Medical Records

484-***-**** Bogolu Archana o11uzc@r.postjobfree.com

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