HIRAN T R
Dubai
Summary
Certified Professional Medical Coder (CPC) with experience in physician’s offices and Revenue Cycle Management centers. Adept in assigning accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) for all outpatient encounters.
Overview
3
3
years of professional experience
Work History
Insurance Assistant
Advanced Care Medical Center
Sharjah
02.2022 - 07.2022
- www.acuae.org
- Use of DHA portals of Insurance companies and TPAs
- Taking Pre-Approvals
- Eligibility checking
- Applying accurate Copay
- Correcting codes as per reports
- Entering agreed tariffs
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Quality Analyst- Medical coder
Omega Healthcare
Bangalore
- Www.omegahms.com/
- Omega Healthcare has the largest medical coding staff in the world, deep healthcare expertise, and unmatched proprietary technology, automation capabilities, and analytics solutions
- Project- Athena healthcare systems Athena is a recognized leader in senior care, as well as one of the largest managers of skilled nursing services in Connecticut, Massachusetts and Rhode Island, specializing in orthopedic and pulmonary rehabilitation and medically complex care
- Most centers also offer an array of services and programs to varying populations, including Alzheimer’s and memory care, as well as speech, occupational and physical therapy specialists (https://athenahealthcare.com/)
- EM outpatient and inpatient coding Multispeciality- Pulmonology, neurology, Family medicine, Internal medicine, assisted living service, Home visit and urgentcare.
Junior Officer-Medical Coder
Miramed Ajuba
Chennai
03.2020 - 11.2020
- Www.miramedajuba.com/
- MiraMed Ajuba provides medical billing and coding, and revenue cycle management outsourcing services to healthcare organizations across the world
- Project : Piedmont Healthcare Piedmont HealthCare is one of the largest physician-owned multi-specialty groups in North Carolina and the Southeast (https://piedmonthealthcare.com/)
- ED professional and facility coding
Medical Coder-Resubmission Officer
Dynamed Healthcare Solutions
Cochin
03.2018 - 04.2019
- Https://in.linkedin.com/in/dynamed-healthcare-dynamed-7323b8184
- Dynamed healthcare solutions by VPS healthcare group has started operations at Infopark Kochi phase 2
- Dynamed is into revenue cycle management, claim processing, clinical coding, collections, and data analytics outsourcing
- The primary focus is to support the group's own hospitals in UAE and Oman
- Project - VPS healthcare
- Resubmission submission of rejected claims by analyzing the root cause of rejections
- Rejection categories - copay, authorization, Member details, medical necessity, duplication ( Facility errors and provider errors)
Education
Bachelor of Arts - English Literature
Rabindranath Tagore University
Madhya Pradesh, India11.2019
Skills
- Quality assurance procedures
- EM outpatient - Multispeciality
- ED Professional and Facility
- Denial Analysis
- Medical claims coding
- Knowledge of 3M and Encoder Pro
- Knowledge of medical insurance terminology
- Understanding of medical terminology
Certification
Certified Professional Coder(CPC)-AAPC
Member ID - 01589321
Languages
Malayalam
Native language
English
Proficient
C2
Hindi
Advanced
C1
Tamil
Advanced
C1
Timeline
Insurance Assistant
Advanced Care Medical Center
02.2022 - 07.2022
Junior Officer-Medical Coder
Miramed Ajuba
03.2020 - 11.2020
Medical Coder-Resubmission Officer
Dynamed Healthcare Solutions
03.2018 - 04.2019
Bachelor of Arts - English Literature
Rabindranath Tagore University
Quality Analyst- Medical coder
Omega Healthcare
Similar Profiles
DRISYA SUJITHDRISYA SUJITH
Accountant at ADVANCED CARE MEDICAL CENTERAccountant at ADVANCED CARE MEDICAL CENTER
Laura DelancyLaura Delancy
Registered Nurse - RN II at Camden Clark Medical Center - Advanced Care UnitRegistered Nurse - RN II at Camden Clark Medical Center - Advanced Care Unit
Kimberly EchevarriaKimberly Echevarria
Family Nurse Practitioner at Advanced Medical Care CenterFamily Nurse Practitioner at Advanced Medical Care Center