MOOGAMBIGAI N
CHENNAI
Summary
Proven Medical Coding Analyst with a track record of enhancing claim processing efficiency at Optum Health Care. Demonstrated expertise in ICD-10 coding and a continuous learning mindset led to significant reductions in claim denials. Excelled in implementing workflow optimizations and upholding HIPAA compliance, showcasing leadership qualities and a commitment to quality assurance. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
8
8
years of professional experience
1
1
Certificate
Work History
Medical-coding-Analyst
OptumHealth Care India Pvt Ltd
01.2024 - Current
- Provided expertise during internal audits, helping identify areas of potential risk or noncompliance within medical coding process.
- Improved coding accuracy by meticulously reviewing medical records and applying appropriate codes.
- Streamlined workflow for coding team by implementing efficient processes and organization strategies.
- Enhanced revenue recovery with thorough analysis of denied claims and prompt resubmission after corrections.
- Demonstrated commitment to ethical practice through adherence to established guidelines for privacy, confidentiality, and security of patient information.
- Reduced claim denials by ensuring proper documentation and accurate code assignment in line with insurance guidelines.
- Maintained high levels of productivity by efficiently managing a large volume of cases, prioritizing tasks based on urgency and complexity.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Medical-coding-Analyst
Episource India Pvt Ltd
07.2016 - 12.2023
- Supported implementation of electronic health record system, assisting in the transition from paper to digital records for streamlined coding processes.
- Promoted teamwork and open communication among colleagues through participation in regular meetings and constructive discussions about best practices in medical coding.
- Assisted in developing a comprehensive training program for new coders, fostering a supportive learning environment that emphasized continuous improvement.
- Contributed to company-wide policy updates related to medical coding standards, ensuring adherence to changing regulations within the industry.
Education
Bachelor of Science - Biochemistry
UNIVERSITY OF MADRAS
CHENNAI04.2013
Skills
- ICD-10 Proficiency
- E&M Coding Proficiency
- HIPAA Compliance
- Medical Billing Familiarity
- Leadership Qualities
- Continuous learning mindset
- Quality assurance checks
- Workflow Optimization
- Insurance coding (ICD-9 and CPT)
- ICD-10 Coding
- Proficiency in [Data-Rap, Salesforce, EMR & Citrix ]
- Critical thinking abilities
- CPT coding knowledge
Certification
CRC - Certified Risk Adjustment Coder
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical-coding-Analyst
OptumHealth Care India Pvt Ltd
01.2024 - Current
Medical-coding-Analyst
Episource India Pvt Ltd
07.2016 - 12.2023
Bachelor of Science - Biochemistry
UNIVERSITY OF MADRAS
CRC - Certified Risk Adjustment Coder
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