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To work in a challenging and dynamic environment towards a successful career in the field of US Medical billing industry (RCM – Providers and Hospitals) by making the best out of my abilities and interpersonal skills. I want to see myself as an active contributor to a team of ambitious people and thereby enhance my knowledge and personality.
· 14 years of US Healthcare Domain experience with Hospitals and Providers in reputed MNCs
· Certified Professional Coder (CPC), and ICD-10 proficient by AAPC (Member ID: 01113538)
· ICA (Indian Coding Associate –ICD 10 based) – Certified and Awarded by ACHIP (Academy of Coders and Health Information Professionals).
· Sound knowledge of US Healthcare Revenue Cycle Management
· Good knowledge of Anatomy, physiology, Medical terminology, Medical records.
· Strong background in ICD-10/ICD 10PCS/CPT/HCPCS coding by maintaining knowledge of appropriate coding procedures to ensure correct coding of medical records and processing of claims
· High personal integrity and able to relate to and create trust in all
· Conducting Induction/Internal trainings for new/existing staffs on various topics
· Healthcare Software Testing :-Good knowledge for software tools like Quality center, Quick Test Pro, SQL, TOAD.
· Good Knowledge of Writing SAS (Statistical Analysis System) Programs for creating tables
· Six sigma Green Belt trained and Tested.
· Good leadership qualities and ability to work as a team and excellent project management skills with proven team leading abilities.
· Multi task creating, Strong Analytical interpersonal and problem solving ability,
· Positive attitude and motivating, understand the customer requirement, Time management.
Transcode Solutions Pvt. LTD ,Vellore,TN
Designation: team Coordinator- Medical coding Duration: May 2013- December 2013.
Specialty: ED, Surgery, Inpatient coding, Denial management training.
Job Description:
Ø Worked as In Patient Coding and denial management trainer.
Ø Keep in touch with the clients for new updates on coding or billing instructions
Ø Provide quality advice and answer queries, giving guidelines, investigate/settle claims in
Ø Pro-actively support the Team Manager in the achievement of the team and Unit objectives
Ø Responsibilities involve accurately coding Medical reports, promptly releasing for charge entry team to bill insurance companies, and adhering to each insurance carrier’s policies and procedures.
GENPACT, Gurgaon.HR
Designation: Business Analyst- (Assistant Manager)–CQA Duration: September 2011 – May 2013
Specialty: Optuminsight (Ingenix) Clinical Quality analyst. Clinical documentation improvement and ED facility coding.
Job Description:
Ø Healthcare Software Testing : Clinical Quality Assurance & functional integrity for healthcare products/software testing (iCES, Claims Manager & coding solutions for Optuminsight).
Ø Creating test cases for rule development as per business documents to testing and maintenance.
Ø Has experience on software tools like Quality center, Quick Test Pro, SQL, TOAD
Ø Worked Scrum methodologies of SDLC
Ø Worked for Clinical documentation improvement (CDI) team- Collects information about patients’ diagnoses and providing recommends strategies for improving healthcare records to ICD 10 implementation.
Ø Doing Auditing on the coded batches of ED facility coding.
Ø Providing prompt and accurate feedback to the trainee coders.
Accretive Health India Private Limited, Gurgaon.HR
Designation: Senior coding Analyst-Medical coding Duration: February 2011 – September 2011
Specialty: Radiology, E/M, Ancillary coding.
Job Description:
Ø Review medical records to assure specificity of diagnosis, procedures and documentation. Apply appropriate ICD-9 and CPT codes to individual health information
Ø Performed E/M level codes for both office & Out of office visits, Preventive medicine codes, Radiology charts coding
Ø Handled coding of simple level 1 procedures including fractures, burns, laceration repairs and other cases.
TTK Healthcare TPA Private Limited / Prestige Health. Bangalore .
Designation: Executive-Medical coding Duration: October 2005 –February- 2011
Specialty: Radiology, E/M, ED coding, Anesthesia, surgery
Job Description:
Ø Review medical records to assure specificity of diagnosis, procedures and documentation. Apply appropriate ICD-9 and CPT codes to individual health information
Ø Maintaining up dated information on Medicare policy and procedures.
Ø Verified insurance coverage, and updated electronic computer files and patients’ charts.
Sagar Apollo Hospital, Bangalore .
Designation: Medical Records – Technician Duration: June 2003 –September- 2005
Job Description:
Ø Organized and structured the Department of Health Information Management for Sagar Apollo Hospital, India, and the largest health care providers group in Asia.
Ø In charge for the Patient Registrations, Admitting Office, Front Office & information center.
Ø Managing the Medical Records department & Coders.
Ø Indexing of Master Patient Index, Disease Index & Operation Index.
Ø Established a new Medical Records & Coding Department at Sagar Apollo Hospitals.
Name of the Course
University
Name of the Institution
Year
Percentage Obtained
B.A Economics
Bangalore university
Sree Siddaganga College of Arts, Science & Commerce- Nelamangala, Bangalore
2004
59 %
Diploma in Medical record technology
Paramedical board-Bangalore
Bangalore medical college
2002
78 %
HSC
HSC Board
Government Junior College Nelamangala
1996
50 %
Education
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AAPC2010cpc
-
American Association of Professional Coders (AAPC)
AAPC No. 01113538 -
Bangalore university, Sree Siddaganga College of Arts, Science & Commerce- Nelamangala, Bangalore2004B.A Economics
-
Bangalore medical college, Paramedical board-Bangalore2002Diploma in Medical record technology
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Contact Candidate
To contact this candidate email murthy267@gmail.com