Quality Medical
Resume:
RESUME
M. SANTHOSH. CPC, ICD ** CM certified.
Doha,
Qatar. Mail-Id : *******.******@*****.*** Phone No. : +974-********.
Objective:
To pursue a challenging and rewarding career that would enhance my technical and interpersonal skills and provide opportunities for personal and professional growth.
Experience Summary:
Overall 7.10 yrs. of experience in Medical Coding industry and working as Sr. Coding specialist(SME) and support coordinator in Al-Ahli Hospital, Qatar. Currently working on IP-DRG, OP, and Surgery coding. Handling the rejections and resubmissions by SEHA(Payer) as well.
I am experienced in US coding and Australia coding.
Experienced in IP-DRG coding.
Experienced in E/M(ER, In Patient, Out Patient) coding.
Experienced in Surgery(Respiratory, MSK, Cardiovascular, Gynecology, ENT, Urinary, Dental, Neurology, Orthopedics, physiotherapy, etc…) coding.
Experienced in Interventional Radiology (IVR) coding.
Experienced in Diagnostic Radiology coding.
Experienced in Diagnosis and Pharmacy Rejections.
Experienced in Quality Auditing and Verification of all specialties
Worked as a Medical Coding Trainer.
Well versed in CPT4, ICD-10CM, ICD-9 CM, HCPCS and Modifiers.
Well versed in Australia coding ICD 10 AM, ACHI codes
Experienced in handling the team size up to 18 members.
Well versed in Medical Terminology and Anatomy.
Computer and medical apparel knowledge, strong organizational abilities, demonstrating quality and communication skills.
With an excellent record meeting and exceeding all performance goals.
Professional Qualification:
CPC from AAPC (American Academy of Professional Coders).
ICD 10-CM Proficiency certified.
Six Sigma - White Belt Trained in United Health Group.
Professional experience:
Current Organization: 4:
Company : Al Ahli Hospital, Qatar.
Designation : Sr. Coding Splt.
Duration : August 2014 - Present.
Previous Organization: 3:
Company : United Health Group Pvt. Ltd, Hyderabad.
Designation : Sr. Coding Splt.
Duration : July 2013 - August 2014.
Previous Organization: 2:
Company : E4E Health care Business. Chennai.
Designation : Quality Auditor.
Duration : January 2013 – May 2013.
Previous Organization: 1:
Company : Apollo Health Street Pvt. Ltd, Hyderabad.
Designation : Sr. Coder.
Role : Quality Auditor.
Duration : January 2008 – Dec 2012.
Responsibilities:
Coding all specialty charts with good accuracy and productivity.
Quality auditing for all specialty charts.
Giving quality audit feedback to coders and maintain their Quality reports on daily
basis.
Conducting the training sessions for new coders.
Weekly interaction with client for new updates.
Weekly presentation of team Quality and Production.
Weekly and Daily team huddles to update the new updates and daily pan activity.
Daily downloading files from client server, allotment to the coders and quality
checking and uploading the files to client server.
During this period I have maintained the Quality and Productivity more than
expectations.
Job Knowledge:
Areas of expertise in various specialties.
E&M (ED, Inpatient, Outpatient).
IP-DRG coding.
Surgery coding.
Interventional Radiology coding (IVR).
Diagnostic Radiology coding.
Rejection coding.
HCC coding.
educational background:
Bachelor of Science from Kakatiya University in the year of 2004 – 2007.
Intermediate Education from Board of Intermediate Education in the year
of 2002 – 2004.
S.S.C from Board of Secondary School Education in the year of 2001 – 2002.
Technical Skills:
Operating System : Windows 98, 2003, and XP.
Packages : MS-Office.
Typing : 45 WPM.
Strength:
Good communication skills.
Quick learner.
Problem solving and decision making skills.
Hardworking nature and punctual.
Always positive and cool attitude in any situation.
Personal Details:
Name : M. Santhosh.
Marital Status : Married.
Nationality : Indian.
Languages known : English, Telugu, Hindi, Tamil, Arabic (Beginner).
Declaration:
I hereby that the above written particulars are true to the best of my knowledge and belief.
Place : Qatar.
Date : (M. Santhosh.)
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