Billing Analyst Medical Coder

Geeta Kachchhawah

**** ***** **** *****, ** Dorado Hills, CA

Phone: 425-***-****,

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

Medical Coding and Billing Analyst

Certified Professional Coder

Certification #: 01510314

linkedin.com/in/drgeeta

Professional Summary

A detailed oriented healthcare professional who always believe in quality work and ensures that all medical and healthcare procedures are followed and performed accurately by using my analytical and logical skills. Maintain highest level of professionalism, ethics and integrity while communicating with own team, patient, clinical staff, physicians, finance personnel, external to organization and insurance providers. Being honest and treat others with dignity and respect. Ensuring all patient information is handled with compliance of all laws and regulation, policies governing the security and privacy as per HIPAA rule. A great team player with ability to work in fast pace environment toward organization’s vision.

Certified Medical Coding & Billing Analyst and a Healthcare professional with over 7+ years of experience in healthcare information, operation management, medical records billing, coding and managing OBG/GYN department at hospital as resident professional. Currently working fulltime at Health and Life Organization Inc as Medical Coding & Billing Analyst. Expert knowledge on ICD-10/9 coding (In/Out Pt) and billing. Expert knowledge and practical experience working with various insurance and their plans & benefits. Maintaining high volumes of patient’s medical information, ROIs, deficiencies resolutions, claims, denials, compliance and audit codes. Responsible for providing detailed reports and status to management about the progress of team on daily basis. Managing communication with patients, insurance companies and providers.

Seeking a challenging opportunity where I can use my medical/healthcare experience and expert knowledge of medical field preferably in Health/Medical Record Technician, Medical Coding, Billing analyst at healthcare organization.

Qualification Skills

Medical record management consistent with medical, legal ethical and regulatory requirement

EHR – Electronics Health care System

HIM – Health Information Management

Trained on HIPAA and Patient Confidentiality

Coding & Billing, handling Denials

Handling Release of information (ROI)

ICD-10-CM, ICD-10-PCS, CPT/HCPCS Level II

CDHP, MH, Chiro, OBGYN

Programs- HealthNet, Golden Shore, Moline, MediCal, MediCare, MediCaid, CMC

Healthcare compliance, deficiency management and perform department audits.

Medical Terminology, Human terminology & human anatomy, Morbidity and Motility– MD-Doctor level knowledge

Patient Check-in/out, Patient Scheduling/Triage

APC and MS-DRG Assignments

Filing Medical Records / Medical Transcription

Clinical Data Analysis and Abstraction

Microsoft Excel, Microsoft Word, Outlook-Emails, Power Point, Access, Share point, Tableau

SQL Level-1 Certification

Principle of Software Testing Certification

CMS 1500 and UB-04 Claim Forms

Education, Training & Certification

CPC - Certified Professional Coder AAPC/(CPC) Aug 2017

Training certification on HIPPA at current organization HALO Inc

US Medical Terminology for international students/Foreign Doctors University of Pittsburgh Oct 2015

Structured Query Language (SQL) Level-1 Bellevue College, WA Jan 2016

Principle of Software Testing Bellevue College, WA Dec 2015

Coding Softwares

oAprima, AthenaNet, EHR, PM, RCM Solutions, IMS - Intelligent Medical Software, CodeLink and Encoder 111, 3M, EPIC, Tableau

Professional Degree: MD Physician (International – Not Licensed in US) (1999-2005)

oLicense# Medical council of India. “MCI/30018”

US Healthcare Professional Experience

Medical Coder and Biller - Analyst (Full time) (March, 2018 - Till Date)

Health and Life Organization Inc, USA

oResponsible for various types of medical coding and billing (ICD-10/9 codes) for different department- like Anesthesia, Pathology, Psychiatric, General Surgery, Radiology, Gastroenterology, Dermatology, Urology, Cardiology, Oncology, Orthopedics, OB/GYN.

oCompile, process, maintain patient medical records in EHR, resolving deficiencies, ROIs, claims, compliance, denials and team progress on daily basis- MediCAL, CDHP, MH, Chiro, OBGYN. Working with different clinical staff and insurance on daily basis like BlueCross, BlueShield, United Health Care, Aetna and other programs like HealthNet, Golden Shore, Molina, MediCAL, MediCare, MediCaid, CMC.

oOversee and manage daily billing department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. Collaborate with team on assignments and track progress and report to management.

oCommunicating and doing follow-up with patient, insurance and provider on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances.

oDocument patient data and medical records and perform routine medical record audits to comply with insurance company requirements.

oUphold and reinforce compliance with hospital policies and federal regulations such as HIPAA.

Giraffe Medical Auditing and Billing Services, LLC Nov 2019 – Till Date

oRemote Medical Coder & Biller : Responsible for coding, billing and auditing for various department like Surgery and general hospital visits for multiple clients. Helping with creating a workflow which help team to stay productive with remote coders, billers.

Certified Professional Coder AAPC/(CPC) –Removed apprentice designation. Aug 2017

– Equivalent of 2 years of experience.

CareerStep Academic Curriculum: Professional Coding and billing – 640 hours credit. Dec’2016

Apex Dental, Folsom CA (August, 2016 – March, 2018)

oFront desk and work on EOB (Estimate of Billing)

Volunteer in Patient Care and Round Coordinator (Feb, 2015- June 2016)

Evergreen Hospital, Kirkland, WA, USA

International Professional Experience

Resident Doctor/Physician (June 2007 – Aug. 2011)

Sharda Hospitals-Education & Research Center, NMC Hospitals Delhi-NCR, India

Assessment and treatment of outdoor and indoor patients. Worked as a Medical Doctor in OBGYN Department. OBGYN Ultrasound, ECG, IUI, D&C, Ligation, PEP smear, HSG, IUCD (Copper-T). X-RAY, CPR, EKG on daily basis for 3 years.

Responsible for conducting normal delivery and C-Section on daily basis. Pre-Natal and Post-Natal care.

Prepare patients for their visit, enter and verify patient information into EHR system. Obtain and record patients’ vital signs. Verify patient information, new medications, and allergies. Educate patients on their medications and provide diet information.

Participated in the monitoring of patients with chronic disease. Provided assistance to Senior Doctors in coordination and completion of patient care plan. Manage department day to day activities and assign work to clerical staff.

Geeta Kachchhawah

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