An assiduous, aspiring & dynamic Senior Management Professional, offering 04+ years of versed & augmented experience in Coding Techniques, Medical Report Documentation, Case Management, DRG Management, Anatomy, Physiology, Claim Rejection Handling, Deficiency Identification, Claim Information Confidentiality and Team Management ★ Strong sense of Confidence with significant achievements across versatile domains➤WHERE CAN I ADD VALUE• Strong knowledge on insurance pre-approval limits, guidelines, distinguishing the covered and non-covered conditions as per the policy, Copayments, DRG parameters, nursing documentation• Performing sessions with Billing Department and Front Desk classes on a regular basis to update insurance information• Significant in managing classes Dr’s to improve the medical documentation and to make them realize the method to avoid the claim rejections• Prudent in maintaining the confidentiality of the reports, evaluating whether the reports are proper or adequate to submit for insurance or not• Proficient in negotiation skills with great leadership, capacity building, and analytical power; inbuilt people management skills with the ability to inspire and engage people at all levels to deliver results.• Dynamic in handling prior approvals including Dental, IP and OP Cases • Expertise in coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals and other requirements.➤KEY ACHIEVEMENTS• Skilful in focusing on SMO referrals: follow up with insurance Third Party Administrators and payers to refer SMO cases to hospital• Extended contribution to improve severity by reviewing operative reports, and medical reports, and increasing DRG severity• Demarcated abilities in managing DRG’s with the appropriate coding• Exceptional in extracting relevant information from patient records and obtaining IP and OP approvals with proper ICD and CPT✎About MeI am a multi-faceted professional who can strategize, improvise, and enhance effectiveness in versatile domains📧Do reach me out at: ashikc313@gmail.com