Shadiya Dilshana

Medical Coding

• Analyzed medical records (physician notes, lab results) to accurately assign ICD-10-CM and CPT codes for diagnoses and procedures. Maintained a consistent accuracy ensuring proper reimbursement for services rendered.
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• Stayed up-to-date with the latest ICD-10-CM and CPT coding guidelines through ongoing training and professional development.

Medical Billing:

• Prepared and submitted clean claims electronically to various insurance companies.
  Verified patient insurance eligibility prior to service delivery to minimize claim denials.
• Analyzed denied claims, identified errors, and appealed decisions to maximize reimbursement.
  Communicated effectively with patients, insurance companies, and healthcare providers regarding billing inquiries and discrepancies.
• Insurance E-Claim Processing & Submission Generating XML Files, Identify and solve the errors submission and resubmission
• E-Claim Resubmission & Denial Management MNEC-004, ELIG-001, AUTH-001, CLAIM-016)
• Pre-Authorization / Eligibility Verification
  Work Experience in MediMate247 EMR (Clinic Management System Software)