bharathi kuppa cpc
Contributor
Bharathi Kuppa
5 Prescott St, Edison, NJ 08817-3012
Telephone: 732-763-3026
Email: venkatbharathi@yahoo.com
Professional Profile
A highly efficient, extremely well organized Medical Coder and Biller who specializes in providing a comprehensive administrative support service within the healthcare industry. Able to work flexibly and effectively on own initiative, ensuring that assigned tasks are completed on time and to the highest standards of quality and accuracy. Adopts a logical and analytical approach to problem solving and strives to achieve continuous improvements in service standards and the delivery of best practices. Extremely proficient in the use of various mainstream software applications and highly skilled in the use of ICD-9, CPT and HCPCS with a fast and accurate typing speed. Works well as part of a multi-disciplinary team and thrives in situations of intense pressure. Currently seeking a challenging new position in health claims management.
Key Skills
Five years of experience working as a Medical coder and Biller
Highly skilled in ICD-9, CPT and HCPCS
ICD-10 proficiency.
Physician coding, outpatient/Inpatient and multi-specialty coding
Medical terminology and specialty medical practices
Coding concepts and principles
Oral and written skills in communication
MS Office including Outlook
Typing speed conformed to 60 WPM
Medical billing software: Medisoft, Visionary Medical Billing, and Eclinical Works.
Time Management Skills
Active membership with AAPC
Career Summary
11/2013-Present CODER
Aviacode
? Coding E/M charts orthopedic/neurosurgery, also responsible for QA on new hires/clients
? Coding E/M services for podiatry/foot care
? Select levels of evaluation and management services in accordance with 95/97 guidelines
? Resolve concerns and conflicts in collaboration with coding managers.
? Responsible for 98% and above accuracy and timely coding for all designated clients.
? Participate in all available continuing educational activities to improve coding skills and knowledge.
? Responsible for the review and identification of coding based on CMS HCC categories including the use of troubleshooting skills in analyzing barriers to receiving and validating HCC information, encounters, legibility and signatures
? Utilizing extensive knowledge of ICD-9-CM and CPT coding guidelines, medical terminology, anatomy and physiology, providing abstract and code diagnosis and documentation information
? Utilization of EMRs for abstracting documentation for coding.
? Excellent in reading and interpret physician handwritten S.O.A.P notes.
10/2012-02/2013 CLAIMS PROCESSOR
Rangam Consultants, NJ
Client: Horizon BCBS NJ
? Processed claims for payment, investigated information when needed, provided coding, resolved pended claims and coordinated benefits with other group plan coverage
? Providing a thorough and professional understanding of medical terminology as it applies to diagnoses and procedures
Career Summary Continued
07/2011-04/2012 MEDICAL BILLER
S M Services, Metuchen, NJ
? Responsible for the thorough processing of insurance claims from ensuring they are entered within 48 hour deadline, assigning ICD-9 to physicians diagnosis ensuring accuracy and other CPT codes as well as retrieving Electronic Remittance Advice (ERA?s)
? Followed insurance claims full cycle including posting and reconciling insurance and patient payments, researching and resolving incorrect payments, EOB rejections, and sending secondary claims following primary insurance processing
? Provided monthly processing of patient statements, following up on insurance to ensure payment, re-submitting if necessary and troubleshooting patient billing inquiries in a professional and friendly manner
06/2010-07/2011 MEDICAL ASSOCIATE
Lakshya LLC., Oldbridge, NJ
? Demonstrated staff and customer support by collecting insurance billing and coding information, inputting of patient information, verification, submission of claims, scanning, printing and mailing documents to Primaries and Secondary?s including electronically for payment
? Provided expertise to insurance companies, hospitals, and physicians which included solutions to problems in a timely and efficient manner
? Query physician for clarification when documentation is inadequate, ambiguous, or unlear for coding purposes.
05/2009-10/2009 DATA ENTRY SPECIALIST
HappyMothers.Com
? Responsible for all facets of product and content listings on company website utilizing Devix Commerce Suit software application which includes preparing and uploading images using Adobe Photoshop, confirming product attributes such as UPC codes, pricing and descriptions are accurate as well as updating product stock
? Communicated effectively with vendors for product description accuracy, prepared and exported Excel spreadsheets into e-commerce application, and created purchase orders for drop-ship orders
03/2001-04/2004 JR. EXECUTIVE
Paramount Health Services, Hyderabad, India
? Provided daily input of insurance claim processing data, responsible for filing patient medical records, forwarding to insurers, interacted with hospitals as well as in-house panel of doctors to resolve and follow up with issues efficiently
? Ensuring a safe work environment, offering staff support and providing organization of customer records
Education and Certifications
MBA Marketing, Symbiosis University Pune, India
Certified Professional Coder (CPC), AAPC
Certified Medical Billing and Coding Specialist
5 Prescott St, Edison, NJ 08817-3012
Telephone: 732-763-3026
Email: venkatbharathi@yahoo.com
Professional Profile
A highly efficient, extremely well organized Medical Coder and Biller who specializes in providing a comprehensive administrative support service within the healthcare industry. Able to work flexibly and effectively on own initiative, ensuring that assigned tasks are completed on time and to the highest standards of quality and accuracy. Adopts a logical and analytical approach to problem solving and strives to achieve continuous improvements in service standards and the delivery of best practices. Extremely proficient in the use of various mainstream software applications and highly skilled in the use of ICD-9, CPT and HCPCS with a fast and accurate typing speed. Works well as part of a multi-disciplinary team and thrives in situations of intense pressure. Currently seeking a challenging new position in health claims management.
Key Skills
Five years of experience working as a Medical coder and Biller
Highly skilled in ICD-9, CPT and HCPCS
ICD-10 proficiency.
Physician coding, outpatient/Inpatient and multi-specialty coding
Medical terminology and specialty medical practices
Coding concepts and principles
Oral and written skills in communication
MS Office including Outlook
Typing speed conformed to 60 WPM
Medical billing software: Medisoft, Visionary Medical Billing, and Eclinical Works.
Time Management Skills
Active membership with AAPC
Career Summary
11/2013-Present CODER
Aviacode
? Coding E/M charts orthopedic/neurosurgery, also responsible for QA on new hires/clients
? Coding E/M services for podiatry/foot care
? Select levels of evaluation and management services in accordance with 95/97 guidelines
? Resolve concerns and conflicts in collaboration with coding managers.
? Responsible for 98% and above accuracy and timely coding for all designated clients.
? Participate in all available continuing educational activities to improve coding skills and knowledge.
? Responsible for the review and identification of coding based on CMS HCC categories including the use of troubleshooting skills in analyzing barriers to receiving and validating HCC information, encounters, legibility and signatures
? Utilizing extensive knowledge of ICD-9-CM and CPT coding guidelines, medical terminology, anatomy and physiology, providing abstract and code diagnosis and documentation information
? Utilization of EMRs for abstracting documentation for coding.
? Excellent in reading and interpret physician handwritten S.O.A.P notes.
10/2012-02/2013 CLAIMS PROCESSOR
Rangam Consultants, NJ
Client: Horizon BCBS NJ
? Processed claims for payment, investigated information when needed, provided coding, resolved pended claims and coordinated benefits with other group plan coverage
? Providing a thorough and professional understanding of medical terminology as it applies to diagnoses and procedures
Career Summary Continued
07/2011-04/2012 MEDICAL BILLER
S M Services, Metuchen, NJ
? Responsible for the thorough processing of insurance claims from ensuring they are entered within 48 hour deadline, assigning ICD-9 to physicians diagnosis ensuring accuracy and other CPT codes as well as retrieving Electronic Remittance Advice (ERA?s)
? Followed insurance claims full cycle including posting and reconciling insurance and patient payments, researching and resolving incorrect payments, EOB rejections, and sending secondary claims following primary insurance processing
? Provided monthly processing of patient statements, following up on insurance to ensure payment, re-submitting if necessary and troubleshooting patient billing inquiries in a professional and friendly manner
06/2010-07/2011 MEDICAL ASSOCIATE
Lakshya LLC., Oldbridge, NJ
? Demonstrated staff and customer support by collecting insurance billing and coding information, inputting of patient information, verification, submission of claims, scanning, printing and mailing documents to Primaries and Secondary?s including electronically for payment
? Provided expertise to insurance companies, hospitals, and physicians which included solutions to problems in a timely and efficient manner
? Query physician for clarification when documentation is inadequate, ambiguous, or unlear for coding purposes.
05/2009-10/2009 DATA ENTRY SPECIALIST
HappyMothers.Com
? Responsible for all facets of product and content listings on company website utilizing Devix Commerce Suit software application which includes preparing and uploading images using Adobe Photoshop, confirming product attributes such as UPC codes, pricing and descriptions are accurate as well as updating product stock
? Communicated effectively with vendors for product description accuracy, prepared and exported Excel spreadsheets into e-commerce application, and created purchase orders for drop-ship orders
03/2001-04/2004 JR. EXECUTIVE
Paramount Health Services, Hyderabad, India
? Provided daily input of insurance claim processing data, responsible for filing patient medical records, forwarding to insurers, interacted with hospitals as well as in-house panel of doctors to resolve and follow up with issues efficiently
? Ensuring a safe work environment, offering staff support and providing organization of customer records
Education and Certifications
MBA Marketing, Symbiosis University Pune, India
Certified Professional Coder (CPC), AAPC
Certified Medical Billing and Coding Specialist