AYISHA K T

Calicut

Summary

Knowledgeable CPC-certified medical office professional talented at correcting and resubmitting claims, preparing patient charts, and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing, and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Overview

year of professional experience

Work History

HCC Coder

Clarus RCM

Coimbatore, Tamil Nadu

07.2023 - 05.2024

Assigned Hierarchical Condition Category (HCC) codes based on a thorough review of medical records and documentation in compliance with CMS guidelines.
Achieved and maintained a 95% quality rating in HCC coding through meticulous attention to detail and adherence to coding standards.
Collaborated with healthcare professionals to clarify documentation and resolve coding discrepancies to ensure accurate code assignment.
Utilized electronic health record (EHR) systems and coding software to accurately capture HCC codes and optimize risk adjustment for healthcare providers.
Maintained up-to-date knowledge of ICD-10-CM coding guidelines, CMS regulations, and industry best practices.
Participated in coding audits and quality assurance activities to ensure compliance with coding standards and regulations.
Contributed to process improvement initiatives to streamline coding workflows and enhance productivity.

Education

Medical Coding

Arown Medical Coding Institute

Calicut, Kerala

07.2022

Bachelor of Science - Mathematics

KANNUR UNIVERSITY

Kannur, Kerala

04.2022

Skills

ICD-10 Proficiency
HIPAA Compliance
Professionalism and Integrity
Continuous learning mindset
Electronic Health Records Familiarity
Anatomy and Physiology Knowledge
Critical Thinking Capabilities

Quality Assurance Practices
Medical Terminology Mastery
Computer-Assisted Coding Experience
Diagnostic Coding Abilities
CMS Guidelines Adherence
HCC Coding Knowledge

Languages

ENGLISH

MALAYALAM

URDU

Timeline