Kalpana Dasari
Abu Dhabi
Summary
Energetic employee well-versed in strong communication and organization skills. Seeks solutions to problems and applies extensive analytical knowledge to findings. Adept at multi-tasking, leading group discussions and managing projects.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Senior Medical Coder
E-Square Management Services
03.2023 - Current
- Responsible for coding E/M Outpatient with procedures and
Infusions/Injections - Gained hands-on experience in UAE Revenue Cycle Management (RCM), focusing on insurance claim processes, billing protocols, and compliance with healthcare regulations
- Checking Patient's Insurance, Eligibility, and Approvals
- Responsible for daily claims submission and Re-Submission to Shafafiya
- Carried out day-to-day duties accurately and efficiently.
- Successfully delivered on tasks within tight deadlines.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Supported team by demonstrating respect and willingness to help.
- Participated actively in team meetings to discuss complex cases requiring specialised coding knowledge, fostering collaborative problem solving.
- Promoted smooth communication between healthcare providers and insurance companies through clear code allocation.
- Provided training to new staff members on updated ICD-10-CM and CPT codes, enhancing team knowledge base.
- Established accuracy in medical coding by meticulously reviewing patient records.
- Took initiative to educate staff about importance of precise documentation for error-free coding, raising awareness across the organization.
- Facilitated expedient claim processing by submitting clean claims to various insurance carriers using correct codes.
- Communicated effectively with insurance companies on behalf of denials.
- Handled queries from medical staff regarding appropriate use of diagnostic and procedural codes.
- Facilitated training sessions to share latest updates in the field of clinical coding.
- Conducted regular audits to guarantee coding quality and clean claim submission.
- Collaborated with attended Tasneef Audits.
Medical Coder/Scribe
Isthar Medical Center
01.2022 - 02.2023
- Responsible for coding E/M Outpatient for OBGYN and GP specialties
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Documented complete information about examinations, treatment plans, lab results, and other details directly into charts.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
Outpatient Coder
Al Falah Medical Polyclinic
12.2020 - 01.2022
- Responsible for coding Out Patient for Opthalmology, GP, and Internal Medicine.
- Worked on Dental and Physiotherapy Coding
- Facilitated expedient claim processing by submitting clean claims to various insurance carriers using correct codes.
- Accurately documented medical dictation to record patient care records.
- Enhanced accuracy of medical records by transcribing detailed physician dictations.
- Reduced errors in medical reports by reviewing, editing, and proofreading transcripts for clarity and consistency.
Education
Master of Science - Biological Sciences
Osmania University
03-2010
Bachelor of Science - Biotechnology
Kakatiya University
03-2008
Skills
- Having around 5 years of working experience in Clinical Coding in UAE
- Comprehensive knowledge of CPT, Evaluation and Management (E&M), ICD-10, PCS, and HCPCS
- Working exposure on OP E/M, Ophthalmology, OB&GYN, Pediatrics, Family Medicine, GP, Dental Coding, Internal Medicine, Physiotherapy, Radiology, Laboratory, and Injection and Infusions
- Knowledge over RCM Process of UAE including Patient Eligibility Check, Pre-Approvals, Coding, Submission, and Re-Submissions
- Aware of Denial Codes (MedicalNecessity/Coding/Time/Eligibility/Authorization/Duplicate/ Price Based etc) and Plan of Action for each Denial Code
- Expert in Denial Management and Reconciliation
- Exposure over Claim Adjudication Rules of Abu Dhabi, attended multiple Tasneef Audits, and aware of KPI Audit
- Hands-on experience on coding software like 3M software, Encoder Pro, Shade, ClinicSoft, ClinicPRO, Cortex and Athena Software
- Proficient in computer skills and encoder system
- Excellent typing skills and command over the Microsoft Excel
Certification
- Certified Professional Coder (CCS) from American Health Information Management Association (AHIMA)/
Languages
English
Advanced (C1)
Hindi
Advanced (C1)
Telugu
Bilingual or Proficient (C2)
Personal Details
Date of Birth: 14th July 1987
Gender: Female
Marital Status: Married
Visa Status
Employment Visa
Notice Period: 1 Month
DECLARATION
I do hereby declare that the information furnished above is true, complete, and
correct to the best of my knowledge and belief.
Place: Abu Dhabi Yours Sincerely,
Date: Kalpana Dasari
Timeline
Senior Medical Coder
E-Square Management Services
03.2023 - Current
Medical Coder/Scribe
Isthar Medical Center
01.2022 - 02.2023
Outpatient Coder
Al Falah Medical Polyclinic
12.2020 - 01.2022
Master of Science - Biological Sciences
Osmania University
Bachelor of Science - Biotechnology
Kakatiya University
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