LEENA ABRAHAM

• Medical coding under HAAD and DHA Guidelines
• Out patient coding using ICD-10 CM,CPT and HCPCS Guidelines
• Carefully reviews patients medical histories, physical findings ,diagnosis and treatment results
• Working with the requirements of different insurance companies in the UAE Maintains expected quality and quantity expectations of the facility
• Generates coding queries for clarification regarding physician documentation as needed..
• Responsible for assigning the correct code to describe the type of service a patient will receive
• Reviewing and analyzing medical billing and coding for processing

• Filed and tracked insurance claims and communicated claims status to patients.
• Obtained prior authorization and precertification for outpatient procedures.
• Verified insurance and communicated coverage to staff and patients.
• Carried out administrative tasks by communicating with clients, distributing mail and scanning documents
• Informative in different areas like Anatomy and Physiology, Advanced Medical Terminology and other related medical sectors

Medical Coding

• Possess knowledge of utmost quality related to medical coding methods and guidelines, including DRGs, ICD-10, CPT.
• Coding accurately as per guidelines ICD-10 CM, CPT and HCPCS
• Assigning appropriate ICD-10 and CPT codes for diagnosis and procedure
• Assigning appropriate HCPCS and Drug codes for consumables and drugs
• Using different types of E-Claims software and portals
• Outpatients Pre-approvals of different insurance companies such as Daman, Oman, Nextcare etc.
• Verified client information by analyzing existing evidence on file
• Made contact with insurance carriers to discuss policies and individual patient benefits
• Assured timely verification of insurance benefits prior to patient procedures or appointments
• Generated, posted and attached information to claim files
• Prepared insurance claim forms or related documents and reviewed for completeness

• Developed and executed HR policies and programs, workforce and job development, recruitment and hiring, compensation and benefits and employee and labor relations to build staff-focused human resources office culture.
• Followed programs closely to assess effectiveness and make proactive changes to meet changing demands.
• Fostered cross-functional relationships to connect managers and employees and improve overall efficiency.
• Designed and implemented region-wide recruitment, behavior-based interviewing and skill matching procedure, decreasing employee turnover
• Directed hiring and onboarding programs for new employees
• Developed succession plans and promotion paths for staff