Narala Rajeswari, B.sc (Nursing)
Certified Coding Specialist (CCS),
Certified BCHH – C.
adhu30@r.postjobfree.com
On Visit Visa, Immediate joining.
Career Objective
To establish myself as a successful professional by executing my skills acquired and I am seeking for a challenging role of Clinical Coder in a healthcare/hospital where my 7+ Years of experience and knowledge can be utilized to the fullest extent and can be able to serve the industry. SKILLS
Experienced in whole RCM process in UAE insurance such as Approvals, Billing, Coding, Submission, Resubmission and Recon.
Well experienced in using ICD-10 CM, CPT, HCPCS, ICD-10 PCS, 3M and Encoder-Pro in coding.
Knowledge in DHA- Adjudication rules and aware of Insurance guidelines.
Deliver Coding files on Time without Delay.
Maintained the 98% of accuracy and productive quality.
Responsible for handling different types of medical claims which include Outpatient. Educational Qualifications
Qualification Institution Duration Percentage University MBA (Hospital
Management)
University of Madras,
Chennai.
2012-2014
60%
University of Madras.
B.Sc., Nursing
Narayana college of
Nursing, Nellore
2007-2011
75% Dr. NTR health
University.
Intermediate
Himaja jr. college,
Puttur.
2005-2007
83% Board of
Intermediate
Education.
S.S.C.
Sai Ram Vidya Mandir,
Nagari.
2004-2005
60% Board of Secondary
School Education.
Professional Work Experience:
Employer: 1
Employer : APM Medical billers (ACCUMED).
Designation : Senior Clinical Coder
Period : Oct 2019 to Sep 2020.
Roles and Responsibilities:
Emergency and Outpatient Coding. (Includes Laboratory, Pathology & all the Procedures.)
Auditing the Physician Documents and Sending feedback to the Physicians.
Maintaining direct contact with the physicians regarding documentation and coding related issues.
Checking the insurance approvals and eligibility. Improved EMR/EHR compliance with through auditing.
Employer: 2
Employer : RAK Hospital (Processmed Healthcare Services). Designation : Senior Medical Coder.
Period : Aug 2018 to July 2019
Roles and Responsibility:
Worked on Submission and Resubmission.
Checks Insurance Eligibility for all the patients check in.
Obtained relevant evidence and information regarding rejected claims and minimized rejections.
Through and prompt submission of claims as per the timelines.
Checking the insurance approvals and eligibility. Employer: 3
Employer : OMEGA Healthcare Solutions.
Designation : Sr. Coder
Period : September 2016 to July 2018.
Worked on Emergency Department E/M and Home health coding. Employer: 4
Employer : India Healthcare Solutions.
Designation : Sr. Coder
Period : September 2016 to November 2017. Worked on Emergency Department E/M. Employer: 5
Employer : E4E Health Care.
Designation : Coding Executive
Period : January 2013 to April 2016.
Worked on Emergency Department E/M.
Relevant Certifications
Certified BCHH – C.
CCS by AHIMA, Member ID: 2805446.
TOOLS KNOWN:
DHPO, 3M, RCM Suite, Sage, HIS, Credense, MS office, MS XL, Citrix, Onbase. Passport Details
Passport No: M6504246, Expiry Date: 17.02.2025.
Personal Vitae
Permanent Address : Sundaravalli illam, Plot 100, Maheshwar nagar, Chithalapakkam, Chennai-600126.
DECLARATION
I hereby declare that all the information provided by me in this resume is factual and correct to the best of my knowledge and belief.
Place:
Date: NARALA RAJESWARI
Name : Narala Rajeswari
Father’s Name : N.Sambaiah Naidu
Languages Known : English,Telugu,Tamil.
Marital status : Married.