24070
Seeking a challenging opportunity in your esteemed organization where my professional competency, knowledge and devotion will be best exploited for progressive development of the organization and satisfies my thirst for professional growth and learning
PROFESSIONAL SNAPSHOT
• Over 10+ years of experience in HealthCare Industry, including 4+ Years in Inpatient-DRG Medical Coding , 4+ Years in Data Analysis and 2+ Years in Hospital Medical Records Department
• Excellent knowledge in IP-DRG Coding
• Excellent knowledge in ICD 10-CM and PCS coding guidelines
DOMAIN KNOWLEDGE
• Performing Coding for medical centers located in the USA. Coding medical records with ICD-10, PCS codes using 3M Software
• Assigning the appropriate ICD-10 CM and PCS codes using the 3M software, to justify the codes assigned to all the procedures rendered to the patient during the period of hospital admission
• Excellent knowledge of Anatomy & Physiology and Medical Terminology
• Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD 10-CM and PCS coding guidelines
• Good knowledge with using Medical Coding guidelines, coding technique (ICD 10-CM, PCS)
• Good knowledge with HIPPA guidelines
• Preparing and maintaining daily, weekly and monthly productivity reports using MS Excel
• Good knowledge in Microsoft Applications like Advance Excel, Word, PowerPoint and Outlook
PROFESSIONAL EXPERIENCE
• Working as Sr. Medical Coding Executive with Visionary RCM Infotech, Hyderabad from Aug ’19 to till date
• Worked as Sr. Medical Coder and SME with GeBBs Healthcare Services, Mumbai from Jan ’18 to May ’18
• Worked as Sr. Medical Coder at Eclat Health Solutions, Hyderabad from Feb ’16 to Nov ’17
• Worked as a Senior Research Analyst with Factset Systems, Hyderabad, from Aug ’10 to Sep ’15
Technical Skills and Certifications
• Microsoft Office 2010 with Advance Excel, PowerPoint, SQL and Outlook
• Trained and assessed on ICD 10-CM and PCS
• CCS Certified from AHIMA (230386, TAPPA SHAIK)
SCHOLASTICS
Bachelor of Science in Biotechnology from SV University, 2005
CAREER CONTOUR
From Aug 2019 to till date as Sr. Medical Coding Executive with Visionary RCM Infotech, Hyderabad
Specialization: In-Patient DRG Coding (Concurrent/Discharge)
Responsibilities:
• Working on IP-DRG project. Concurrent coding and Discharge queue
• Extracting required information from source documentation and enter into encoder and abstracting system. Identifying codes for diagnoses and procedures from information documented in the medical records according to ICD 10-CM and PCS guidelines, including hospital modifications
• Accurately assigning codes to diagnoses and procedures for all cases ranging from moderate to high complexity using the current version of ICD-10 CM Classification
• Auditing charts that are coded new joiners and on the job training coders as per project requirement
• Attending client meetings and discussing issues related to code assignment and understanding client specific coding guidelines
• Querying for clarification on documentation. Checking documents and verifying with the query handbook for accuracy and to avoid discrepancies in query processing
From Jan 2018 to Aug 2018 as Sr. Medical Coder with GeBBs Healthcare Solutions, Mumbai
Specialization: In-Patient DRG Coding
Responsibilities:
• Worked on IP-DRG project
• Actively participated in client meetings and new project commencements
• Worked closely with the SMEs to report the project issues and client guidelines. Acted as SME for project specification, evaluation, target setting, reporting QA issues
• Initiated queries, mentoring new joiners about query processing, query handbook. Checking documents and verifying with the query handbook for accuracy and to avoid discrepancies in query processing
From Feb 2016 to Nov 2017 as Sr. Medical Coder with Eclat Health Solutions, Hyderabad
Specialization: In-Patient DRG Coding
Responsibilities:
• Worked on IP-DRG coding Project, using ICD 10-CM and PCS on 3M Software
• Accurately assigning codes to diagnoses and procedures for all cases ranging from moderate to high complexity using the current version of ICD-10 CM Classification
• Extracting required information from source documentation and enter into encoder and abstracting system. Identifying codes for diagnoses and procedures from information documented in the medical records according to ICD 10-CM and PCS guidelines, including hospital modifications
• Attending client meetings and discussing issues related to code assignment and understanding client specific coding guidelines
• Mentoring new joiners about project specifications, documentation, guidelines and updates
• Expanding job-related knowledge and skills by attending and participating in in-services and staff meetings. Keep abreast of coding guidelines and updates
• Participated in new project commencements, notifying the management and leads about the issues in project
• Prioritizing work to ensure timeframe of medical record coding meets regulatory requirements. Understanding the client requirements and specifications of the project and code the charts accordingly
From Aug 2010 to Sep 2015 as Senior Research Analyst with Factset Systems, Hyderabad, India
Responsibilities:
• Extracting company specific data (Healthcare, Pharmaceutical, Biotechnology, Clinical Research) from specified resources to MS Excel
• Analyze the data using Excel Formulae and updating the Database
• Preparing Productivity and Quality reports on a daily, weekly, monthly and quarterly basis
• Used SQL to query the database and extract the data into MS Excel as needed
AKBAR BASHA TS
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Contact Candidate
To contact this candidate email akbarsh.1983@gmail.com