Akhila S
Al Ain City
Summary
Experienced AAPC Certified Medical Coder & Submission and Re-submission officer with Expertise in Cortex and Clinic soft software, specializing in Evaluation & Management(EM-OP) & Multi specialty coding. Proficient in ICD-10 and CPT coding with a strong focus on accuracy, compliance, and claim optimization. Adept at medical record auditing, insurance claim processing, and revenue cycle management. Seeking a medical coding position in the UAE healthcare sector to contribute expertise in medical documentation, compliance, and healthcare reimbursement.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Medical Coder|Submission & Re-submission Officer
Royal Care Medical Center
08.2024 - Current
- Analyzed patient records to ensure accurate coding and compliance with regulations.
- Collaborated with healthcare providers to clarify documentation and improve coding accuracy.
- Utilized ICD-10 and CPT coding systems for effective billing processes.
- Reviewed and resolved coding discrepancies to enhance revenue cycle efficiency.
- Assisted in training new staff on coding protocols and software usage.
- Implemented best practices for data entry to minimize errors in medical records.
- Maintained up-to-date knowledge of changes in coding guidelines and regulations.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Participated in the TASNEEF audit, supporting documentation preparation, compliance verification, and audit coordination.
- Collaborated with internal teams during the TASNEEF audit, contributing to successful audit outcomes, and improvements in compliance processes.
- Supported the execution of the TASNEEF audit by organizing technical documentation, responding to auditor queries, and maintaining accurate compliance records.
- Analyzed medical documentation to ensure accurate coding and compliance with regulations.
- Maintained up-to-date knowledge of coding guidelines and payer requirements for optimal reimbursement.
Dental Coder
Royal Smile Medical Center
05.2024 - 07.2024
- Implemented best practices for documentation compliance, enhancing overall workflow efficiency.
- Conducted regular audits of coding accuracy to maintain quality standards and mitigate errors.
- Prepared and submitted project documents for UAE coding and approval, ensuring timely processing and adherence to local standards and regulations.
- Facilitated communication between internal teams and UAE regulatory bodies, ensuring all coding requirements and approval procedures were completed accurately and on time.
- Every day I get more than 30 patient dental approval from insurance accurately.
- Developed and maintained accurate coding for patient billing and insurance claims.
- Collaborated with healthcare professionals to ensure compliance with coding standards.
Medical Coder
Optum(Episource)
06.2023 - 04.2024
- Reviewed and assigned accurate medical codes to patient records ensuring compliance with regulatory standards.
- Analyzed documentation for completeness, identifying discrepancies and facilitating resolution with healthcare providers.
- Utilized coding software to enhance workflow efficiency and maintain up-to-date knowledge of coding guidelines.
- Collaborated with interdisciplinary teams to clarify coding requirements, improving overall documentation practices.
- Audited medical records for accurate coding and compliance with industry standards
- Reviewed and resolved discrepancies in coding to enhance data integrity
- In daily base I have completed for more that 70 charts.
Education
MBA - Hospital Management
Bharatiyar University
Coimbatore, Tamil Nadu.10-2023
Skills
- Experienced in medical terminology usage
- Medical coding expertise
- Skilled in using Cortex, Clinic Soft, Openjet, and NAS webportal
- DOH & Payer Guidelines
- Procedure & Diagnosis Coding
- Electronic Health Records (EHR) Systems
- UAE Medical Claims Resubmission & Reconciliation
- HAAD Coding & Resubmission Guidelines
- Resubmission of Rejected / Denied Claims
- Root Cause Analysis for Claim Rejections
- Knowledge of Payer Rules (Daman, Thiqa, Neuron, NextCare, etc)
- Correcting Coding Errors for Resubmission (ICD-10-CM & CPT)
- Preparing Detailed Justifications for Resubmission
- Medical Documentation Review & Clarification
- Reducing Rejection Rates Through Accurate Coding
Certification
CPC - Certified Professional Coder
Timeline
Medical Coder|Submission & Re-submission Officer
Royal Care Medical Center
08.2024 - Current
Dental Coder
Royal Smile Medical Center
05.2024 - 07.2024
Medical Coder
Optum(Episource)
06.2023 - 04.2024
MBA - Hospital Management
Bharatiyar University