Medical Coder Level Ii
Resume:
PROFILE
An accomplished and CPC-certified Medical Coder with 4+ years of experience in accurately
assigning ICD-10-CM, CPT, and HCPCS Level II codes across Emergency Department (ED) and outpatient settings. Skilled in reviewing clinical documentation, resolving claim denials, and ensuring compliance with payer guidelines and HIPAA regulations. Proven track record of maintaining 95%+ coding accuracy and contributing to faster reimbursement cycles. Adept at using computer-assisted coding (CAC) systems and collaborating with healthcare professionals to support optimal revenue outcomes. Seeking to bring expertise and precision to a dynamic healthcare organization.
WORK EXPERIENCE
Senior Medical Coder June 2022 - June 2024
Logix Healthcare Pvt Ltd – Bangalore, India
Coded Emergency Department (ED) medical records using ICD-10-CM, CPT, and HCPCS Level II codes, maintaining a 95%+ coding accuracy rate.
Analyzed patient charts to ensure complete and accurate documentation, identifying discrepancies and collaborating with providers for clarification.
Utilized computer-assisted coding (CAC) tools and radiology information systems to streamline coding workflow and enhance productivity.
Reviewed and resolved coding-related denials, resulting in reduced A/R days and improved claim acceptance rates.
Maintained up-to-date knowledge of coding guidelines, payer policies, and compliance standards including HIPAA regulations.
Participated in internal audits and QA processes, contributing to a 98% compliance rate across reviewed cases.
Medical Coder Feb 2020 – April 2022
Omega Healthcare Pvt Ltd – Bangalore, India
Accurately assigned ICD-9-CM, CPT, and HCPCS Level II codes to patient records, ensuring compliance with healthcare regulations and payer requirements.
Achieved and maintained a 95%+ coding accuracy rate, significantly reducing claim denials and improving revenue cycle performance.
Reviewed and analyzed handwritten and electronic medical records to code diagnoses, procedures, and modifiers across various specialties.
Linked diagnosis and CPT codes appropriately to support clean claim submission and optimal reimbursement.
Consistently maintained 98% quality and productivity standards as per client expectations.
Provided peer support and knowledge sharing with junior coders and QA team, contributing to improved team efficiency.
Demonstrated strong understanding of medical terminology, anatomy, and physiology to ensure accurate code selection.
Adhered to HIPAA and compliance guidelines in managing confidential patient information.
EDUCATION
Andhra University, Visakhapatnam, India
Master’s in Biochemistry
Core Competencies
ICD-10-CM, CPT, and
HCPCS Level II Coding
Emergency Department
(ED) Coding
Coding Audits & Quality
Control
HIPAA & Regulatory
Compliance
Medical Terminology,
Anatomy & Physiology
Computer-Assisted
Coding (CAC) Systems
Communication &
Collaboration
Certifications
Certified Professional
Coder (CPC)
HIPAA Compliance
(Knowledge)
References
Available upon request
CPC Certified - Medical Coder
K r i s h n a v e ni L o d a g a l a
****.********@*****.***
710 Palisades Dr.,
Saint Charles, MO
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