Praseeda Bineshkumar Curriculum Vitae

RESUME

OBJECTIVE

Skilled medical professional seeking a challenging position as Medical/Dental /Resubmission Coder//Reconcillation Dr.PRASEEDA BINESHKUMAR

Email:

adlgnr@r.postjobfree.com

CONTACT DETAILS:

W/o Binesh Kumar

Flat no 201,2nd floor

Fathima supermarket building

Delma Street

Airport Road

Abu Dhabi

Pin Code:-46468

Mob:055*******

PERSONAL DATA:

Date of Birth :26/06/1987

Sex : Female

Nationality : Indian

Marital Status: Married

A competent individual with 2.5 year of expertise in strategies & methods of Medical Coding, Medical Terminology, Human Anatomy, Physiology for UAE

2 YRS TASNEEF AUDIT EXPERIENCE IN MEDICAL CENTER AND COSMETIC MEDICAL CENTER (AUDIT REPRESENTATIVE)

Experience in dealing with coordination between

insurance companies and patients and with reception staff.

CPC Certification from American Academy of Professional Coders (AAPC), Member ID:01563033

Experience in Outpatient Coding including

Physiotherapy,Gynaecology,ENT,Dermatology,Orthoped ics,Radiology, Dental Coding & E&M coding

Expereienced in reconciliation of claims

Experience in handling Ayurveda documentation

Experience in Submission and resubmission of claims through green rain

Audit Representative (Medical/Dental) for a major insurance company like ADNIC, DAMAN,NAS,OMAN,NEXTCARE

Registered Dentist from INDIA. With one year of work experience as Dentist

Insta, In-depth knowledge in HAAD Claims & Adjudication rules.

Key strengths include communication, leadership and interpersonal skills, multi-tasking and overall

resourcefulness.

Ability to work under pressure in a fast-paced and sensitive environment.

Experience of handling MEDICAL RECORDS DEPARTMENT

Experience of handling PRE-APPROVAL requests from different insurance companies

PROFILE

Praseeda Bineshkumar Curriculum Vitae

Bachelor’s Degree in Dentistry (BDS) Rajiv Gandhi University, Bangalore

MBA in Hospital Administaration from Sikkim University.

Certified Professional Coder (CPC) - AAPC.

Promoted as Senior Insurance Coder within a Year.

Actively participated in many Debate Competitions and got many prizes and academic excellence awards in college and district level.

PROFESSIONAL EXPERIENCE SUMMARY

Currently working as Medical coder/Dental Coder at Adam and Eve Medical Center,Abu Dhabi

Worked as DENTIST for one year at BALIGA DENTAL CLINIC,BANGALORE KEY PROFESSIONAL EXPERIENCE -2.5 YEARS(SINCE 28 AUGUST 2018) Coding In Charge

Medical Coder/Dental Coder: (ADAM AND EVE MEDICAL CENTER,ABU DHABI) Key responsibilities:

Assign and sequences ICD-9/10--CM, CPT codes to diagnoses and procedures from the patient’s medical records/chart.

Review, identify and corrects any missing information, incomplete or deficient record and work with corresponding physician or patient access personnel to correct the deficiency.

Perform quality check for each record to ensure all required signatures are documented and all relevant dates during the treatment period are accurately reflected.

Participate in quality improvement projects for purposes of continuous improvement.

Maintains solid, collaborative working relationships with the physician group to facilitate efficient and effective resolution to coding-related challenges.

Outpatient, Dental & Physiotherapy coding

Co-ordinating the team, and their daily works.

Allocation of Claims for team on daily basis

Finalize the documents for Submission.

Evaluation of XMLs before Submission

Medical Records In-Charge

Handling the medical records to ensure that medical record technicianor reception staff have taken patient consent form, insurance consent form,also to make sure that concerned staff is submitting patients records like ECG,SPIROMETRY and to make sure that concerned staff is doing timely uploading of documents to patients EMR

.EDUCATION

ACHIVEMENTS

Praseeda Bineshkumar Curriculum Vitae

Insurance Coordinator/Pre-Approvals

Dealing with all major insurance companies for the prior approval for dental,physiotherapy and radiology

References shall be furnished upon request

I hereby declare that the above-mentioned information is correct up to my knowledge and I bear the responsibility for the correctness of the above-mentioned particulars. Place: ABU DHABI Yours Faithfully,

Date: 8/8/2020 Praseeda Bineshkumar

REFERENCES

DECLARATION

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