Neethu Benny
CPC-certified Medical Coder with professional experience in accurately assigning ICD-10-CM, CPT, HCC and HCPCS coding and revenue integrity
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About
CPC-certified Medical Coder with professional experience in accurately assigning ICD-10-CM, CPT, and HCPCS coding and revenue integrity. Proficient in EHR software and maintains AAPC, CMS/GCC regulations to ensure audit compliance and timely billing.
Experience
Medical Coder at CLARUS RCM (2023-10 – 2024-12)
HCC and Risk Adjustment coding specialization with focus on revenue integrity and operational efficiency.
- Utilized MEAT Criteria (The gold standard for HCC documentation) to validate chronic conditions and assign accurate ICD-10-CM codes within the CMS-HCC model ensuring that all documented diagnoses were clinically supported
- Performed both retrospective/prospective reviews of medical charts to ensure full compliance with CMS Guidelines
- Optimized revenue integrity by accurately assigning ICD-10-CM, CPT, and HCPCS Level II codes for medical diagnoses and procedures while conducting comprehensive audits to ensure 100% coding compliance with AAPC, CMS, and GCC standards
- Facilitated cross-functional collaboration with healthcare professionals to clarify clinical documentation and managed insurance claim lifecycles, including processing, appeals, and detailed coding audits to ensure revenue integrity
- Leveraged Codify for accurate claim submissions, maintained strict adherence to international and regional regulatory standards, including MOH, and HIPAA guidelines
Education
Certified Professional Coder in Medical Coding – AAPC (2023)
Medical Coding Training in Medical Coding – Cardea Healthcare Solutions (2023)
Bachelor of Commerce in Commerce – University of Calicut (2019 – 2022)
