ASWIN EAPPAN JOHN
MEDICAL CODER
Abu Dhabi
Summary
A Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) offering more than a decade of experience. Possess a strong understanding of ICD-10-CM, IP DRG, Ambulatory DRG, CPT/HCPCS coding procedures and DHA guidelines. Demonstrated expertise in coding and abstracting medical information, ensuring compliance with organizational policies and industry standards. Expert in providing accurate, timely coding of EMR and converting diagnosis and procedural data into ICD-10 & CPT codes. Proficient in reviewing and resolving coding-related queries to prevent rejections, denials, and adjustments. Skilled in scrutinizing documents to reduce medical coding errors and collecting & analyzing data according to medical coding guidelines to arrive at final DRG.
Overview
4
4
Languages
3
3
Certifications
8
8
years of professional experience
Work History
Medical Coder
Ahalia Hospital
05.2025 - Current
- Assigned accurate ICD‑10‑CM, CPT, and HCPCS codes ensuring compliance with UAE healthcare regulations and payer guidelines.
- Medical record review — Analyzed physician documentation, lab reports, and clinical notes to validate diagnoses and procedures before coding.
- Claims compliance — Ensured coding met HAAD/DOH standards, insurance requirements, and hospital policies to reduce claim denials.
- Charge capture — Verified completeness of services rendered and supported accurate charge entry for outpatient visits.
- Documentation improvement — Communicated with physicians to clarify incomplete or ambiguous documentation to support correct code assignment.
- Audit readiness — Maintained high coding quality and supported internal/external audits by ensuring proper documentation and coding accuracy.
- Utilized EMR systems for efficient coding and data management. — Utilized hospital EMR systems for coding, data entry, and verification of outpatient encounters.
- Achieved coding productivity goals by consistently meeting outlined benchmarks. — Consistently met daily/weekly coding productivity and accuracy benchmarks set by Ahalia Hospital.
- Confidentiality compliance — Protected patient information in accordance with DOH and hospital privacy policies.
- Analyzed medical records to ensure accurate coding for billing and compliance.
- Collaborated with healthcare providers to resolve coding discrepancies and optimize documentation.
- Reviewed and updated coding guidelines based on regulatory changes and payer requirements.
Senior Medical Coder
Carelon Global Solutions
05.2022 - 04.2025
- Performing denial coding and working within the revenue cycle management process.
- Processing rejected claims and evaluating reasons for denial.
- Updating or modifying CPT/ICD codes based on the EMR data.
- Collaborating with physicians to obtain justification for denied claims, if not provided in EMR.
- Conducting final reconciliation to ensure maximum payment by providing necessary documentation.
- Submitting e-claims for reimbursement.
- Utilizing manuals such as ICD, CPT, HCPCS books, and tools like OPTUM ENCODER PRO, CIW, WGS, COTIVITY, and CLAIMS LAB.
- Reviewing medical records for accurate coding and maintaining compliance with coding guidelines.
- Identifying discrepancies in patient charts and resolving issues with medical documentation.
- Performing WGS and CIW using denial data and following coding conventions for accurate code selection.
Senior Medical Coder
Gebbs Healthcare Solutions
04.2019 - 11.2021
- Performed outpatient coding and worked in revenue cycle management.
- Processed rejected claims, evaluated denial reasons, and updated CPT/ICD codes.
- Collaborated with physicians for justification on denied claims.
- Handled final reconciliation and submitted e-claims.
- Utilized ICD, CPT, HCPCS books, 3M ENCODER PRO, CAC Software, HPF, and MEDITECH.
- Reviewed medical records for accurate coding and compliance.
- KEY RESPONSIBILITIES
Medical Coder
Safecare Technology
09.2018 - 03.2019
- Performed outpatient coding for per diem and short stay cases.
- Managed denial processes for various claims.
- Coded nebulization, IM/IV infusions, IV injections, and hydration procedures.
- Assigned ICD-10-CM and CPT codes for outpatient and ER coding.
- Conducted coding training and process updates for the team regularly.
- Developed, implemented, and monitored procedures, guidelines, and coding compliance plans for the Clinical Coding Section.
- Handled different types of medical claims.
- Utilized HCPCS Level III, ICD-10, and CPT codes for medical coding.
- Reviewed medical records to ensure accurate coding and compliance with guidelines.
- Reviewed procedures performed and their documentation to assign the correct CPT codes.
- Managed medical necessity denial processes.
- Coded outpatient and ER cases.
- Performed Evaluation and Management (E/M) coding for the Abu Dhabi facility.
Education
MBA - Hospitality Management
Bharathiar University
BBM - CA
Bharathiar University
Higher Secondary - undefined
Board of Higher Secondary Examination
Kerala, IndiaSkills
Medical Coding Expertise
Denial Management
Medical terminology
HIPAA compliance
HCPCS coding
Claims processing
Inpatient records coding
Revenue cycle management
Coding error resolution
Coding appeals
ICD-10 coding
3M encoder
Certification
Medical Coding CPC Certification
Timeline
Medical Coder
Ahalia Hospital
05.2025 - Current
Senior Medical Coder
Carelon Global Solutions
05.2022 - 04.2025
Senior Medical Coder
Gebbs Healthcare Solutions
04.2019 - 11.2021
Medical Coder
Safecare Technology
09.2018 - 03.2019
Higher Secondary - undefined
Board of Higher Secondary Examination
BBM - CA
Bharathiar University
MBA - Hospitality Management
Bharathiar University
DECLARATION
I hereby declare that the above-mentioned information is true and I bear the responsibility for the correctness of the above-mentioned particulars.
PASSPORT DETAILS
- Passport Number: S6940926
- Date Of Issue: 2018-09-18
- Date Of Expiry: 2028-09-17
PERSONAL DOSSIER
- Gender: Male
- Date Of Birth: 1992-07-23
- Nationality: Indian
- Marital Status: Single
- Permanent Address: Varappadath House, Kanniyampuram P.O, Ottapalam, Palakkad Kerala, India