Parthiban Durairasu
Abu Dhabi,UAE
Summary
Detail-oriented professional with expertise in CPT, ICD-10-CM, and HCPCS Level II codes, demonstrating a strong focus on coding accuracy. Proficient in medical billing software and electronic health records, with comprehensive knowledge of medical terminology and ICD-10 coding. Committed to enhancing health information awareness and improving billing software competence to support efficient healthcare operations.
Overview
16
16
years of professional experience
7
7
years of post-secondary education
1
1
Certification
Work history
Medical Coder
Salma Children’s Rehabilitation Hospital
Abu Dhabi
2023.11 - 2025.08
- Coding and billing Long term care & Outpatient visits, Auditing, Submission & Resubmission (Denials Management).
- Follow hospital coding guidelines and regulatory rules in governing corresponding coding decisions.
- Timely support and assist to Denials Management team and for Claims submission and Resubmission.
- Maintain optimal quality and timely submission.
- Facilitated expedient claim processing by submitting clean claims to various insurance carriers using correct codes.
- Streamlined the billing process with efficient coding practices.
- Helped reduce claim denials due to incorrect or incomplete codes by maintaining high standards of accuracy in work output.
- Promoted smooth communication between healthcare providers and insurance companies through clear code allocation.
- Contributed to overall clinic efficiency through meticulous attention to detail in coding tasks.
Medical Coder
Al Dhannah Hospital
Al Dhannah city, Abu Dhabi
2019.09 - 2023.10
- Coding Inpatient DRG & Per diem, Outpatient visits, Emergency room visits, Auditing, Submission & Resubmission (Denials Management).
- Coding Surgical procedures, diagnostic ancillary services and diagnosis using current ICD-10 CM and/or CPT-4 classifications.
- Confirm appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code.
- Follow hospital coding guidelines and regulatory rules in governing corresponding coding decisions.
- Review and abstract relevant clinical data/medical records to select and sequence the appropriate ICD-10-CM diagnosis.
- Timely support and assist to Denials Management team and for Claims submission and Resubmission.
Medical Coder
NMC Royal Women’s Hospital
Abu Dhabi
2017.08 - 2019.08
- In patient - DRG & Day care Coding, Outpatient visits.
- Case management and enhanced the revenue.
- Handle auditing of inpatient to determine whether the claims have been coded accurately.
- Identify missing documentation, query the physicians for any clarifications and provide training on the documentation requirements.
- Advises physicians regarding the results of their periodic reviews while maintaining an exceptionally High level of professionalism.
- Emergency Department and OP Coding.
Group Coordinator - Coding ED & Radiology
Techno Soft Global Services Pvt Ltd
Chennai
2010.10 - 2016.02
- Responsible for Initial Production Planning - Evaluation & Management and Radiology Team and Maintaining quality of work as per project standard and variety of inputs supporting like training, updates sharing, learning developments.
Junior Executive – Coding
Omega Health Care Solutions
Bangalore
2009.09 - 2010.09
- Verify that each code assigned is accurate and correlates to the condition and diagnosis provided in the source document.
- Analyse inpatient records and determine ICD-10, CPT and DRG based on the provided documentation and adhere to the coding guidelines and HAAD Adjudication rules.
- Identify missing documentation, query the physicians for any clarifications and provide training on the documentation requirements.
- Handle approval requests to insurance, submissions of claims to HAAD.
- Provide inputs to the team when required regarding coding updates and clarifications and guided the team during audits.
- Identify non-payment conditions and report them through specified procedures.
- Serve as a resource for coding related queries after verifying authenticity of inquirer.
- Ascertain that quality and integrity of coding including accurate determination of principle diagnosis and secondary diagnosis is accurate.
- Provide support in maintaining acceptable accounts receivables.
- Adhered to coding clinics and guidelines, and queried physicians for clarification as needed.
- Extensive experience in 3M.
- Ensures correct code selection for compliance with federal regulation and insurance requirements.
Education
M.Sc. - Biotechnology
Bharathidasan University
Tiruchirappalli, Tamilnadu 2005.01 - 2007.01
B.Sc. - Biotechnology
Bharathidasan University
Tiruchirappalli, Tamilnadu 2002.05 - 2007.05
Skills
- CPT
- ICD-10-CM
- HCPCS Level II codes
- Medical terminology
- Coding accuracy focus
- Medical billing software proficiency
- Health information awareness
- Billing software competence
- Electronic health records use
- ICD-10 coding knowledge
Certification
- Certified Outpatient Coder (COC), AAPC
- ICD-10-CM, AAPC
Personal Information
- Visa Expiry: 12/04/32
- Passport Number: Z3946381
- Date of birth: 07/26/85
- Nationality: Indian
- Marital status: Married
- Visa status: Residence (Gold card)
Custom
I hereby declare that the details furnished above are true to the best of my knowledge.
Languages
English
Advanced
Tamil
Native
Timeline
Medical Coder
Salma Children’s Rehabilitation Hospital
2023.11 - 2025.08
Medical Coder
Al Dhannah Hospital
2019.09 - 2023.10
Medical Coder
NMC Royal Women’s Hospital
2017.08 - 2019.08
Group Coordinator - Coding ED & Radiology
Techno Soft Global Services Pvt Ltd
2010.10 - 2016.02
Junior Executive – Coding
Omega Health Care Solutions
2009.09 - 2010.09
M.Sc. - Biotechnology
Bharathidasan University
2005.01 - 2007.01
B.Sc. - Biotechnology
Bharathidasan University
2002.05 - 2007.05