Summary
Overview
Work History
Education
Skills
Certification
LANGUAGES
Timeline
Training
PROJECT CUM ‘ON JOB TRAINING PROGRAM’ IN INDUSTRIAL MICROBIAL BIOTECHNOLOGY JAIN INSTITUTE OF VOCATIONAL AND ADDITIONAL STUDIES
PROJECT CUM ‘ON JOB TRAINING PROGRAM’ IN TECHNIQUES IN RECOMBINANT DNA TECHNOLOGY JAIN INSTITUTE OF VOCATIONAL AND ADDITIONAL STUDIES
References
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Nancy Rose Joseph

Nancy Rose Joseph

Abu Dhabi

Summary

16+ Years of Experience

Experienced in clinical coding and denials resubmission, with expertise in ICD-10, CPT, and DRGs. Skilled in inpatient, outpatient, and ambulatory coding, ensuring compliance with DoH regulations. Bringing strong analytical abilities and knowledge of medical terminology to optimize coding accuracy and reimbursement processes.

Overview

16
16
years of professional experience
1
1
Certification

Work History

RCM Administrator [Clinical Coder]

Mediclinic Airport Road
08.2014 - Current
  • Works on Inpatient & Outpatient coding.
  • Denials review and resubmission.
  • Accurately review and code clinical information using ICD-10-CM and CPT coding systems.
  • Ensure compliance with DoH & Payor regulations regarding medical coding and billing practices.
  • Well Familiar with DoH Coding Manual, Claims & Adjudication rules.
  • Resolve coding discrepancies and denials with payers to ensure correct reimbursement.

Inpatient Medical Coder

Burjeel Hospital
07.2012 - 07.2014
  • Specialized on coding on Inpatient & Ambulatory encounters.
  • Assign appropriate ICD-10 & CPT for billing & submission
  • Denials review and resubmission of claims with appropriate justification.
  • Collaborate with healthcare providers to clarify documentation deficiencies.
  • Provided coding education and training to clinical staff and new team members.
  • Worked on other patient classes during backlogs [ED & Outpatient].

Sr. Medical coder [Inpatient]

Revenuemed India Pvt. Ltd
04.2009 - 05.2012
  • Accurately assign ICD-9-CM and/or ICD 10-PCS code(s) and sequence diagnosis and procedures per patient medical record that derives MS-DRG.
  • Assure the assignment of complete, accurate, timely and consistent codes while achieving productivity goals.
  • Utilizing 3M Coder, TrueCode and Webstrat software to input information into computerized patient record system (CPRS).
  • Worked on multiple US-Projects.
  • Perform quality checks to ensure accuracy of coding assignments.


Education

M.Sc. - Biotechnology

Kuriakose Elias College
01.2008

B.Sc. - Biotechnology, Chemistry, Botany

St. Joseph's College of Arts and Science
01.2006

Skills

  • Medical Coding (ICD-9, ICD 10, CPT, HCPCS, DRGS)
  • Inpatient, Ambulatory, Outpatient Coding
  • Denials Resubmission
  • Anatomy & Physiology, Medical Terminology
  • MS Office Software

Certification

  • Certified Coding Specialist [CCS][AHIMA]

AHIMA ID: 2505731


  • Certified Professional Coder [CPC][AAPC]

Member ID: 01206765

LANGUAGES

English
Malayalam
Hindi
Tamil
Kannada

Timeline

RCM Administrator [Clinical Coder]

Mediclinic Airport Road
08.2014 - Current

Inpatient Medical Coder

Burjeel Hospital
07.2012 - 07.2014

Sr. Medical coder [Inpatient]

Revenuemed India Pvt. Ltd
04.2009 - 05.2012

B.Sc. - Biotechnology, Chemistry, Botany

St. Joseph's College of Arts and Science

M.Sc. - Biotechnology

Kuriakose Elias College

Training

  • Vision and Trends of Biotechnology UGC Sponsored State Level Seminar
  • Recent Trends in Biotechnology Seminar
  • Biotechnology and Molecular Biology National Seminar
  • Genomics and Proteomics: Tools and Applications Workshop

PROJECT CUM ‘ON JOB TRAINING PROGRAM’ IN INDUSTRIAL MICROBIAL BIOTECHNOLOGY JAIN INSTITUTE OF VOCATIONAL AND ADDITIONAL STUDIES

Bangalore / Jan 2007 - Dec 2007

PROJECT CUM ‘ON JOB TRAINING PROGRAM’ IN TECHNIQUES IN RECOMBINANT DNA TECHNOLOGY JAIN INSTITUTE OF VOCATIONAL AND ADDITIONAL STUDIES

Bangalore / Jan 2007 - Dec 2007

References

References available upon request

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