Narendhra Reddy.

• Reviewed new insurance products from carriers to determine suitability for client needs.
• Kept up with changes in insurance markets to accurately answer client questions and give suitable recommendations.
• Increased profitability by developing pipelines using multiple marketing channels and sales strategies.
• Consistently met client satisfaction goals, identifying areas in which the client may require aid and proposing solutions.
• Allocating the daily work and distributing the tasks equally to the coders
• Handling 2 coders under me and sharing my knowledge with them and providing updates every time when we receive any updates from Insurance companies and DOH.
• Maintaining the consistent and less Rejection rate reduced to only as low as 0.5%.
• Maintaining a periodical review of litigated and pending claims and Resolves any problems with patients, doctors and Health Insurance Companies.
• Conducting audits periodically on the coders to makesure that claims are submitted accurately with coding guidelines.
• Having an experience with dealing multi-cultural and multi nationality people And having ability to complete the all set targets within stipulated time
• Conducting training sessions on the Medical Necessity for eachand every claim to decrease the rejection rate from Insurance companies and educating the doctors on medical necessity and coding guidelines and keeping them updated all the time.
• Good Knowledge on all UAE insurance companies policiesand protocols and to analyze all financial transactions of all insurance companies
• Submitting all claims with sufficient & appropriate documentation for all documenting services and submitting all claims within 48 hours
• Also assisting coding team in resubmission claims Dealing with all Departments Rejection claims and providing a appropriate reason for Resubmission for to claim the amount from Insurance companies and Providing a appropriate reason for all rejection claims and submitting back to insurance companies within a stipulated time to claim the amount as quickly as possible.
• And doing a regular follow up on the delayed pending payments from the Insurance companies
• Coordinating with all staff including Doctors, Nurses, Admin Team, receptionist to make sure the smooth process flow and everyone is on the same page
• Serves as a functional resource for entry-level coders and mentors/trains other coders as needed.
• Review official coding guidelines, policies and principles to maintain the data quality standards.
• Communicates documentation improvement opportunities and coding issues (discrepancies) to Physicians for follow up and resolution.
• Training the team to achieve the targeted task.
• Conducting regular sessions of audit to monitor the progress of the team members.
• Negotiated the factor rates with new insurance companies contracts.
• Handled insurance queries from quotation stage to renewal.

Worked as Insurance and RCM (Revenue Cycle Management) Supervisor in SAMA AL SHAMKHA MEDICAL CENTER :

• Handling 3 coders under me and sharing my knowledge with them and providing updates every time when we receive any updates from Insurance companies and DOH
• And me also involved in a daily coding tasks and billing and resubmission claims whenever required
• Increased team productivity through effective staff planning, coordination and task delegation.
• Managed staff rotas, planning workloads effectively and strategically.
• Allocating the daily work and distributing the tasks equally to the coders
• Maintaining the consistent and less Rejection rate reduced to only as low as 0.38% to 1.5 % max
• Maintaining a periodical review of litigated and pending claims
• Resolves any problems with patients, doctors and Health Insurance Companies
• Conducting audits periodically on the coders to make sure that claims are submitted accurately with coding guidelines
• Having an experience with dealing multi-cultural and multi nationality people
• And having ability to complete the all set targets within stipulated time
• Conducting training sessions on the Medical Necessity for each and every claim to decrease the rejection rate from Insurance companies and educating the doctors on medical necessity and coding guidelines and keeping them updated all the time
• Good Knowledge on all UAE insurance companies policies and protocols and to analyze all financial transactions of all insurance companies
• Cleared TASNEEF AUDIT with Grade A two consecutive times with 97 % (In 2019-July) and 98 % (In Feb-2021) passing score successfully
• Submitting all claims with sufficient & appropriate documentation for all documenting services and submitting all claims within 48 hours
• Also working as Resubmission Analyst Dealing with all Departments Rejection claims and providing a appropriate reason for Resubmission for to claim the amount from Insurance companies
• Providing a appropriate reason for all rejection claims and submitting back to insurance companies within a stipulated time to claim the amount as quickly as possible
• And doing a regular follow up on the delayed pending payments from the Insurance companies
• Coordinating with all staff including Doctors, Nurses, Admin Team, receptionist to make sure the smooth process flow and everyone is on the same page
• Serves as a functional resource for entry-level coders and mentors/trains other coders as needed
• Review official coding guidelines, policies and principles to maintain the data quality standards
• Communicates documentation improvement opportunities and coding issues (discrepancies) to Physicians for follow up and resolution
• Training the team to achieve the targeted task
• Conducting regular sessions of audit to monitor the progress of the team members
• Departments Currently Dealing in Sama Al Shamkha Medical Center:
• General Practitioner
• Pediatrics
• Gynecology & Obstetrics
• ENT
• Dermatology
• Cosmotology
• Dental
• Internal Medicine
• Family Medicine
• Home Healthcare services

• Departments worked in Tawam Hospital:
• Surgery Pediatrics
• Surgery Plastic
• Surgery General
• Pediatrics Immunology and Allergy
• Pediatrics Infectious Diseases
• Pediatrics Respiratory
• Pediatric General
• Surgery Thoracic
• Analysed radiology and histology reports to complete billing tasks for hospitals and laboratories.
• Reviewed coded data and conducted spot checks to continuously improve processes.
• Achieved high accuracy and swift turnaround times for clinical coding services.
• Assigned proper codes to medical procedures for insurance and accounting processing.

• Facilitated the extraction of clinical data by providing expert advice on coding matters to my fellow coding team.
• Maintained meticulous attention to accuracy and quality across all the coding, guaranteeing data precision with proper medical necessity.
• Maintained thorough identification and application knowledge of terminology for efficient ICD10 & CPT, HCPCS & Dental USCLS codes as per coding guidelines.
• Obtained the clinical coding data from a variety of sources, including Electronic Health records and Laboratory, and Physical health records properly.
• Collaborated with clinical audit and finance teams to fulfil medical center goals.
• Reviewed coded data and conducted spot checks to continuously improve processes.
• Achieved high accuracy and swift turnaround times for clinical coding services.

• Excellent experience in all OP Departments:
• Cardiology
• Urology
• Dental
• Pediatrics
• Rheumatology
• Physiotherapy
• Orthopedics
• Neurology
• Home healthcare
• Gynecology & Obstetrics
• Gastroenterology
• Opthalmology
• ENT
• Oncology
• Endocrinology
• Internal Medicine
• Dermatology
• Family Medicine Nephrology
• Reviewed coded data and conducted spot checks to continuously improve processes.
• Achieved high accuracy and swift turnaround times for clinical coding services.
• Used correct anatomical and physiological terms to clearly communicate patient conditions.
• Assigned proper codes to medical procedures for insurance and as per coding guidelines.

• Inpatient, E/M- Outpatient, E/M-Observation, OP Ancillary & Clinics, Recurring accounts, Hospital Coding in Gebbs Healthcare Solutions from
• Coordinated implementation of quality assurance programs for accurate coding.
• Conducted audits on daily basis to evaluate the quality of coding done by coders.
• Handled different projects at a same time by conducting coding audits
• Worked as Quality Assurance Analyst (QAA) for Emergency Department & E/M-Inpatient, E/M- Outpatient, E/M-Observation, OP Ancillary & Clinics, Recurring accounts, Hospital Coding

• Supported audit teams and participated in coding training sessions to improve the coding skills..
• Coded procedures using correct coding system and to support billing objectives.
• Audited medical records to identify any incorrect coding for resolution.
• Worked as Medical Coding Specialist in Logix Health Solutions Pvt Ltd as (ED & E/M Coding)

• Reviewed and coded medical records with proper and accurate coding
• Worked as Jr.MedicalCoder in departments ER Coding – (Professional & Facility Coder).
• Assigned proper codes to medical procedures for insurance and accounting processing.
• Achieved high accuracy and swift turnaround times for clinical coding services.