Swathi Dopathi Email & Phone Number

Arcadia, California, United States

• Review, analyze, and code patient medical records based on client specific guidelines.• Follow ICD-10-CM Coding Guidelines and interpret coding guidelines for accurate code assignment.• Follow Risk Adjustment Data Abstraction Rules.• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.• Experience with systems such as EMRs, Billing systems, abstraction platforms, etc.• Experience in Microsoft programs like Excel and Outlook.• Excel: Able to open and add to a spreadsheet, perform basic formulas like adding or multiplying.• Outlook: Should be able to manage emails and schedule and attend meetings.• Ability to communicate effectively and professionally both verbally and written.• Ability to coordinate, analyze, observe, make decisions, and meet deadlines.• Perform other duties as assigned by Leadership Team Member.

Arcadia, California, United States

Arcadia, California, United States

• Review, analyze, and codes diagnostic information in a patient’s medical record based on client specific guidelines for the project.• Ensure compliance with established ICD 10 CM, DRGs coding guidelines, third party reimbursement policies, regulations, and accreditation guidelines.• Maintain 95% coding accuracy rate.• HCC coding / Risk Adjustment coding with health plan and Medicare Medicaid• Extensive knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes.• Work experience in a fast-paced production environment while maintaining high quality.• Follow instructions, meet deadlines, and work independently.• Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills.• Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data.• Experience in working on multiple client projects.

Hyderabad, Telangana, India

• Abstracted medical records with ICD-10-CM, CPT.• Reviewed patient charts and identified discrepancies in the medical documentation.• Attended seminars for updates on ICD-10-CM with 3M Health Information System Consulting Services.• Determines the final diagnoses and procedures stated by the providers are correct and valid.• Evaluates the medical record documentation consistency and adequacy. Ensures that final diagnoses accurately reflect the care and treatment rendered.• Explaining to the doctors about the consequences of incomplete documentation and responsible for submissions of claims and resubmission of denials.• Always achieved productivity goals with 96% accuracy both in Diagnosis Coding and Procedure coding using ICD -10 CM/CPT.