Dhanya Puthusseril John

Sharjah, UAE.

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

admcl5@r.postjobfree.com

Objective

To succeed a challenging position in my career where my qualifications, capabilities and acquired skills can be exploited and there by achieve the goals and which provides an ample scope for my career enhancement. To continue growth along with a successful career in service-oriented organization and to be a part of highly motivated team wherein I have an opportunity to demonstrate and develop my skills, make a positive contribution, set standards, gain more confidence and help organization to achieve its goals by implementing all my experience in medical insurance procedure of UAE.

Experience Profile

Case Manager - Senior Medical Coder

3rd Jan 2019 to till date

RAK Hospital – (Processmed Healthcare Solutions), Ras Al Khaimah, UAE.

Insurance case closing – IP & OP.

Claim updating with medical justification of doctors.

Review and reconciliation of Monthly claim schedule.

Reconciliation of claims and approved value from insurance.

Experienced in whole RCM process of UAE insurance such as coding, billing, claim submission and resubmission.

Well experienced in using ICD-10 CM, CPT, HCPCS, ICD-10 PCS, 3M coding.

Well versed in reading handwritten patient documents.

Ability to maintain high-degree confidentiality with clinical data and client’s proprietary data.

Knowledge in DHA- Adjudication rules and aware of Insurance guidelines.

Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.

Maintains a cooperative relationship among health care teams by communicating information.

Contributes to team effort by accomplishing related results as needed.

Excellent in communication, interpersonal and organizational skills.

Staff Nurse

1st Mar 2014 to 30th Nov 2014

St. Gregorious Hospital, Parumala, Kerala, India

Identifies patient care requirements by establishing personal rapport with potential and actual patients and other persons in a position to understand care requirements.

Establishes a compassionate environment by providing emotional, psychological, and spiritual support to patients, friends, and families.

Promotes patient's independence by establishing patient care goals; teaching patient, friends, and family to understand condition, medications, and self-care skills; answering questions.

Assures quality of care by adhering to therapeutic standards.

Documents and maintains patient confidence and protects operations by keeping information confidential.

Academic Background

Bachelor of Science – Nursing

2002-2006

Rajiv Gandhi University of Health Science,

Karnataka State, INDIA.

Certifications

Certified Coding Specialist (CCS) -

Membership ID:2831154

American Health Information Management Association (AHIMA),

Illinois, United States.

Software Skills

Operating System - Windows 2K, Windows NT, MS-DOS.

Office Application - MS Office (Word and Excel), Email & Internet.

Personal Details

Date of Birth : 14th April 1984

Sex : Female

Marital Status : Married

Nationality : Indian

Languages Known : English, Kannada,Tamil and Malayalam

Permanent Address : Gem Nivas,

Randalamoodu, Thalavoor P O.

Kollam, Kerala, India, Pin – 691514.

Passport Details

Passport Number : U0596005

Visa Issue Date : 25th Feb 2020

Visa Expiry : 24th Feb 2030

Visa Details

Visa Status : Husband Visa

Visa Expiry : 27th Oct 2021

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