Summary
Overview
Work History
Education
Skills
Certification
LANGUAGES
ADDITIONAL INFORMATION
Timeline
Generic

RAMYA PRABAKARAN

Victoria,VIC

Summary

Versatile and detail-oriented Clinical Coder with over 9 years of cumulative experience in medical coding across both Australian and U.S. healthcare systems. Brings 1.9 years of experience applying ICD-10-AM, ACHI, and ACS (12th Edition) in Australian setting alongside 7.11 years of expertise in ICD-10-CM and CPT coding, with a strong background in Emergency Department (ED), outpatient, and radiology coding. Proven ability to accurately interpret complex clinical documentation and assign appropriate diagnosis and procedure codes, supporting data quality, compliance, and optimal reimbursement.

Experienced in working with multidisciplinary teams to clarify documentation, resolve discrepancies, and meet performance targets. Adept in using a variety of coding and EHR systems, including 3M Codefinder and various digital medical records. Strong understanding of Activity-Based Funding (ABF), HIPAA, and healthcare regulatory standards. Recognized for maintaining high coding accuracy in high-volume environments while continuously pursuing professional development to stay abreast of evolving coding practices and healthcare policies.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Clinical Coder

Mildura Base Public Hospital
10.2023 - Current
  • Accurately assign diagnosis codes (ICD-10-AM) and procedure codes (ACHI) in line with Australian Coding Standards (ACS) 12th Edition.
  • Thoroughly examine patient medical records, including physician notes, diagnostic test results, and operative reports to ensure comprehensive clinical coding.
  • Validate the accuracy and completeness of documentation before assigning codes, initiating queries with healthcare providers when clarification is required.
  • Coded a broad spectrum of specialties including General Medicine, Surgery, SSU, DSA, Obstetrics, Paediatrics, Oncology, and short-stay cases.
  • Contribute to high-quality data submission by ensuring accuracy and completeness, supporting Activity-Based Funding (ABF) requirements.
  • Participate in coding audits and quality assurance activities, consistently maintaining coding accuracy above 85%.
  • Work collaboratively with multidisciplinary teams including clinicians, physicians, and HIM professionals to resolve discrepancies and clarify documentation.
  • Proficient in the use of coding tools such as 3M Codefinder and various Electronic Medical Record (EMR) systems to enhance coding efficiency.
  • Maintain strict adherence to confidentiality and privacy standards in accordance with healthcare regulations and institutional policies.
  • Support correct billing and reimbursement processes by ensuring assigned codes reflect the full scope of services provided.
  • Commit to continuous professional development by staying updated with coding guidelines, regulatory changes, and advancements in health information technology

Clinical Coder

AGS Health Pvt Ltd
01.2015 - 12.2022

• Exercised proficiency in coding disciplines of ED, inpatient, outpatient facility and physician care.

• Vast knowledge of medical terminology, anatomy, physiology, procedures, and billing nuances of general hospital health care.

• Accurately assigned ICD and CPT codes to patient medical records.

• Maintained updated knowledge of coding requirements, through continuing education and certification renewals.

• Maintained confidentiality and protected sensitive data to comply with HIPAA.

• Actively participated in team projects, demonstrating strong collaborative skills and effective teamwork.

• Displayed adaptability and proficiency in quickly and efficiently learning new concepts and skills.

• Provided mentorship and guidance to colleagues, ensuring proper completion of assigned duties.

• Conducted training sessions and served as a mentor to team members, fostering productivity and a commitment to delivering friendly service.

• Set clear team goals, delegated tasks, and established deadlines to drive efficiency and success.

Education

Bachelor of Engineering - Electrical & Electronics

Anna University
04.2014

Skills

  • Proficient in coding tools and systems
  • Standards: ICD-10-AM 12th Edition, ACHI, ACS
  • Documentation Tools: Proficient in MS Office Suite
  • Proficient in maintaining health records, including handwritten documentation
  • Communication: Collaborative, solution-focused, strong interpersonal skills
  • Quality assurance and process improvement

Certification

  • Transition to ICD-10-AM, ACHI & ACS 12th Edition – HIMAA, Sydney | 07/2023
  • HIMAA Certified Coder
  • AAPC Certified Coder

LANGUAGES

  • English: Professional Proficiency
  • Tamil: Professional Proficiency

ADDITIONAL INFORMATION

  • VETASSESS-Verified Clinical Coder (ANZSCO 599915) – ID: 24PRS61672 (Io)
  • PTE Academic Score: Overall 72 (L: 69, R: 69, S: 86, W: 72) – PTE ID: 473215930

Timeline

Clinical Coder

Mildura Base Public Hospital
10.2023 - Current

Clinical Coder

AGS Health Pvt Ltd
01.2015 - 12.2022

Bachelor of Engineering - Electrical & Electronics

Anna University
RAMYA PRABAKARAN