nadhiyavenkatesan27

 Conduct comprehensive quality audits for Surgery and Anesthesia coding, ensuring accuracy, compliance, and adherence to ICD 10-CM, CPT, HCPCS, NCCI edits, and payer-specific coding guidelines.  Perform detailed audits across Pain Management, Cardiology, OBGYN, Surgical Procedures, and Anesthesia specialties, identifying coding gaps and recommending corrective actions.  Review medical records and clinical documentation to validate diagnosis codes, procedures, modifiers, and billing accuracy.  Analyze coding errors and trends to improve documentation quality, compliance, and coding accuracy.  Execute internal audits, report-based audits, and quality reviews using Med Suite platform across multiple healthcare databases.  Collaborate with coding teams to provide feedback, analyze errors, and drive process improvements.  Managed audits across Coding Station and Charge Station workflows, ensuring accurate charge capture and regulatory compliance.  Specialized in auditing complex cases including, Pain Management Procedures, Cardiac Procedures, OBGYN Surgical Cases, Scopy Procedures, Arthroplasty Procedures, Spinal Fusion Procedures, and Cardiovascular Procedures.

 Performed anesthesia coding and medical record review to ensure accurate service assignment and billing.  Managed anesthesia coding projects including, Pain Block Procedures, ASA Only Billable Facilities, Spinal Injection Procedures, and Flat Fee Services.  Applied CPT anesthesia, ICD-10-CM, modifiers, and payer guidelines to ensure compliant claim processing.  Reviewed clinical documentation to identify discrepancies, validate services rendered, and support accurate reimbursement.  Successfully transitioned to the Bristol project within one month, demonstrating coding expertise and adaptability.  Maintained high coding accuracy standards while meeting productivity and quality benchmarks.