Medical Coder Level Ii
Resume:
EDUCATION
Certified Professional Coder (CPC) – AAPC
B.Sc. in NURSING
NTR University, AP, India.
Bi. PC – Science Group
AFDT College, AP, India
SWAROOPA
GEDDAM
CERTIFIED MEDICAL CODER
PROFILE
Dedicated and highly skilled Certified
Professional Coder (CPC) with a proven
track record of excellence in medical
coding. Possessing over 3 years of hands-
on experience, I am proficient in CPC®
certification standards, ensuring 100%
accuracy in reviewing patient
charts/documents and assigning medical
codes across various specialties including
medicine, surgery, radiology, and
pathology. My expertise extends to
inpatient (IP) coding, CPT, HCPCS Level II,
and ICD-10-CM codes, allowing for
precise documentation and compliance.
My goal is to leverage my comprehensive
coding knowledge and effective
communication skills to contribute to the
success of a dynamic healthcare
organization.
CONTACT
PHONE NUMBER:
EMAIL ADDRESS:
************@*****.***
CERTIFICATION
Certified Professional Coder (CPC) –
AAPC - 2019
SKILLS
• CPT®, ICD-10, HCPCS Level II coding.
• Insurance regulations
• Medical record analysis and documentation
• Outpatient Facility Billing Procedures
• Insurance & Eligibility
• Medical Billing
• Problem solving
• Clinic Administration.
• Medical Terminology
• Time management
• MSOffice (Word, Excel, Power Point),
PROFESSIONAL EXPERIENCE
AUTHORIZATION OFFICER
Abu Dhabi March 2023 – Present
Claims Care, A Burjeel Holdings Company, Abu Dhabi, UAE
• Code inpatient claims to determine the most suitable DRG codes and assess severity accurately.
• Provides orientation to new Doctors and Nursing staff with regards to documentation of cases on the medical records of patients.
• Assist doctors in accurately documenting cases by providing guidance on appropriate codes and essential requirements.
• Offer coding support to the insurance billing team as needed to ensure accuracy in claim submissions.
• Analyse complex issues requiring deep understanding of organizational objectives.
• Implement strategic policies by selecting effective methods and evaluation criteria to achieve precise results. MEDICAL CODER / INSURANCE CO-ORDINATOR
Abu Dhabi 2022 – March 2023
Juman Pearls Clinic
• Served as a Medical Coder and Insurance Coordinator in a multi-physician clinic.
• Utilized knowledge of CPT and ICD-10-CM to properly translate performed services into numerical code for insurance company reimbursements.
PERSONAL PROFILE
Date of Birth: 03 June 1990
Languages Known: English, Telugu & Hindi
Marital Status: Married
Nationality: Indian
Passport No.: V8343287
• Routinely communicated with insurance providers about submitted invoices / claims.
• Verify patients' eligibility and claims status with insurance agencies.
• Analyse reports for accuracy on patient information, charge detail and provide acumen.
MEDICAL CODER / NURSE
Abu Dhabi 2021 – March 2022
Vista care Specialized Clinic
• Claims submission manually and electronically.
• Verify patients' eligibility and claims status with insurance agencies.
• Determined prior authorizations for outpatient procedures.
• Accurately posted and sent out all medical claims.
• Submitted electronic/paper claims documentation for prompt filing.
• Participation in Tasneef audit.
• Check-in patients, apply eye drops, and conduct preliminary examinations.
SCHOOL NURSE
Dubai 2015 – 2017
Tiny Town Nursery
• Ensured a safe and clean working environment by strictly adhering to procedures, rules, and regulations.
• Maintained meticulous and accurate records of medication, immunization, and detailed reports to ensure comprehensive student health management.
STRENGTHS
• Proficient in coding for various medical cases, including inpatient elective, day, and outpatient cases.
• Excellent in surgery coding, ensuring accuracy and compliance with coding guidelines.
• Familiar with insurance portals for streamlined
communication with insurance providers.
• Strong medical coding skills and knowledge of CPT, HCPCS Level II, and ICD-10-CM coding systems.
• Skilled in collaborating with diverse backgrounds for effective teamwork.
I hereby declare that all the information in the application is true, complete, and to the best.
Swaroopa Geddam
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