Sai Sravanthi Thota

Processed and submitted insurance pre-authorization requests for outpatient and inpatient services.
Verified patient eligibility and insurance coverage using different payer portals.
Coordinated with insurance companies to obtain timely approvals and reduce delays.
Reviewed medical documents, reports, and coding details before submission.
Followed up on pending approvals and ensured quick response from insurers.
Assisted in claim rejection analysis and resubmission process.
Maintained accurate records of approvals and patient data in the system.
Communicated with doctors, nurses, and front office staff regarding approval status.
Ensured compliance with UAE insurance policies and guidelines.
Gained hands-on experience in medical coding support and documentation review.

• Analyzed and optimized coding processes, improving efficiency and accuracy.
• Reviewed eligibility, Authorization, Coding, and Claim Submission.
• Managed long-term care processes, streamlining insurance coordination efforts.
• Meeting physicians and medical staff for medical necessity documentation Queries.
• Maintaining the patients records as per HIPAA, DOH, HAAD and MOH rules.
• Claim submission process using e-Claim Link / MEDIMATE EMR Software.
• Utilized Dubai Service List (DSL) coding standards for assigning codes to outpatient consultation and inpatient consultation, room types and hospital services, supporting precise billing and claims processing.
• Utilized 3M, Codify and Encoder software to accurately assign IR-DRG codes for all inpatient records and outpatient visits.
• Developed coding quality metrics, significantly reducing error rates and enhancing compliance.
• Skilled in leveraging Medimate247 EMR to streamline patient record management, ensuring documentation meets coding and claim submission standards.
• Performed Dental coding using USCSD and CDT code sets for both inpatient and outpatient dental procedures, ensuring accurate claims submission and compliance with payer requirements.

• Maintaining abreast of clinical coding policies according to AHIMA/HAAD healthcare requirements.
• Proven ability to maintain up-to-date knowledge of coding practices and healthcare policies, contributing to the efficient and accurate processing of medical records.
• Strong attention to detail and ability to work collaboratively within interdisciplinary healthcare teams.
• Proficient in ICD-10 and CPT coding systems.
• Aware of healthcare privacy laws and secure handling of patient information.
• Comprehensive knowledge of anatomy, physiology, diseases, and medical procedures, which is essential for accurate coding.