Sudha K
Dubai,UAE
Summary
Detail-oriented Medical Coding Specialist with 10+ years' experience optimizing documentation accuracy and billing efficiency. Expert in coding regulations and healthcare regulations, gained through work with leading accredited hospitals and multinationals. Collaborative team player across multiple specialties, eager to bring expertise and dedication to our team.
Overview
14
14
years of professional experience
1
1
Certification
Work history
Senior Medical Coder - Revenue cycle management
AL ZAHARA HOSPITAL
Dubai
2023.02 - 2026.02
- My responsibility in the department a senior medical coder, with auditing of claims is a part of my play role.
- Payer auditing: conducted detailed claims audits to identify coding errors, documentation gaps, and compliance issues.
- Analyzed denied claims and implemented corrective measures to reduce future denials.
- Verified accuracy of coding for diagnosis, procedures, modifiers, and billing data.
- Developed audit reports and shared feedback with the coding team to improve accuracy.
- Ensured adherence to regulatory guidelines and payer-specific rules.
- Team Management: planning and structuring of the workflow and staffing to the process.
- Organizing the plan of process from coding to submission of claims, connecting all departments involved in the process.
- Training: Planning provider and specialty-based training corresponding to the rejection from the insurance.
Senior Medical Coder – Revenue cycle management
AL ZAHARA HOSPITAL - DUBAI
Dubai
2023.02 - 2026.02
- My responsibility in the department a senior medical coder, with auditing of claims is a part of my play role.
- Payer auditing: Reviewing the entire communications from the insurance to avoid future compliance issues along with training the team with respective denials.
- Team Management: planning and structuring of the workflow and staffing to the process.
- Organizing the plan of process from coding to submission of claims, connecting all departments involved in the process.
- Training: Planning provider and specialty-based training corresponding to the rejection from the insurance.
Medical Coder - Insurance Claims Department
EMIRATES SPECIALTY HOSPITAL-DHCC
Dubai
2019.08 - 2023.02
- Assigned accurate outpatient medical coding using ICD-10-CM, CPT in compliance with payer and hospital guidelines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Maintained high productivity and accuracy standards with consistent daily chart completion.
- Analyzed medical records for accurate coding and compliance with industry regulations.
- Collaborated with physicians and clinical staff to clarify diagnosis and procedures when documentation was incomplete to give clarifications for documentation improvement.
- Ensured compliance with DHA/MOH guidelines.
Medical Coder – Insurance Claims Department
EMIRATES SPECIALTY HOSPITAL-DHCC
2019.08 - 2023.02
- Leading Healthcare Safety and Infection control
Senior Medical Coder (Evaluation and management, Emergency Department) and Internal Quality Analyzer
NTHRIVE GLOBAL SOLUTIONS PRIVATE LTD
2015.10 - 2019.07
- Review and validate ICD-10 Program implementation business goals and milestones, review client's current ICD-10 claims experience, handle queries related to ICD-10 CM/PCS and mapping, responsible for CPT, HCPCS, and ICD-10-CM codes, evaluate patient records, record data electronically, and provide clinical support.
Senior Medical coder (Evaluation and management, Emergency Department) and Internal Quality Analyzer
NTHRIVE GLOBAL SOLUTIONS PRIVATE LTD
2015.10 - 2019.07
- Accurate coding and depth knowledge abstracting clinical information from medical records.
- Code medical records with ICD-10 processing claims daily while maintaining utmost accuracy and achieving productivity goals.
- Complying with local regulations and requirements for guidelines on coding.
Medical Coder (Evaluation and management, Emergency department)
AJUBA SOLUTIONS (INDIA) PRIVATE LIMITED
2012.01 - 2015.07
- Review and validate ICD-10 Program implementation, review ICD-10 claims experience, handle ICD-10 CM/PCS queries, responsible for CPT, HCPCS, and ICD-10 CM codes, evaluate patient records, record data electronically, and provide clinical support.
Medical coder (Evaluation and management, Emergency department)
AJUBA SOLUTIONS (INDIA) PRIVATE LIMITED
2012.01 - 2015.07
- Review and validate ICD-10 Program implementation business goals and milestones
- Reviewing the client's current ICD-10 claims experience
- Query handling related to ICD_10 CM/PCS and mapping
- Responsible for the CPT, HCPCS and ICD10cm Codes in Medical reports
- Evaluating patient records for suitability, completeness, and correctness of health information
- Recording data electronically for collection, storage, analysis, recovery, and reporting
- Responsible for consulting, implementing, and providing clinical support
- Internal Quality Audits
Education
CPC Certified Professional -
AAPC
2014.01 - 2014.01
Bachelor of Physiotherapy - undefined
ADHIPARASAKTHI COLLEGE OF PHYSIOTHERAPY
MELMARUVATHUR, TAMILNADU, INDIASkills
- ICD - 10 -CM,CPT, HCPCS CODING
- PROFICIENT IN 3M, OPTUM, ENCODER TOOLS
- EXPERIENCE IN UAE EMR SYSTEMS;
- SAGE
- MEDIWARE
- SKILLED IN ECLAIMLINK AND TPA PORTALS
- STRONG USE OF MS OFFICE(ESPECIALLY EXCEL,VLOOKUP,PIVOT TABLES,DATA AUDIT)
Certification
- AAPC
- JAN 2014 - DEC 2014
Language Skills
ENGLISH
TAMIL
HINDI
MALAYALAM
Professional References
Can be provided on request.
Personal Attributes
Highly Conscious of Quality compliance always, Very good striking positive relationships with clients, vendors and team members alike, Excellent communicator with clear and assertive professional language., Self–confident and motivated to take up challenging assignments., Fast learner with passion and creativity
DECLARATION
I hereby declare that all the information provided above is true to the best of my knowledge and belief. Sudha K Dubai, UAE
Timeline
Senior Medical Coder - Revenue cycle management
AL ZAHARA HOSPITAL
2023.02 - 2026.02
Senior Medical Coder – Revenue cycle management
AL ZAHARA HOSPITAL - DUBAI
2023.02 - 2026.02
Medical Coder - Insurance Claims Department
EMIRATES SPECIALTY HOSPITAL-DHCC
2019.08 - 2023.02
Medical Coder – Insurance Claims Department
EMIRATES SPECIALTY HOSPITAL-DHCC
2019.08 - 2023.02
Senior Medical Coder (Evaluation and management, Emergency Department) and Internal Quality Analyzer
NTHRIVE GLOBAL SOLUTIONS PRIVATE LTD
2015.10 - 2019.07
Senior Medical coder (Evaluation and management, Emergency Department) and Internal Quality Analyzer
NTHRIVE GLOBAL SOLUTIONS PRIVATE LTD
2015.10 - 2019.07
CPC Certified Professional -
AAPC
2014.01 - 2014.01
Medical Coder (Evaluation and management, Emergency department)
AJUBA SOLUTIONS (INDIA) PRIVATE LIMITED
2012.01 - 2015.07
Medical coder (Evaluation and management, Emergency department)
AJUBA SOLUTIONS (INDIA) PRIVATE LIMITED
2012.01 - 2015.07
Bachelor of Physiotherapy - undefined
ADHIPARASAKTHI COLLEGE OF PHYSIOTHERAPY