Shivani Ghuge

Product Manager

Dubai, United Arab Emirates6 yrs 7 mos experience

Most Likely To Switch

Key Highlights

CPC®-Certified Professional Coder with 5+ years experience
Expert in ICD and CPT coding for claims management
Proficient in 3M software for precise coding

Stackforce AI infers this person is a Healthcare Coding Specialist with expertise in medical coding and claims management.

Contact

shivanighuge102@gmail.com +971544579514 LinkedIn

Skills

Core Skills

Cpt CodingMedical Coding

Other Skills

Clinical ResearchDecision-MakingDisintegrationICD-10Microsoft ExcelMicrosoft OfficeMicrosoft OutlookMicrosoft PowerPointMicrosoft WordSelf-confidenceTime Management

About

I am a CPC®-Certified Professional Coder with over 5+ years of comprehensive experience in medical coding and claims management. My expertise lies in accurately applying ICD and CPT codes, managing over 300 claims daily, and ensuring compliance with regulatory standards through meticulous attention to detail and a strong grasp of medical terminology. I excel in leveraging 3M software for precise coding and problem-solving within tight submission deadlines across various insurance platforms. My educational background includes a Bachelor of Pharmacy from Pune University, and I am adept at collaborating with healthcare professionals to enhance accuracy and efficiency in the coding process. As a proactive problem-solver, I am committed to optimizing reimbursement processes while maintaining compliance and accuracy.

Experience

Al-futtaim health

Submission officer - Senior Medical coder

Apr 2023 – Present · 2 yrs 11 mos · Dubai, United Arab Emirates · On-site

Aster dm healthcare

Associates

May 2021 – Apr 2023 · 1 yr 11 mos · United Arab Emirates

Submission
Assigning CPT, ICD-10-CM, IV code, and crossed verifying the code.  Knowledge about insurance portal and easily access to approval and member eligibility
details .  Insurance available in UAE, knowledge about insurance and approval and some denial
codes.  Properly checked the member data like eligibility, card no, insurance, CPT code, ICD code,
IV infusion and copay, If anything wrong we can make as error.  Knowledge about all insurance portal.

CPT CodingDecision-MakingMicrosoft OfficeMicrosoft WordMicrosoft PowerPointMicrosoft Outlook+3

Gebbs healthcare solutions

Senior Medical Coder

Jun 2019 – Feb 2021 · 1 yr 8 mos · Mumbai, Maharashtra, India · On-site

Assigned as Senior Medical Coder in Emergency Department for reputed clients.  Accountable for coding and abstracting of patients.  Diagnostic and procedural information, significant reportable elements and complications.  Analyzes medical records and identifies documentation deficiencies.  Reviews and verifies documentation supports diagnoses, procedures and treatment
results.  Audits clinical documentation and coded data to validate documentation supports services
rendered for reimbursement and reporting purposes.

CPT CodingMedical CodingICD-10