Medical Coding Behavioral Health

Twinkle Sheladiya, CCS

Wausau, WI +1-262-***-**** *****************@*****.*** Twinkle Sheladiya Professional Summary

Certified Medical Coding (CCS) certification from AHIMA with two year of experience in outpatient and inpatient settings. Proficient in ICD-10-CM, CPT and DRG coding. Recognized for meticulous attention to details and accuracy in assigning codes to patient records. Motivated to utilize my skills and experience to actively contribute with dynamic healthcare team. Work Experience

Medical Coding Specialist North Central Health Care, Wausau, WI. 05/2024 - Present

● Reviewed clinical documentation for behavioral health services in compliance with DSM-5 guidelines, ICD-10, CPT, and HCPCS standards to support accurate diagnosis and treatment documentation.

● Conducted thorough reviews of inpatient medical records for accurate coding, utilizing the Cerner Electronic Health Record (EHR) system to ensure efficient workflows.

● Ensured adherence to the Uniform Hospital Discharge Data Set (UHDDS) during the coding process, maintaining high standards of coding integrity.

● Collaborated with billing team to ensured accurate coded data to optimize reimbursement and diminishes claim denials. Public Health Billing Intern Illinois Public Health Association, Springfield, IL. 09/2023 - 11/2023

● Developed and implemented specialized medical coding material exclusively for HIV Prep and PEP procedures, guaranteeing precision and standardization in coding practices.

● Formulated meticulous coding guidelines for the Doula Service Project, with a dedicated focus on enhancing coding accuracy in maternity and newborn healthcare.

● Completed comprehensive HIV Risk-Based Training and specialized HIV Navigating Service Training with IDPH, acquiring valuable skills to effectively address and navigate HIV-related challenges. Medical Coder Episource Pvt Ltd, Mumbai, MH. 08/2020 - 06/2021

● Maintained 97% accuracy per 150 daily claims when assigning ICD-10-CM to patient records.

● Collaborated effectively with healthcare providers across outpatient and inpatient departments, addressing HCC coding- related queries and discrepancies.

● This collaboration promoted effective communication and documentation practices, ensuring a unified approach to coding accuracy.

Education

Western Illinois University Macomb, IL 01/2022-01/2024

● Master Of Public Health

U.B. Bhagat Mahila College Amreli, Gujarat 08/2014- 03/2017

● Bachelor of Science, Microbiology

Skills

EHR HIPAA MS-DRG ICD-10- PCS ICD-10- CM HCPCS DSM-5 Behavioral Health Coding

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