Experience

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  Mediclinic middle east

  Jan 2004 - Mar 2020

   Experience in healthcare sector across inpatient and outpatient medical coding, medical records analysis, diagnoses and procedures, quality analysis and general administration Submission and Re-submission process of medical claims. Submission of claims with details checking insurance card no., payer details, validity, etc. Verify approval protocol as per the approval guidelines of Insurance Companies. Generate XML file for submission and upload in DHPO portal. Coordinating with Billing, Insurance and MRD team to maintain accurate submission and resubmission. Significant exposure of assigning specified codes to medical diagnosis and clinical procedures with ability to interact with the physicians and other providers regarding billing and documentation policies and principles. Adept at various coding guidelines, Anatomy and Physiology and gained knowledge in ICD 10 diagnosis and CPT procedure coding Expertise in gathering data, compiling information, and preparing reports, auditing concepts and principles, analyzing complex medical records and identifying billable services while maintain quality and safety standards Gained knowledge of ICD10-CM, HCPCS II, CPT and DRG coding systems along with overall applicable submission/reimbursement systems. Aim to reduce disallowance within the areas of concern. Publish or generate timely internal reports to line manager and HOD. Gained experience of analyzing the insurance claims and pattern of coding followed in U.A.E. Following established departmental policies, procedures, and objectives and taking adequate measure for achieving continuous quality improvement objectives, and safety and environmental standards. Show less

  • Revenue Cycle Management Coordinator

    Apr 2019 - Mar 2020

  • RCM Administrator

    Jan 2004 - Mar 2019
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  Health tech systems

  Apr 2020 - Dec 2020

  Healthcare consultant

  Healthcare care software’s, systems support and RCM

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  Dubai health authority

  Jan 2021 - Nov 2021

  Administrative
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  Swv metals private limited

  Nov 2021 - now

  Operations manager