Neethu Benny

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.

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

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)