Medical Billing

OBJECTIVE

PROFESSIONAL SUMMARY

CERTIFICATION

WORK EXPERIENCE

PRASHANTH ELDANDI– CPC

Mobile : 056*******

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

Seeking a Medical Coder position in your esteem clinic/hospital, where I can utilize my extensive computer and medical apparel knowledge and strong organizational abilities.

Over 5 years of working experience in Revenue Cycle Management.

Currently working as Senior Medical Coder in E&M Outpatient facility (UAE), since Nov-2018 and had worked for over 3 years as Medical Coder in E&M and ED in India.

In-depth knowledge of the methods, techniques and guidelines of medical coding.

Familiar in using Medical Coding guidelines, coding technique (ICD-9-CM, ICD-10 CM, ICD-10 PCS, CPT-4 and HCPCS).

Knowledge of Health Information Portability and Accountability Act (HIPAA).

Knowledge on Haad Adjudication Guidelines.

Knowledge on Insta software, Shade software, Mediplus Software, Greenrain Software, ACS Tool, 3M software, citrix software.

Skilled in reading and interpreting medical terminology and procedures.

Proficient in computer skills and encoder system.

Member of the American Academy of Professional Coders – AAPC – ID: 01534050

Attended TASNEEF through JAWDA Data Certification Audit and cleared consequently two times with GRADE-A (98% and 97%).

ICD-10 Proficiency.

Trained in Medical Coding with course complete certificate from Trans code Technologies.

Nov-25-2018 – TILL Nov-24-2020, Worked as a Senior coding specialist in Affordable Management Consultancy L.L.C, Alain, UAE.

Feb-2017 – Nov-2018, worked as a Senior executive coder in Gebbs Healthcare SolutionsPrivate Limited, Mumbai.

Dec-2015 – Jan-2017, Worked as a Medical coder in Hindhuja Global Solutions Private Limited, Bangalore

Dec-2011-Aug-2015, Worked as a Senior Laboratory executive (Hplc dept.) in Thyrocare Technologies Ltd, Navi Mumbai.

Performing E & M outpatient coding for the client(Orthoplus Bone and Joint Center) on a daily basis of 120 cases with an accuracy of >98% in Orthopedic, Neurosurgery, Physiotherapy and General practitioner specialties.

Experienced in coding Dental, Gynecology, Cardiovascular, Pediatrics, Dermatology and ENT specialties.

Responsible for medical billing using software Insta, Mediplus & Shade.

Communicate with Insurances, TPA’s for Prior authorization.

Associate the diagnosis codes to the appropriate procedure codes (CPT & USCLS) and sequence the ROLES AND RESPONSIBILITIES

QUALIFICATION

PERSONAL DOSSIER

DECLARATION

codes in such a way as to ensure proper reimbursement.

Resubmission of the denial claims and denial management.

Responsible for coordinating with physician for training and query process.

Responsible for preparing policies for JAWDA certification audit.

Proactively involved in checking the quality, interacting with the doctors and accounts team, Sending daily, weekly and monthly productivity reports along with remittance.

Assigning E&M and ED professional and facility codes for Outpatient Clinics in Ortho and Rehab specialties.

Thoroughly review all emergency medical charts in an effort to ensure that all information is accurate.

Accurately identify all the diagnoses and assign the principal diagnosis, secondary diagnosis, admit diagnosis and correctly assigned ED and E & M levels.

Effectively conduct medical record reviews of the coding and documentation of diagnosis and surgical procedures to ensure the providers are appropriate coding the visit.

Primary responsibility is to code medical charts for Outpatient Clinics through the understanding of medical terminology, AMA guidelines, anatomy, physiology and procedures and assigning the appropriate CPT, ICD-9-CM, ICD-10-CM and HCPCS codes and appropriate modifiers.

Good ability in analyzing the ED Professional and Facility, E&M (IP & OP) charts.

Maintaining the confidentiality of patient information and abiding by the standards of clinical coding guidelines and HIPAA rules.

B.Sc biochemistry, Chaitanya degree college, Kakatiya University,INDIA.

DATE OF BIRTH - 14/08/1989

MARITAL STATUS - Single

LANGUAGES KNOWN - English, Hindi and Telugu

PASSPORT NUMBER - N9828212

PASSPORT EXPIRY - 20-03-2026

VISA TYPE - Residence Visa(Expiry-26-Nov-2020)

NATIONALITY - India

I believe that I will contribute the best of my potential to growth of my organization. I hereby declare that the information furnished above is true to the best of knowledge.

(PRASHANTH ELDANDI)

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