Highly Motivated Medical coder/ Auditor Medical coding with 4 years of experience & high defined professional skills. Constantly looking for the opportunity to learn and grow with my organization. I am flexible to the any work environment & possess strong interpersonal skills with my colleague's.

1. No, 207 BHS Building, Hamdan
Street,
Abudhabi - 44850,
United Arab Emirates
E-mail: rajalovesu.legend@gmail.com
Website: http://medcoder.branded.me/
Phone: +971528298100
OBJECTIVE My objective in life towards my career is to love my job and have fun doing it. I plan to
further my career with continuing education and work experience.
KEY SKILLS Motivated Multi-skilled Medical coding professional with experience over 4 years
predominately with renowned health care management company & Medical centers.
Currently Spearheading with Apollo Medical center, Abudhabi as Medical coder,
Insurance clerk, and Processing the E- claims
4 years of experience in health care revenue cycle management.
Expert in Inpatient, Outpatient, emergency room, surgery, radiology coding &
Medical billing, Prior Authorization from insurance, Claim submission, claims re
submission.
Sound knowledge in General Medicine, General Surgery, Medical terminology,
Medical abbreviations, Human Anatomy, Physiology, Pathology & Pharmacology.
Adept in handling the different healthcare software's for Medical coding, billing and E
- Claim processing, & Microsoft office ( Excel, Power point )
Good Verbal and written communication in English and having capacity to lead, train
and motivate the working team.
WORK
EXPERIENCE
Apollo Medical center September 2014 — Present
AGS Health March 2013 — August 2014
Medical coder & Insurance Clerk
Coding & Auditing of Electronic Medical record using ICD 9 CM, CPT
Responsible for Medical billing using software Insta
Responsible for Processing the E- Claims using Green Rain application.
Communicate with Insurances, TPA's for Prior authorization.
Resubmission of the claims and denial management.
Quality Analyst - Medical coding
Responsible for assigning proper ICD-9 CM, CPT, HCPCS codes.
Gained depth knowledge in DRG IP Coding and CPT Mapping
Responsible for Coordinating with physician for query process.
Proactively involved in checking the quality, Interacting with the clients, sending daily,
Weekly & Monthly Productivity reports
Providing the individual feedback to the coders based on the quality reports and
other feedback to improve job efficiency.
Identifying training needs of the team members and periodically arranging the
training sessions for them to keep their skill level up to date.
Teleconferencing with clients & generating client feedback for the work done.
Promptly resolving the escalated customer issues & retaining the confidence of
Raja Arun CCS, CPC, CPMA,
BPT
Raja Arun CCS, CPC, CPMA, BPT 1

2. Ajuba September 2011 — February 2013
the clients.
Worked in Quantum, HPF, 3M software's in coding
Worked on revenue impact analysis between ICD 9CM to ICD 10CM in DRG Coding
for selected DRG's.
Worked as third party for checking the quality standards for many clients. Audited
the Inpatient, Outpatient, ER and E/M medical records.
Medical coder
Gained in-depth knowledge of coding techniques and guidelines of Medical coding.(
ICD, CPT, HCPCS)
Responsible for translating the health care provider's diagnostic and procedural
phrases into coded form by reviewing and analyzing the health records to identify
the relevant diagnosis and procedures for distinct patient encounters.
Trained the team and new joiners for improvement & guidance. Conduct seminars
for latest updates in coding.
Used 3M Software for Coding & entering patient demographics.
QUALIFICATIONS Certified Coding Specialist ( CCS ) from AHIMA - June 2013
Certified Professional coder ( CPC ) from AAPC - February 2013
Certified Professional Medical Auditor ( CPMA ) from AAPC - March 2015
EDUCATION Bachelor of Physiotheraphy September 2006 — May 2011
The Tamilnadu DR. M.G.R Medical University, Guindy, Chennai, Tamilnadu, India
Government Institute of Rehabilitation Medicine (Affiliated to Madras Medical College,
Chennai) - 69%
Internships:
· Department of Orthopedics, Govt. General Hospital, Chennai – 3.
· Department of Neurology, Govt. General Hospital, Chennai – 3.
· Department of Cardio-thoracic medicine, Govt. General Hospital, Chennai – 3.
· Department of Geriatrics, Govt. General Hospital, Chennai – 3.
· Department of Leprosy, Govt. General Hospital, Chennai – 3.
· Rheumatic Care Centre, Govt. General Hospital, Chennai – 3.
· Intensive Medical Care Unit & Poison Control Centre, Govt. General Hospital
· Institute of Child Health, Egmore, Chennai- 8
· Institute of Obstetrics & Gynecology, Egmore, Chennai- 8.
· Institute of Thoracic Medicine, Chetpet, Chennai
· Department of Burns, Kilpauk Medical College, Chennai-10
AREA OF JOB
INTEREST
Insurance administration
Getting Claims approval
Auditing Medical records for coding quality & accurate documentation
Claims submission, claim reconciliation, claims resubmission
DECLARATION I hereby declare that the above written particulars are true to the best of
my knowledge and belief.
RAJA ARUN
Raja Arun CCS, CPC, CPMA, BPT 2