Anjana A Nair
Abu Dhabi
Summary
CPC-certified Medical Coder with over 5 years of experience in the UAE, proficient in accurately assigning diagnostic and procedural codes using systems such as ICD-10, CPT, USCLS, and CDT. Demonstrates proven expertise in ensuring precise and compliant coding practices for accurate billing and reporting.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical coder
Aspen Primary Medical center
07.2023 - Current
- Working as an OP coder and assign accurate ICD & CPT ,USCLS coding using ICD-10-CM Classification of diagnoses & procedure codes by reviewing and interpreting Electronic Medical Records and Physical case records based on Doctor's documentation
- Ensure coded data accurately reflects service provided based on documentation
- Review of errors, suggesting corrective action and making preventive actions to avoid same
- Knowledge of HIPAA regulations
- Ensuring accuracy in TASNEEF audit by adhering HADD guidelines
- Be updated about new coding rules as codes change from time to time
- Raise queries on clarification and clear pended issues based on client response
- Identify issues such as no physician signature on report, missing provider credentials, communicate to supervisor for physician education
AAPC CERTIFIED Medical coder
Profit Plus Practice Management Solutions, DSO
Dubai
10.2019 - 10.2022
- Company Overview: Medical Coder (Outpatient) and Day surgery
- Coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications
- Researches and analyzes data needs for reimbursement
- Analyzes medical records and identifies documentation deficiencies
- Extracting relevant information from patient records
- Laising with physicians and other parties to clarify information
- Examining documents for missing information
- Assigning CPT, HCPCS, ICD-10-CM, USCLS and CDT codes
- Performing chart audits
- Advising and training physicians and staff on medical coding
- Ensuring compliance with medical coding policies and guidelines
- JAWDA Audit Representative
- Physician Documentation Trainer
- Training of coders, physicians and staff is vital to maintain and reach your compliance goals
- Education & training may be conducted in a variety of settings ranging from one-on-one sessions to lectures for larger groups
- These sessions may be geared to an audience of coders, billers, physicians, etc
- These sessions can include, but are not limited to: Documentation guidelines, Anatomy, physiology and clinical medicine Coding guidelines, Specific government and private payer reimbursement principals
- Operations Coordinator - Facilitating communication and coordination between providers and coders
- Query clearance and technical support
- Medical Coder (Outpatient) and Day surgery
Insurance Supervisor
American Spine Center
Dubai
11.2019 - 05.2022
- Company Overview: Dubai Health Care City
- Coordinating and managing the insurance verification process for patients, which includes verifying coverage and benefits, obtaining pre-authorizations, and submitting claims.
- Maintaining a database of client information related to insurance.
- Coordinating with insurance carriers to ensure that policies are current, coverage is applicable for the clients recommended list
- Monitoring the status of claims to ensure timely payment, filing appeals if necessary
- Managing the claims department and communicating with claimants about their cases.
- Making cost estimates according to patient procedure and DRG coding.
- Denial Analysis and Resubmission.
- Reconciliation for outstanding payments
- Provider- Payer and Patient relation
- Dubai Health Care City
Medical Coder (Outpatient)
Seha Technologies
Trivandrum
03.2019 - 10.2019
- Experienced in coding outpatient E/M level with fair understanding in key E/M elements and dental coding with strong knowledge in dental services, CDT and USCLS
- Coding patient information into a standardized format for billing and reimbursement purposes
Education
BSC -
Zoology
Kerala, India01.2018
Higher Secondary Education - Biology Science
SVRV NSS HSS
Kerala, India01.2014
Skills
- Shade
- Clinic soft
- Ultra clinic
- Dok32
- Insta HMS
- Mediplus HMS
- EClaimLink
- Simplex
- Riayati
- Medas
- Cortex
- Clinic Pro
- Practizon
- Dockmate
- Epicle - Process med
- ICD 10 CM
- CPT
- CDT
- USCLS coding
- Processing submissions
- Resubmissions
- Reconciliation
- Insurance related works
- Organizational skills
- Problem solving
- Communication
- Negotiation
- MS Word
- PPT
- Excel
- Revenue Cycle Management
- Coding Error Resolution
- Training and mentoring
- Clinical Documentation
- Medical Terminology
- Medical Billing
Certification
- Medical coding - AAPC certified
- Diploma - Leadership and Management skills
Personal Information
- Passport Number: T9583928
- Date of Birth: 11/29/97
- Nationality: Indian
- Marital Status: Single
Timeline
Medical coder
Aspen Primary Medical center
07.2023 - Current
Insurance Supervisor
American Spine Center
11.2019 - 05.2022
AAPC CERTIFIED Medical coder
Profit Plus Practice Management Solutions, DSO
10.2019 - 10.2022
Medical Coder (Outpatient)
Seha Technologies
03.2019 - 10.2019
BSC -
Zoology
Higher Secondary Education - Biology Science
SVRV NSS HSS
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