Sr Coding Auditor
CurrentReviewing claims for appropriate EnM and ED services CPT codes , modifiers, denial management.Working as per professional CMS guidelines Training new trainees in the process and working on Adhoc work
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Priyanka Sharma is listed as Sr Coding Auditor at Cotiviti, a with 3283 employees, based in Pune, Maharashtra, India. AeroLeads shows a matched LinkedIn profile for Priyanka Sharma.
Priyanka Sharma previously worked as Auditor Specialist at Anthelio Healthcare Solutions and Executive Coder at Episource Llc. Priyanka Sharma holds Master Of Business Administration (Mba), Operations Management And Supervision, Distinction from Itm Group Of Institutions.
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A keen Analyst, team Player and Leader with thorough understanding of all aspects in medical coding from understanding client requirements through direct client interaction, translating them into technical specifications and driving to their execution .
Listed skills include Cpt, Zirmed Rejections, Hcpcs, and Icd 9.
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Pune, Maharashtra, India
Reviewing claims for appropriate EnM and ED services CPT codes , modifiers, denial management.Working as per professional CMS guidelines Training new trainees in the process and working on Adhoc work
Mumbai Area, India
Responsible for the daily activities of a medical coding team, providing supervision and business support. Review and audit coded charts and process them for next cycle.ICD 9 to ICD 10 MappingTrain trainees from onboarding to live coding. Manage and prepare collated quality dashboard and present them in WBR and MBR (Weekly\Monthly business review)· Conduct error revision session and quality performance session with individual coders. Maintain summary report of coders for Training Audits and if required further process it for management purposes.· Worked on ‘Code Remote’ & ‘3M’ also having introductory knowledge of Oracle InForm/Central Coding, Rave EDC, Medidata Coder, etc.· Provide coding support for team as needed to meet study or business deliverables.
Mumbai Area, India
· Collect health information as documented by medical specialists and code them appropriately· Assigning specific and appropriate ICD, CPT and PQRS codes. Ensure that codes tally with doctors’ diagnosis· Coding specific HCC codes for chronic condition of Medicare and Medicaid patients· Evaluate and re-file appeals of patient claims that were denied· Liaise with other groups to resolve coding-related issues. · Determining accurate level of service for the Radiology record by maintaining accuracy by following client specific guidelines· Participate in study team meetings and liaise with clients as needed.· Facilitate role related and developmental training for medical code.· Hands-on with multiple coding tools such as TAC’s, Alife, Zirmed software's, encoder pro.
Mumbai Area, India
Assigning very specific and appropriate ICD ,CPT and HCPCS codes after analyzing medical record. Determining accurate level of service for the Radiology record. Maintaining accuracy by following client specific guidelines. Also working in rejections (rejected claims from client).Training trainees who are new in process about the process and software’s. Also doing secondary work as QA and maintaining quality sheet. Experience of working with Tac’s , Alife , Zirmed software’s, encoder pro.
Other employees you can reach at cotiviti.com. View company contacts for 3283 employees →
Mounika Palle
Colleague at CotivitiHyderabad, Telangana, India
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Sugitha S
Colleague at CotivitiCoimbatore, Tamil Nadu, India
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Sreekanth Vp
Colleague at CotivitiMalappuram, Kerala, India
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Joe Milner
Colleague at CotivitiSalt Lake City Metropolitan Area, United States
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Samarasimha Donthulapally
Colleague at CotivitiHyderabad, Telangana, India
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Suraj Kasabe
Colleague at CotivitiPune, Maharashtra, India
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Anagha Vaidya
Colleague at CotivitiMiddletown, Delaware, United States
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Cihan Karabulut, Ph.D.
Colleague at CotivitiNew York City Metropolitan Area, United States
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MJ
Mary Joseph
Colleague at CotivitiBaltimore City County, Maryland, United States
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BS
Brian Scharnitz
Colleague at CotivitiNorthampton, Pennsylvania, United States
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Quick answers generated from the profile data available on this page.
Priyanka Sharma works for Cotiviti.
Priyanka Sharma is listed as Sr Coding Auditor at Cotiviti.
Priyanka Sharma is based in Pune, Maharashtra, India while working with Cotiviti.
Priyanka Sharma has worked for Cotiviti, Anthelio Healthcare Solutions, Episource Llc, and Gebbs Healthcare Solutions.
Priyanka Sharma's colleagues at Cotiviti include Mounika Palle, Sugitha S, Sreekanth Vp, Joe Milner, and Samarasimha Donthulapally.
You can use AeroLeads to view verified contact signals for Priyanka Sharma at Cotiviti, including work email, phone, and LinkedIn data when available.
Priyanka Sharma holds Master Of Business Administration (Mba), Operations Management And Supervision, Distinction from Itm Group Of Institutions.
Priyanka Sharma is listed with skills including Cpt, Zirmed Rejections, Hcpcs, and Icd 9.
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