Summary
Overview
Work history
Education
Skills
Certification
Languages
Timeline
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Priyanka Narlakonda

Priyanka Narlakonda

Dubai

Summary

As a highly skilled Medical Coding professional, I bring over two years of valuable experience within the healthcare industry, specializing in Coding and Revenue Cycle Management (RCM) Operations. My expertise is underpinned by a strong foundation in visionary thinking, coupled with the ability to inject creative and innovative approaches into my medical knowledge. A solid grasp of anatomy, physiology, and medical terminology is at the core of my proficiency, ensuring the accurate assignment of diagnoses and procedures using ICD-10-CM, CPT, and HCPCS codes. I am eager to secure a full-time position that presents professional challenges and allows me to leverage my exceptional interpersonal abilities, outstanding time management, and sharp problem-solving skills.

Overview

2
2
years of professional experience
4
4
years of post-secondary education
1
1
Certification

Work history

Medical coding officer EHS AL Qassimi Hospital

Fatorah Insurance Claims SettlementLLC
Sharjah
04.2024 - Current
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Efficiently managed claim submissions and resubmissions, enhancing revenue cycle performance
  • Diligently followed up on unpaid claims using monthly aging reports to secure maximum reimbursement
  • Accurately gathered patient data, insurance details, and medical codes for precise insurance claim filing
  • Successfully obtained prior authorizations and precertifications for outpatient procedures to ensure coverage
  • Proactively resubmitted edited or denied claims, focusing on financial targets and minimizing outstanding receivables
  • Maintained comprehensive knowledge of medical terminology to accurately interpret services and procedures
  • Engaged with insurance carriers to clarify policies and verify patient-specific benefits
  • Ensured the accuracy and integrity of documentation on updated systems for seamless claim processing
  • Recorded and processed new policies and claims, contributing to an organized and efficient workflow.

Medical Coder

AMERICAN CRESCENT HEALTH CARE CENTER
Abu Dhabi
06.2022 - 03.2024


  • Expertly coordinated as a Medical Coder and Insurance Coordinator, achieving over 98% in Tasneef Audit compliance
  • Verified, coded and added modifiers to diagnoses
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal
  • Resourcefully used various coding books, procedure manuals, and online encoders
  • Reviewed medical records for completeness and filed records in alphabetic and numeric order
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes
  • Maintained accuracy, completeness, and security for medical records.

Education

Bachelor of Pharmacy -

AVANTHI COLLEGE OF PHARMACY, JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY
05.2015 - 07.2019

Skills

  • CERTIFIED CODING SPECIALIST
  • CURRENT PROCEDURAL TERMINOLOGY (CPT)
  • QUALITY ASSURANCE
  • PERSONAL PROFILES
  • PHYSIOLOGY
  • ANATOMY
  • MEDICAL RECORDS
  • MICROSOFT
  • OUTLOOK
  • Medical terminology
  • International Coding of Diseases (ICD)

Certification

AHIMA Certified Coding Specialist-CCS

Languages

TELUGU
ENGLISH

Timeline

Medical coding officer EHS AL Qassimi Hospital

Fatorah Insurance Claims SettlementLLC
04.2024 - Current

Medical Coder

AMERICAN CRESCENT HEALTH CARE CENTER
06.2022 - 03.2024

Bachelor of Pharmacy -

AVANTHI COLLEGE OF PHARMACY, JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY
05.2015 - 07.2019
Priyanka Narlakonda