Shan Mol

AAPC Certified Medical Coder with expertise in CPT, ICD-10-CM, and HCPCS Level II coding. Proficient in eligibility check, claim submission, prior authorization protocols, billing guidelines of UAE, dental billing, and specialty use guidelines. Experienced with insurance portals including Shafafiya, Reclaim, and Reality. Strong knowledge of medical terminology, anatomy, and physiology.

Quality Analyst | Medical Coder - Clarus RCM Infotech (India) Pvt Ltd - Coimbatore

(2023-08 - 2026-02)

• Performed medical coding using CPT, ICD-10-CM, and HCPCS Level II code sets with accuracy
• Conducted eligibility checks and applied billing guidelines of UAE and dental billing protocols
• Managed prior authorization and approval protocols for medical procedures
• Submitted claims through Shafafiya, Reclaim, Reality, and various insurance portals
• Handled claim resubmission and reconciliation following specialty use guidelines
• Applied knowledge of anatomy, physiology, and medical terminology for code assignment

Medical Coding Certification - Medical Coding - Cardia Health Care Solutions (AAPC Approved)

Bachelor of Business Administration - Business Administration - Bharathiyar University, Coimbatore