Anu Francis

As a highly motivated and experienced professional, I am dedicated to achieving success. Certified medical coder with extensive knowledge and experience, ensuring compliance with industry standards and optimizing reimbursement. Skilled in reviewing medical records, collaborating with healthcare providers, and utilizing EHR systems.

Strong attention to detail, knowledge of medical terminology, and a commitment to maintaining accuracy and regulatory compliance. I am confident in my ability to make a positive contribution. Seeking to build a career in a forward-thinking organization and make a meaningful impact.

Senior Executive - HIM - Corrohealth - India

(2025-01)

• E/M with surgery physiatry, E/M with radiation oncology
• Review and analyze medical records to determine the appropriate E/M codes for outpatient services
• Accurately assign CPT, Modifiers, HCPCS and ICD10 codes based on clinical documentation and coding guidelines
• Collaborate with healthcare providers to clarify documentation when necessary
• Promoting accurate coding.
• Stay current with coding changes, regulations and best practices to enhance accuracy and efficiency
• Participate in audits and provide feedback to improve documentation and coding practices
• Assist in training and mentoring junior coding staff as needed
• Maintain confidentiality of patient information in accordance with HIPAA regulations
• NCCI Edits-Automated CMS guidelines application
• LCD/NCD policy checking

Officer-Medical Coder - Coronis Ajuba - India

(2023-05 - 2024-07)

• E/M with surgery gastroenterology, integumentary
• Reviewed charts and assigned E/M levels
• Analyzed the denials and rejections and made the corrections or took appropriate actions
• Queried the provider regarding the doubts in charts
• Attended the team meetings and client meetings
• Effectively applied the updates from auditor, client, team leader in coding

Medical Coder - Medulla Healthcare Solutions - India

(2019-03 - 2022-08)

• Denial coding
• Assigned E/M (Evaluation and Management) according to the number of ROS (Review of System), physical examination and MDM (Medical Decision Making)
• Assigned codes to diagnosis and procedures, using ICD and CPT codes
• Ensured codes were accurate, current and active and sequenced correctly in accordance with coding guidelines and insurance regulations
• Contacted physicians and other healthcare professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures
• Searched for information in cases where the coding was complex or unusual
• Handled insurance verification and Authorizations and check copay billing were accurate
• Audited trainee's files and helped them to improve their coding skills
• Submitted the audit report of trainees
• Submission of files and reports

Chemist - Amala Medical College - India

(2017-04 - 2019-01)

• Ensured the quality and consistency of products by performing quality control tests and analysis
• Documenting and maintaining records of experiments, processes and safety procedures

Java Trainer - Aitrich Technologies - India

(2015-09 - 2016-02)

• Devised technical training programs according to organizational requirements
• Produced training schedules and classroom agenda
• Determined course content according to objectives

MSc - Computer Science - M G University (2013 - 2015)

BSc - Chemistry - University of Calicut (2009 - 2012)