Karthiga Kumari Karunagaran
Medical Coder
Dubai
Summary
Highly skilled and meticulous Senior Medical coder and quality auditor with exceptional attention to details and abilities in performing coding, auditing, and team management process. Outstanding skills in explaining documentation, coding & audit findings to the relevant staffs as well as the management in the most apprehensible manner to make sure nothing is missed or erroneously reported. I have the physical and mental capability to file the targeted claims a day. Particularly I am very skilled in all kinds of Outpatient coding and emergency coding especially in evaluation & Management. My understanding of medical terminology is an asset which would help me in obtaining the perfect results.
Overview
12
12
years of professional experience
3
3
years of post-secondary education
2
2
Certifications
Work History
Senior Medical Coder
Emirates Specialty Hospital
11.2023 - Current
- Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.
- Streamlined the coding process for efficiency, resulting in a higher volume of claims processed daily.
SME
Cognization Solutions India PVT Ltd
7 2021 - 6 2023
- Analyzing patient medical Record and Coding diagnosis, Procedure performed in ED, Outpatient and Minor Surgery Procedures
- Involved in denials for minor and moderate surgical procedures as per coding guideline's
- Partnered with auditors to track errors and add contributions to maintain accuracy
- Well versed in 3M
- Analyzing CPT error trend in Resubmission and provide education based on Coding and Client guideline's
- Learned auditing skill's and developed my auditing skills internal
- Supported teams in continuous delivery of quality products and services, enhancing usage and introducing new features
Medical Coder Cum Insurance Coordinator
Novomed Specialized Surgical hospital
10.2020 - 05.2021
- Taking approvals for medical procedures, Outpatient investigations and dealing with queries from insurance and follow up
- Applying approval in E-claim link and dispatching approval for Outpatient and DRG cases
- Assigning ICD, CPTs and DRG tracker for approval requests as per Coding compliances
- Querying provider for medical necessities
- Coordinating with insurance companies for benefit coverage and explaining same to Nurses and providers
Senior Medical Coder
Ajuba Solutions PVT Ltd
08.2012 - 08.2020
- Reviewed outpatient and Emergency records and interpreted documentation to identify diagnoses and procedures
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines
- Awarded as best and hard worker and considered as a lead person in my project
- Responsible for work load distribution, Conducted refresher session
Education
Bachelor of Science - Microbiology
St.Josephs College of Arts And Science
06.2009 - 07.2012
Skills
Anatomy
Terminology
Disease Management
ICD-10-CM
CPT
HCPCS Level2 codes
Coding guidelines
Surgery
Modifiers
Official coding conventions
Rules established by AMA
Insurance plans
ICD 10 - PCS coding
Revenue Cycle Management
Certification
CPC, 10/01/14
Passportno
U8987932
Passportvalidity
11/01/31
Personal Information
Marital Status: Married
Visastatus
Spouse Sponsor
Languages
English
Tamil
Malayalam
Beginner (A1)
Timeline
Senior Medical Coder
Emirates Specialty Hospital
11.2023 - Current
Medical Coder Cum Insurance Coordinator
Novomed Specialized Surgical hospital
10.2020 - 05.2021
Senior Medical Coder
Ajuba Solutions PVT Ltd
08.2012 - 08.2020
Bachelor of Science - Microbiology
St.Josephs College of Arts And Science
06.2009 - 07.2012
SME
Cognization Solutions India PVT Ltd
7 2021 - 6 2023
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