Avishek C.

About Avishek C.

A competent individual having over 10 years of experience in medical coding in different specialties in US Healthcare (India) & UAE hospital. Handling the issues, which impact negativity on work performance and work environment. Highly creative and self-motivated with innovative ideas/concepts for increasing the transference of learning from a lower level to a higher level.Outstanding interpersonal & employee-relations skills with the ability to teach improved communication, diversity skills, and to aid in efficient completion of work.

Experience

1. Insurance Coder and Adjunct Instructor

   Thumbay Hospital

   Mar 2014 — Present · AE

   Enter patient information codes & drugs in E-Claim as per DHA (Dubai HealthAuthority). Giving training on medical coding as an Adjunct instructor for GMU. Verifythe accuracy and accessibility of files. Communicate with physicians and otherhealthcare professionals to clarify diagnoses or to obtain additional information.Educating physicians on Improvement of patient’s documentation(EMR) as per HAADguidelines. Coordinates with the Insurance Company for the Approval and re-approvalprocedures and submission of claims. To review and audit all medical records/doctors\'documentation (Outpatient and inpatient) for medical necessity /coding and validatee-claim batches before submitting to insurance companies. Individual claims to reviewwith all the elements of a claim which includes activities, diagnosis, LOS and not coveredactivities. To review that all claims denied or rejected with the denial code (reconciliation) areappropriate and appealing to them on time. Making monthly statistical reports based onICD code and CPT code for the month in medical records. Compiling patients\' healthinformation. Communicating with doctors to explain diagnoses. Ensuring patients\'medical records are complete.

Education

• Bangalore University

  Master's degree

  2007 — 2009