Mithun Arvindnath

About Mithun Arvindnath

Over 14 years of experience in medical coding,claim submission, resubmission and…

Experience

1. Rcm Coordinator

   Mediclinic

   Mar 2016 — Present · Dubai, AE

   To review and audit all medical records/doctors documentation (Outpatient) for medical necessity /coding and validate e-claim batches before submitting to insurance companies Individual claims to review with all the elements of a claim which include activities, diagnosis, LOS and not covered activities.• To review OP/IP coding presubmission for completion and compliance as per official coding guidelines and DHA/JCIA standard• To coordinate with physician for documentation improvement strategies• Claim Verification for medical necessities.• Analyze the insurance claim and decide whether it is covered by the policy.• Covering all aspects of coding Outpatient Physiotherapy, Dental,Surgery, Radiology, Laboratory, and Pharmacy codes• Coding the abstracted data by adhering to ICD 10 CM official coding guidelines• To make sure that all CPT codes are correct and as per tariff before submitting claim.• Submission of different insurance companies claims NAS, ALICO, OMAN, NEXT CARE,QIC after complete review.Claim processing.• Uploading claim in dubai health authority in xml format.To review that all claims denied or rejected with denial code are appropriate andappealed them in timely manner• Educating physician on Improvement of patients documentation as per DHA guidelines.• To review and resubmit denied OP cases as per DHA guidlines.

Education

• Vinayaka Mission's College of Physiotherapy

  Bachelor of Physiotherapy

Skills

• Medical Billing
• Healthcare Management
• Cpt
• Icd-9
• Claim
• Icd-10
• Healthcare Information Technology
• Software Documentation
• Microsoft Office
• Medical Coding
• Medical Terminology
• Hcpcs
• Emr
• Hipaa
• Revenue Cycle
• Medicine
• Healthcare
• Medical Records