Medical Records
Resume:
484-***-**** Bogolu Archana *******************@*****.***
Objective:
Looking for a challenging role of medical coder in a hospital where my skills and knowledge can be utilized to the fullest and can be able to serve the people.
Certification:
• CCS Certified
Summary:
• Over 3 years of experience as a Medical Coder.
• Extremely knowledgeable with regards to Medical Coding guidelines and coding techniques (ICD-9, CPT-4, HCPCS, and DRGs).
• Strong knowledge of Anatomy & Physiology, Biochemistry, Microbiology, Advanced Medical Terminology and Pharmacology.
• Very efficient in using MS Office Software, including MS word, excel, power point.
• Possessor of effective communication and interpersonal skills.
Education:
• Master of Science in Medical Biochemistry Kasturba Medical College, Manipal, Karnataka.
• Bachelor of Science in Biochemistry, Microbiology, and Chemistry, Sri Krishnadevaraya University, Andhrapradesh.
Labs included:
• Estimation of biomolecules by manual and autoanalyser methods like amino acid analyzer, Integra and hormonal assay using Elecsys.
• Use of various lab equipments like HPLC, PCR, Electrophoresis, Chromatography and all other spectrophotometric techniques.
• Study about quality control and clinical counter data management.
• Protein separation techniques, immunological techniques, Enzyme assay and its kinetics.
• Bachelor of Science in Biochemistry, Microbiology, and Chemistry, Sri Krishnadevaraya University, Andhrapradesh.
Experience:
Medical Coder
Virtue Lab
Hyderabad, India, June 2009 to March 2012
• Performing outpatient coding for medical centers.
• Coding medical records with ICD-9, ICD-3, CPT-4, and HCPCS Level II coding, while maintaining 95% accuracy and achieving productivity goals.
• Handling wide variety of medical records including Radiology, physical therapies, ENT, primary care and psychiatry visits, dental, eye/vision, surgeries, diagnostic testing, ER, and E&M.
Medical Coder
Aegis Limited
Hyderabad, India, April 2012 to Present
• Accurately code claims in order to ensure proper payment.
• Coding medical records with ICD-9, ICD-3, CPT-4, and HCPCS Level II coding, maintaining 95% accuracy and achieving productivity goals.
• Duties also included handling wide variety of medical claims including Radiology, physical therapies, ENT, primary care and psychiatry visits, eye/vision, surgeries, diagnostic testing, ER, and E&M.
• Ensure that you’re using the correct codes by checking certain areas of patient medical records, including requested imaging studies, laboratory test results and doctor’s note transcriptions.
• Apply knowledge of medical terminology and human anatomy when making coding decisions.
• Use ICD-9-CM, HCPCS Level II and CPT codes and guidelines to assign the correct service levels and codes to the supplies used and procedures performed in treating patients.
• Document the frequency at which diagnoses are given, as well as the procedures and services used to treat those with different diagnoses.
• Processes Provider Representative request emails.
• Completed more than 4,500 claims throughout tenure. Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.
• Prepared detailed decisional documents including personalized explanations of denied claims.
• Reviewed electronic claims and processes data as required into the claims system, resolved computer generated correct conditions, and determined right payment
Achievements:
• Antioxidant status (superoxide dismutase, protein thiol) in Saliva and gcf of Periodontitic patients -Published in Indian journal of clinical Biochemistry, Dec 2007, Vol-22
• Certified PCI Provider Compliant Code Review ( By HUMANA)
Conferences Attended:
• Indo-Australian conference on BIOTECHNOLOGY IN INFECTIOUS DISEASES.
• International conference on GENETIC AND MOLECULAR DIAGNOSIS.
• National seminar on BIOCHEMISTRY IN THE NEW MILLENIUM.
Poster Presentation:
• Antioxidant status in saliva and gcf of patients with periodontitis in ABICON 2007.
Contact this candidate