
Shafna Alangadan
Case Manager/CDI Specialist, IP Coder, OP, Authorisation Officer, Submission officer, Resubmission officer
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نبذة
Distinguished healthcare professional with a Bachelor of Dental Surgery (BDS) and over 10 years of clinical experience across dental surgery and patient care. CPC-certified with 96%, specialised in the precise translation of complex clinical narratives into ICD-10-CM, CPT, and HCPCS codes. Expert in navigating TrakCare and UniCare ecosystems to manage the end-to-end claims lifecycle, with a proven track record in denial remediation and revenue recovery
الخبرة
Medical Evaluator at Yas Clinic (Mayura Health Services) (2025-01 – Present)
- Medical Coding Accuracy: Reviewed doctor's notes to assign the correct ICD-10, CPT, and HCPCS codes, ensuring every procedure and diagnosis was billed accurately.
- Familiar with coding guidelines related to behavioral health and psychiatric services
- Claim Recovery & Fixes: Analyzed rejected claims to find errors and fixed them for resubmission, making sure the facility recovered lost revenue.
- Review and evaluate medical reports, clinical cases, and provide evidence-based recommendations while ensuring accuracy and regulatory compliance.
- Maintain confidentiality and collaborate with internal medical and administrative teams to support healthcare standards and decision-making.
- Software & Data Safety: Used TrakCare, UniCare, and MS Office to manage billing workflows while strictly following HIPAA privacy rules to keep patient data safe
Dental Assistant at Al Bustan Medical Center (2021-01 – 2025-01)
- Educated and guidedpatients on properdental hygiene, ensuring comfort and a positive experience.
- Assisted dentists duringprocedures by preparing trays, delivering instruments, and supporting treatments.
- Operated diagnostic equipmentincluding X-rays, 3D, OPG, and digital scanners for accurate patient assessments.
- Maintained patient recordsand coordinated appointments to ensure efficient clinic workflow.
GP Dentist at VIVA Dental Clinic (2015-01 – 2021-01)
- Educated patients and families on oral care and prevention of dental diseases.
- Performed dental procedures including root canals,extractions, and cavity fillings with focus on patient comfort.
- Developed individualized treatmentplans to maintainor restore oral health.
- Managed clinic operations efficiently, ensuring smooth workflow and patient care
التعليم
Bachelor Of Dental Surgery
Certified Professional Coder
Diploma in Medical Coding & Billing
Diploma in Medical&Clinical Administration