Care management Internationals Pvt Ltd.) Designation: Medical coder

Job Components / Major Responsibilities:

Worked as Medical Coder (Configuration Analyst) and Policy Inquiry Analyst.

Documents all charts reviewed with notes of recommended changes and education opportunities per coder/per facility, using the database tools provided.

Assigning and sequencing codes accurately based on medical record documentation

Assigning the appropriate discharge disposition

Communicating documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution

Adhering to the American Health Information Management Association’s code of ethics.

Discusses coding and documentation issues with appropriate personnel to ensure complete and accurate coding and reimbursement. Involve advice on querying physicians for the clarification or addition of diagnosis, complications or co-morbid conditions present on an as needed basis.

Dealt with claims, denial management following medical policies. Job Profile 5

Dates : April 2011 – Feb2012

Organization: Exxova (India) Pvt.Ltd

Designation: Medical coder

Job Components / Major Responsibilities:

Manual testing of ICD conversion tool modules.

Testing and crosschecking of CMS GEMs mappings, ICD-9/10 codes databases.

Regular follow up of errors log by testing latest ICD tool build. EDUCATIONAL QUALIFICATION:

QUALIFICATION SCHOOL/UNIVERSITY PERCENTAGE

MBA Venkateshwara Open University

75%

B.sc Nursing

Sri Surya College of Nursing (Affiliated to NTR University of Health Sciences) Hyderabad.

79%

Intermediate

St.Alphonsas Jr.College 1st yr ; Nalanda Jr.College 2nd yr, Hyderabad

79%

Secondary School Netaji High School, Hyderabad. 73.80% JOB PROFILE:

Evaluate medical record documentation and charge ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit.

Documents all charts reviewed with notes of recommended changes and education opportunities per coder/per facility, using the database tools provided.

Ensure that data comply with legal standards and guidelines; interprets medical information such as diseases or symptoms, and diagnostic descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD-9-CM / ICD -10-CM and CPT codes.

Provide guidance in identifying and resolving issues or errors, such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, or codes that do not conform to approved coding principles/guidelines.

Discuss coding and documentation issues with appropriate personnel to ensure complete and accurate coding and reimbursement. Involve advice on querying physicians for the clarification or addition of diagnosis, complications or co-morbid conditions present on an as needed basis.

Communicating documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.

Reviewed office and consultation E&M charts.

Adhering to the American Health Information Management Association’s code of ethics.

Assigning the appropriate discharge disposition.

Assigning and sequencing codes accurately based on medical record documentation. PERSONAL APPRAISAL:

Ready to work individually as well as within the team in the organization.

Having great attitude and able to executive the given task.

Possess good analytical and problem solving skills.

Good organizational / time management skills.

Good interpersonal and communication skills and the ability to operate effectively in a global working environment.

Work calmly under pressure and meet agreed timelines.

A quick learner with an eye for detail and excellent analytical and quantitative skills.

Excellent team player with high level of personal initiatives.

Ability to handle multiple tasks simultaneously and ability to delegate tasks appropriately.

Key strengths: Communication, leadership and interpersonal skills; multi-tasking and overall resourcefulness.

LICENSURE:

Registered Nurse by APNC (Andhra Pradesh Nursing Council) (INDIA)

(CPC, ICD- 10 Certified) by AAPC (American Academy of Professional Coders) PERSONAL PROFILE:

Name : Sheela Ds

Father’s Name : D.J. Srinivas

Date of Birth : 26th Dec 1990

Gender : Female

Languages Known : English, Hindi, Telugu and Kannada. Marital Status : Married

References : Your kind consideration

Address : Villa No 27

BaniYas East

Near Mafraq Mall

BaniYas, AbuDhabi.

DECLARATION:

I hereby declare that all the information in the application are true, complete, and to the best of my knowledge and belief.

Date:

Place: AbuDhabi (SHEELA D.S)

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