MRIDHULA KALLIVALAPPIL
ABU DHABI,UAE
Summary
Highly skilled professional with 5+ years of coding experience and expertise in medical terminology, CPT coding, HCPCS coding, and ICD-10 coding knowledge. Demonstrates exceptional communication and interpersonal skills, coupled with analytical abilities and decision-making proficiency. Adept at managing electronic health records and ensuring quality assurance with ethical integrity. Proactive learner committed to maintaining professionalism and mastering time management. Career goal: to leverage extensive skills in a dynamic healthcare environment to enhance patient care and operational efficiency.
Overview
5
5
years of professional experience
4
4
years of post-secondary education
1
1
Certification
Work History
Medical Coding Analyst
Optum
Chennai, India
02.2023 - 12.2024
- Code medical records in electronic formats using ICD-10-CM for charts with dates of service over a two-year range.
- Monitor regulatory changes related to ICD-10 coding guidelines.
- Perform ongoing analysis of charts for appropriate coding compliance.
- Research and resolve assigned coding projects.
- Maintain and meet established quality coding goals.
- Use independent judgment to manage and impart confidential information in compliance with HIPAA regulations and company requirements.
- Performed coding compliance and quality audits to support compliance program and meet client expectations.
- Analyzed and interpreted documentation from medical records.
- Provided feedback and education based on audit findings.
- Articulated audit findings to various audiences.
- Stayed current with relevant coding guidelines.
- Researched, developed, and presented education to coders based on audit analysis.
- Conducted auditor peer review audits as needed.
- Participated actively in team meetings to discuss complex cases requiring specialized coding knowledge, fostering collaborative problem solving.
- Maintained compliance with current regulatory requirements via regular updates on medical coding norms.
- Performed daily checks on coded data against original documents to ensure integrity of information recorded.
- Provided training to new staff members on updated ICD-10-CM and CPT codes, enhancing team knowledge base.
- Contributed to overall clinic efficiency through meticulous attention to detail in coding tasks.
- Kept patient information confidential following Data Protection Act guidelines.
Medical Coder
Episource
Chennai, India
11.2019 - 02.2023
- Verify and abstract all relevant data from medical records to assign appropriate codes for various settings, including Multispecialty Outpatient Clinics, Urgent Care Centers, and Inpatient Hospital Settings.
- Coded 12 charts per day by meeting quality criteria standards.
- Kept patient information confidential following Data Protection Act guidelines.
- Provided training to new staff members on updated ICD-10-CM and CPT codes, enhancing team knowledge base.
- Constantly track and implement updates to AMA guidelines, AHA guidelines, and CMS guidelines. Responsible for troubleshooting Microsoft windows issues.
- Under general supervision, organize and prioritize work to ensure records are coded and edits resolved in timely manner, ensuring compliance with regulatory and client guidelines. Responsible for configuring & troubleshooting Microsoft outlook accounts.
- Adhere to confidentiality standards and maintain the security of systems & comply with HIPAA policies and procedures to ensure the confidentiality of all patient records.
Education
B.Pharm - PHARMACY
Dr MGR Educational and Research Institute
CHENNAI, INDIA 08.2015 - 08.2019
Skills
- Communication
- Interpersonal
- Medical terminology
- Analytical skills
- Decision making
- Time management mastery
- Quality assurance mindfulness
- Ethical integrity
- CPT coding expertise
- Proactive learner
- Electronic health records management
- Professionalism
- Microsoft Office Suite
- HCPCS coding
- ICD-10 coding knowledge
- Medical report analysis
Certification
Certified Professional Coder (CPC), AAPC, 93%, 01/08/24, 01/08/25
Languages
English
Fluent
Hindi
Intermediate
Malayalam
Native
Tamil
Native
Timeline
Medical Coding Analyst
Optum
02.2023 - 12.2024
Medical Coder
Episource
11.2019 - 02.2023
B.Pharm - PHARMACY
Dr MGR Educational and Research Institute
08.2015 - 08.2019
Similar Profiles
Tracey McAllisterTracey McAllister
Sr UX UI Engineer - Product Manager at OptumSr UX UI Engineer - Product Manager at Optum
MANJUNATH HUNACHIKATTIMANJUNATH HUNACHIKATTI
Associate Medical Coder at OptumAssociate Medical Coder at Optum
CYNTHIA PRISSELCYNTHIA PRISSEL
Clinical Reviewer at OptumClinical Reviewer at Optum