Mitali Raval, BHMS, CPC
HCC Coding Specialist at T.H.E. (To Help Everyone) Health and Wellness Centers- Claim this Profile
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Bio
Experience
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T.H.E. (To Help Everyone) Health and Wellness Centers
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United States
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Hospitals and Health Care
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1 - 100 Employee
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HCC Coding Specialist
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Sep 2023 - Present
Los Angeles, California, United States
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House Medicine
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Medical Coding Specialist
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Apr 2022 - Aug 2023
Los Angeles Metropolitan Area
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Healthcare Supervisor
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Aug 2020 - Aug 2022
Los Angeles Metropolitan Area • Overseeing and prioritizing the daily workload of the front and back-office staff; including assignments, documentation, workflow, problem-solving • Collaborated with various Assisted Living Facilities and Nursing Homes to provide Podiatric care for their Patients; facilitated communication amongst Physician, clinical staff, insurance providers, and management. • Reviewed documentation of progress notes on EHR System minimizing error daily, coordinated medical record process to assure… Show more • Overseeing and prioritizing the daily workload of the front and back-office staff; including assignments, documentation, workflow, problem-solving • Collaborated with various Assisted Living Facilities and Nursing Homes to provide Podiatric care for their Patients; facilitated communication amongst Physician, clinical staff, insurance providers, and management. • Reviewed documentation of progress notes on EHR System minimizing error daily, coordinated medical record process to assure HIPAA compliance; Functioned with Physician to design and document processes supporting overall quality of patient care • Hands-on experience in office tools like Practice Fusion EHR, Dropbox, MS word, Excel, PowerPoint, Google Sheets, and Docs. • Extensive writing of progress notes in EHR • Entering ICD/CPT codes and billing various Podiatry Services • Reimbursement billing procedure code in Podiatry • Managed all day-to-day activities necessary to facilitate the successful completion of clinical activities. • Trained 3 clinic personnel to effectively carry out medical assistant activities and documentation of logs. • Evaluated and analyzed Podiatry cases to ensure accuracy and consistency between source documents as well as proper, timely reporting of Claims • Attend networking meetings • Going to Senior communities and nursing facilities to assist • Experience working in HIPAA regulated environment • Working knowledge of Medicare, Medical and other Insurance policies. • Effectively communicated with families, providers, and medical staff to efficiently coordinate Podiatry Procedures. • Coordinated schedules of patients, therapists and doctors while adhering to strict protocol. • Great problem-solving, and analytical skills were possessed to maintain job with ease. Show less
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Medical Coder
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Dec 2018 - Aug 2020
Los Angeles Metropolitan Area • Exhibited proficient working knowledge and application of ICD-10/PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing. • Assured that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes; achieved and maintained 95% accuracy in coding while maintaining a high level of productivity. • Queried physicians whenever there is conflicting, ambiguous, or… Show more • Exhibited proficient working knowledge and application of ICD-10/PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing. • Assured that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes; achieved and maintained 95% accuracy in coding while maintaining a high level of productivity. • Queried physicians whenever there is conflicting, ambiguous, or incomplete information in the medical record regarding any significant reportable condition or procedure. • Coordinated well with other members of the facilities coding and billing team to ensure maximum efficiency and reimbursement for properly documented services; communicated problems or coding principles discrepancies to supervisor immediately. Show less
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Self Employed
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United States
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700 & Above Employee
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Doctor of Homeopathy
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Aug 2010 - Apr 2014
Mumbai Metropolitan Region • Exceptional experience in providing assistance to patient with homeopathy medicines • Huge knowledge of homeopathy procedures and principles • Deep knowledge of medical conditions and remedies • Good clinical and therapeutic knowledge • Remarkable ability to design patient history to evaluate symptoms • Outstanding ability to maintain professional relationship with patients and employees • Ability to maintain compliance to safety regulations • Ability to… Show more • Exceptional experience in providing assistance to patient with homeopathy medicines • Huge knowledge of homeopathy procedures and principles • Deep knowledge of medical conditions and remedies • Good clinical and therapeutic knowledge • Remarkable ability to design patient history to evaluate symptoms • Outstanding ability to maintain professional relationship with patients and employees • Ability to maintain compliance to safety regulations • Ability to communicate with patients effectively • Ability to develop patient doctor relationship Show less
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Resident Medical Officer
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Aug 2010 - Jan 2014
Mumbai Metropolitan Region •Comprehensive experience with general patient care and common medical conditions •Strong knowledge of policies and procedures on how to address patient complaints •Ability to fill patient prescriptions •Proficient in the use of database software •Excellent observational abilities • Capable of working varying shifts • Profound communications skills • Providing advice and assistance to patients with regard to diet, exercise and other factors. • Maintained detailed… Show more •Comprehensive experience with general patient care and common medical conditions •Strong knowledge of policies and procedures on how to address patient complaints •Ability to fill patient prescriptions •Proficient in the use of database software •Excellent observational abilities • Capable of working varying shifts • Profound communications skills • Providing advice and assistance to patients with regard to diet, exercise and other factors. • Maintained detailed records of patient medical histories.. • Providing primary and continuing medical care for patients, diagnose the illness and • Recommending the required treatment • Responded to patient complaints and documented the outcome of each complaint. • Provided instructions to nursing staff regarding medical orders from physicians. • Established procedures that needed to be followed for special investigations. • Ensured that patient histories were updated and accurate Show less
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Lecturer
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May 2012 - Dec 2013
Mumbai, Maharashtra, India • Worked in the academic success office to tutor pre medical program students in a variety of subject areas • Provided tutoring in test-taking skills and content areas. • Helped students prepare for all exams, both standardized and for the pre-medical, nursing test. • Assessed individual students for areas of educational need to design tutoring strategies. • Good teaching skills and a strong knowledge of how to convey information • Solid verbal and written communication
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Education
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Symbiosis Institute of Health Sciences
P.G. Diploma in Clinical Research, Pharmacovigilance and Clinical Data Management -
Maharashtra University of Health Sciences
Bachelor of Homeopathic Medicine and Surgery, Alternative and Complementary Medicine and Medical Systems