Remyamol Vasantha

• Develop New DRG codes and activate new CPTs based on International Coding System with suggestions and proposals for codes and prices.
• Mapping of Services and procedures with Nphies standard codes (CCHI-SBS codes).
• Mapping of medicines and medical consumables with GTIN and GMDN Nphies standard codes.
• Dental services mapping with ADA codes, according to ACHI and Nphies standards.
• Coding and Pricing:-IHPA.
• E-claims for Code mapping before submission for MOH (ACHI CODES).
• Coding Audit for In-Patient & Out-Patient according to Coding Guidelines (ACS -Diagnosis and Procedure Interventions) for assigning AR-DRG.
• Defining all packages (surgical or daily rate) according to Insurance or credit companies’ contracts.
• Comparison of existing Price List with other facilities on a yearly basis to ensure proper utilization and cost-effectiveness of services.
• Reviews patient medical records for all relevant diseases and assigns corresponding International Classification of Disease (ICD) codes according to standard coding guidelines.
• Coding development and updating all Service Groups and Price lists in the Hospital System
• Review and compare Price lists with other facilities' price lists to enhance appropriate resource management and market benchmarks.

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• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
• Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
• Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
• Verified, coded and added modifiers to diagnoses.
• Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.