THENMOZHI KUMAR, CPC
Abu Dhabi,UAE
Summary
- Certified Medical coder with 7 years of experience in medical coding and billing in various different departments including all outpatient services, Emergency department and prior authorisation. Seeking position to gain practical experience and further develop existing coding skills.
Overview
7
7
years of professional experience
1
1
Certification
Work history
Medical coder
NMC Royal Hospital
Abu Dhabi, UAE
11.2024 - Current
- Check and analyze medical records for accuracy, adequacy and consistency of documentation.
- Collaborates with physicians to ensure precise documentation, emphasizing its significance for revenue cycle, audits and claim process.
- Ensured timely submission of codes for prompt reimbursement.
- Audited medical records to identify archive ready files and discrepancies for resolution.
- Versatile in navigating insurance portals including Openjet, Daman, Thiqa, ADNIC, Oman, Neuron and Pulse optimizing claim processing efficiency.
Medical coder
NMC Speciality hospital
Al Ain City, Abu Dhabi
08.2022 - 11.2024
- Proficient in assigning precise ICD-10-CM, CPT, HCPCS and DRG codes for Outpatient and Inpatient records, enhancing billing accuracy and compliance.
- Committed to maintaining documentation integrity through meticulous medical record reviews and physician collaboration to rectify discrepancies.
- Successfully represented the facility in TASNEEF audits, upholding HAAD adjudication standards.
- Assigned proper codes to medical procedures for insurance and accounting processing.
- Performed daily checks on coded data against original documents to ensure integrity of information recorded.
MEDICAL CODER
Teleperformance D.I.B.S
Chennai, India
05.2018 - 02.2022
- Experience in ED professional coding-ICD-10-CM, CPT, MIPS coding and maintained quality of 98% is met / exceeds without fail.
- Reviewed, analysed and managed coding of diagnostic and treatment procedures contained in ED medical records.
- Achieved high accuracy and swift turnaround times for clinical coding services.
- Acted as the operational SME, bridging a gap between coding teams, quality teams and business operations to ensure seamless workflow and process adherence.
- Facilitated knowledge transfer sessions and acted as a central point of contact for escalated process related queries from coders and claim processors.
Education
B.Sc - Bio Chemistry
Bharathi Womens College
Chennai /2015 - /2018
Skills
- Expertise in handling END to END RCM process which includes Prior
- Maintain compliance with DOH coding and billing guidelines, reducing claim denials
- Hands on exposure to insurance denials and recovering the payment
- Highly efficient in Revenue enhancement, CMI management, clinical
authorization, Medical coding and audit, Medical billing, Submission and
Resubmission
methods of claims and correcting billing errors
documentation improvement and data reporting
- Software efficiency in SAP, Insta, Salesforce, 3M, Encoder pro, Citrix, HIS, Excel, Power-point, NCCI and MUE
- Administrative leadership
- Operational support
Certification
- Certified professional coder- CPC
- Certificate in Medical Terminology
Languages
English
Fluent
Tamil
Native
Malayalam
Fluent
Timeline
Medical coder
NMC Royal Hospital
11.2024 - Current
Medical coder
NMC Speciality hospital
08.2022 - 11.2024
MEDICAL CODER
Teleperformance D.I.B.S
05.2018 - 02.2022
B.Sc - Bio Chemistry
Bharathi Womens College
/2015 - /2018
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