Ramani Paluru
Sharjah
Summary
Experienced and professional medical coding specialist with a deep understanding of coding guidelines and healthcare regulations. Demonstrated track record of improving documentation accuracy and optimizing billing procedures. Highly regarded as a valuable team member, known for fostering collaboration and adapting to evolving industry standards. Possessing a keen eye for detail and strong organizational skills, consistently ensuring the highest level of accuracy in work.
Overview
1
1
year of professional experience
Work History
Medical Coder
Amina Hospitals
Ajman, United Arab Emirates
03.2024 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Supported the implementation of electronic health record systems, simplifying the coding process.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
- Reduced turnaround time for appeals by preparing comprehensive supporting documentation for denied claims.
- Generated reports to identify coding trends and discrepancies.
- Contributed to healthcare quality improvement by accurately coding diagnoses and procedures for data analysis and reporting.
- Reduced claim denials, meticulously verifying coding accuracy before submission.
- Maintained up-to-date knowledge of coding guidelines and regulations, ensuring compliance across all coding activities.
Education
B.Tech -
St.marrys college of Engineering
01.2011
Intermediate -
St. joshephs Junior College
01.2007
SSC -
Shri Bharathi Vidhya Mandir
01.2005
Skills
- Clinical documentation
- Medical claims coding
- Regulatory guidelines
- Claims processing
- Document management
- Knowledgeable in [software]
- Revenue cycle management
- Auditing and quality assurance
- Anatomy and physiology
- Strong attention to detail
- Effective communication
- Team collaboration
- Advanced CPT coding
- Clinical documentation improvement
- Medical coding software proficiency
Certificates And Memberships
- Certified Professional Coder (CPC), AAPC
- ICD 10 CM Proficiency Test, AAPC
- Active Member in AAPC, 02090333
Visa
Spouse Visa
Languages
English
Hindi
Telugu
Tamil
Conclusion
I believe in hard work, sincerity and dedication. I possess the willing ability to learn and I believe in being a lifelong learner. I solemnly declare that the details furnished above are true to the best of my knowledge and belief.
Timeline
Medical Coder
Amina Hospitals
03.2024 - Current
Intermediate -
St. joshephs Junior College
SSC -
Shri Bharathi Vidhya Mandir
B.Tech -
St.marrys college of Engineering