SUMMARY

• To work in a challenging dynamic environment towards a successful career in teh field of teh US Healthcare by making teh best out of my abilities and interpersonal skills, I want to see myself as an active contributor to a team of ambitious people.
• 10+ yrs of experience in Healthcare
• High - performing operations management with expertise in building/optimizing organizational processes Trained for Inpatient and Out-Patient Coding and for Risk Adjustments.
• Well versed with coding tools like Code books (CPT, ICD-9 & ICD-10), Encoder-Pro.
• Extremely knowledgeable with regards to Process/Project management, client management, Resource management and quality management, TAT and SLAs.
• Good Knowledge of Anatomy, Physiology, Medical Terminology, Medical Records.
• Strong Background in ICD-10/CPT/HCPCS coding by maintaining knowledge of appropriate coding procedures to ensure correct coding of medical records and processing claims.
• Conducting developmental training sessions for SMEs and grooming them to become teh next level leaders at a practice level. Completed Projects for Quality and Production.
• Positive attitude to understand teh customer requirement with Time management.
• Broad medical experience also includes billing, reimbursement, HIPPA rules, insurance verification, scheduling, and report creation.
• Self-motivated, hardworking and goal oriented with high degree of flexibility, creativity, commitment and optimism.
• An effective communicator with excellent relationship building and interpersonal skills.
• Conceptually strong with an innovative and analytical approach to teh work with an eye for details.

PROFESSIONAL EXPERIENCE

Team Leader Medical Coding

Confidential

Responsibilities:

• Project management/Resource management and performing all activities as per client satisfaction
• Enhance client and employee experience by continuous improvement/Ideas and drive generation and execution of ideas at project level
• Participating in manager reviews for betterment of teh process & revenue generation.
• Project planning/Execution, process redesign, change management, Ensure adherence to SLAs-( Productivity, Internal quality, External quality)
• Manage shrinkage by managing planned and unplanned leaves
• Reduce TAT towards client by process improvement
• Manage utilization percentage of teh team
• Identify Training needs based on Skill/Capability Gaps and Plan/Conduct accordingly Team goal setting, Attendance management, also conduct appraisal and complete performance management process with team as per agreed cycle.
• Drive productivity and efficiency initiatives
• Career management and development of associates/ Leads
• People engagement (On- One’s, Team meeting, floor intelligence to control attrition
• Ensure operational processes and best practices are in place, documented and are regularly reviewed e.g:- SOP, BCP plans, training and support documentation.
• Ensure monthly R&R is conducted

Team Leader Medical Coding

Confidential

Responsibilities:

• Handling 4 Accounts (Diagnostic Radiology and EKG Radiology with a team of 30 members) Preparing daily workloads for staff & co- coordinating teh daily allocation of work.
• Motivating teh team to achieve high standards and targets.
• Participating in manager reviews for betterment of teh process & revenue generation.
• Maintain MIS (Reports, Incentive Sheet, Performance reports etc), Motivating teh team to achieve high standards and targets.
• Work on pilot projects - Handling new client enquiries and acting as teh face of teh business.
• Dealing with and resolving problems and issues which arise.
• Mentoring and training up junior and new staff.
• Attend client calls and client mails, Ensuring all administrative, HR and IT records issues are addressed.
• Providing prompt and accurate feedback on individual performance after individual analysis. File downloading, conversions and uploading teh files.
• Denial management - Diagnostic and Interventional radiology.
• Working and handling on both online and offline medical files, Doing Auditing on teh coded batches.

Team Leader Medical coding

Confidential

Responsibilities:

• Handling team of 25 associates (Coders / Sr. Coders).
• Working on Quality Check, Data maintenance & Team Management
• Handling client calls.
• Utilized ICD-9 CM and ICD-10CM Coding tool
• Maintained teh >98 percent of accuracy and productive quality for Team.
• Attending Client calls for Coding issues and process related issues
• Solving teh doubts of Associates.
• Allocation of work to coders & solving teh doubts.
• Educating Coders about teh Process, Updates and requirements.

Senior Medical Coder and Quality Analyst

Confidential

Responsibilities:

• Responsible for teh coding for teh Inpatient for teh Dialysis centers in USA
• Understand medical terminology, AMA guidelines, anatomy and procedures.
• Responsible for handling different types of Medical Records for ICD-9CM Coding.
• Coded ICD-9 CM, CPTs and Modifiers.
• Handling Denials as per standard guideline of USA Health Insurance and HIPPA Laws
• Maintained teh >98 percent of accuracy and productive quality.
• Review teh charts for admit and discharge date.
• Allocation of work to coders & solving teh doubts.
• Attending Client calls for Coding issues and process related issues.
• Attending Deck calls with client for Technical assistance in coding perspective.
• Educating Coders about teh Process, Updates as well as teh requirements.
• Auditing random samples of Coded Report before delivering to client to avoid Coding errors & make coders aware about their errors.
• Awarded Process Excellence Award from Client.

Medical Coder

Confidential

Responsibilities:

• Responsible for teh Coding of Charts
• Coded ICD-9 CM, CPTs and Modifiers
• Worked for different Hospitals for USA.
• Review Client updates regularly for better quality.
• Maintained teh >98 percent of accuracy and productive quality.
• Ensure teh charts for admit and discharge dates and also for teh dates of surgeries and operations.
• Keep teh system and documents of teh office up to date

Software’s: Encoder-pro, Super coder, 3M, Epic, Cerner, Citrix, eClinicalWorks, All Scripts, Putty, Mckesson, CoderYte, Image now