Bhagish B CPC CCS
Sharjah
Summary
Highly motivated, detail-oriented and quality focused individual seeking for a challenging role of Medical Coder/Insurance coordinator with reputed and growth-oriented organizations in Medical and Insurance field.
Overview
9
9
years of professional experience
Work History
IP Medical Coder
NMC Royal Hospital
06.2018 - Current
- Assign accurate codes for Inpatient, Emergency, Dental and Outpatient claims
- Analyze patient records for completeness and accuracy
- Educating physicians for necessity of medical documentation
- Planning and supporting team production for submitting claims on time
- Report variations/irrelevance in CPT codes used for services/procedures
- Reconciles NCCI correct edits and discrepancies prior to final coding
- Identify and resolve codes (diagnosis under exclusion and non-billable codes)
- Acts as resource when necessary for pre-authorization and reimbursement and available to consultants with regard to any clarification regarding ICD/CPT codes
- Analyze billing to improve coding data accuracy
Medical coder
Life care Hospital
06.2015 - 05.2018
- Assign accurate codes to all Out patient, Emergency claims, Day case and Dental
- Assisted TASNEEF Audit for coding review and documentation
- Analyze patient records for completeness and accuracy
- Provide information regarding medical documentation to concerned facility’s staff
- Manage preparation of patient and insurance refunds
- Manage rejection claims for outpatients services
- Analyze billing to improve coding data accuracy and reimbursement
- Other miscellaneous tasks related to smooth function of daily workflow to ensure TAT compliance
Junior Medical Coder
E4E Healthcare
11.2014 - 02.2015
- Assign accurate codes for ICD 9 Diagnosis code
- Ensuring information about diagnoses & procedures for patients is accurate and complete.
- Reviews medical record documentation to select and appropriate coding sequence
Education
Bsc Zoology -
Jaipur National University
CCS - Member ID No: 2805884 -
AHIMA
CPC - Member ID No: 01331469 -
AAPC
Skills
- 88 Years of experience in medical coding & auditing with computer skills
- Well versed in ICD 10 & ICD 9, Inpatient, Outpatient E/M coding, ER coding, Dental and Radiology
- Demonstrated ability to review hospital medical records to establish all diagnoses and procedures
- Excellent knowledge on deductibles, co-payments, co-insurance amounts, Insurance exclusions and other policies and adjudications of all insurances companies/TPAs
- Adhere to HAAD, DHA, MOH Claims and Adjudication rules and coding
- Highly skilled in analyzing and interpreting medical records to ensure complete and consistent diagnosis procedures
- Knowledge of medical terminology, anatomy and physiology
- Maintaining complete updated knowledge for changes taking place in coding field and Insurance
- Comfortable with most medical Coding software's like SAP, INSTA, CLINICSOFT and having detailed knowledge
- Experience in working with 3M and Encoder Pro software
Timeline
IP Medical Coder
NMC Royal Hospital
06.2018 - Current
Medical coder
Life care Hospital
06.2015 - 05.2018
Junior Medical Coder
E4E Healthcare
11.2014 - 02.2015
Bsc Zoology -
Jaipur National University
CCS - Member ID No: 2805884 -
AHIMA
CPC - Member ID No: 01331469 -
AAPC
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