M.VINOTHKUMAR. BPT, CPC

Certified Medical Coder (AAPC: 01110185)

Dubai, Mobile No: +91-995*******

Email id: acyiz4@r.postjobfree.com Skype Id: dr.vinothbpt

Professional summary

7+Years of Experience in Medical coding as Coder, Auditor, Trainer, Coding-Group coordinator for US Medical Billing companies in India, proficient with CPT-4, ICD-9/10 CM, ICD-10PCS, HCPCS, DRG System and case mix index .Familiar with commercial and private insurance carriers.Excellent people skills and dedicated work ethic.Strong attention to detail and extensive knowledge of medical terminology.Excellent multi-tasker and demonstrated team player with a positive attitude. Seeks a position of increased responsibility and authority.

License

CPC and ICD-10CM Certification- American Academy of Professional Coders License (AAPC: 01110185)

Indian Association of physiotherapist License No – L 39863

Education

1. Bachelor of Physiotherapy – 41/2 year, Feb 2005, Tamilnadu Dr.MGR Medical University, Chennai,

2. Certified Professional Coder (CPC) – March 2009, American Academy of Professional coder (AAPC)

3. Certified ICD-10CM – Jan 2014, American Academy of Professional coder

4. Certificate in Advanced Diploma Computer Application

Skills

ICD-9CM /10CM and PCS coding system

CPT-4,HCPCS,DRG coding system

HIPAA compliance

Proficient in MS Office Excel, Word and Power Point.

Coding software Experience in 3M, Optum A-Life, Coderyte, Encoderpro.

Specialty

1.Emergency Medicine, E&M Inpatient and Outpatient

2.Diagnostic Radiology coding

3.Internal Medicine

4.Surgery coding

5.Coding Audit(Internal and External)

Professional Experience

1. Thumbay Hospital (JCI Accredited), Dubai, United Arab Emirates

From 01 July 2016 to 08 Dec 2016

Designation: Medical coding specialist

Responsibilities:

Receive the Inpatient and OutPatient records and insurance Claims, analyze and assign appropriate Diagnosis code (ICD10CM) and out patient procedure codes (CPT,HCPCS),inpatient ICD10PCS&DRG codes enter into the E-claim submission and Hospital Information and Management System (HIMS Software)as per coding guidelines.

Ensure all the patient records are complete before assigning the appropriate codes .In case the records are not complete, intimate the deficiency unit and get it completed.

Analyze the diagnostic data and prepare reports for Statistical purpose.

Provide technical guidance to physicians and other departmental staff in identifying and resolving issues or errors such as incomplete or missing records and documentation or nonspecific documentation, or codes that do not confirm to approved coding principles/guidelines

Participating JCI Quality programme.

2. Efficsys InfoTech Pvt Ltd, Erode-638003, India, Medical Coding Training Institute

From NOV 2014 to MAY 2016

Medical coding Trainer with Efficsys InfoTech Private Institute for US Medical coding/Billing Training about CPT-4, ICD-10CM, ICD-9CM, ICD10-PCS/DRG system HCPCS, Anatomy and Medical Terminology.

Training about claims processing, coding and Audit

Medical Billing, Payment Methodologies.

AAPC Certification exam Training guide.

Testing and counseling students.

Freelance coding projects.

3. Advantedge Healthcare solution Pvt Ltd, Bangalore, India

From Jan 2012 to Sep 2014

Designation: Medical Coding- Group Coordinator

Consistently ensured proper coding, sequencing of diagnoses and procedures. Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes. Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses. Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Maintain client SLAs (turn-around-time, quality) Production planning monthly, weekly and daily queue management, movement of resource on need basis Ensures appropriate coding for the medical records assigned in a timely manner based on regulations and third party requirements.

Maintain productivity and quality standards for all accounts assigned within established levels - Adhere to the HIPAA and other Compliance policies

Prepare and update all client specification.

Mail to client for daily production and capacity utilization and Coding clarification.

Maintain attendance, production report and capacity utilization reports.

Training to poor performer and fresher.

Training about new coding updates and refreshes.

Frequent Team discussion and clarification.

4. SysInformation Healthcare Pvt Ltd, Mysore, India-570025

From Nov 2008 to Oct 2011

Designation: Medical coding specialist

Applies the appropriate guidelines for assignment of principal and secondary procedures utilizing CPT 4 procedural coding system. Code the correct ICD9-CM for principal diagnosis and complications.

Coding the correct CPT, HCPCS Codes for procedures and ICD9-CM for principal diagnosis and complications

External Audit and analyzing the root cause of errors and publish the Team Quality.

Client queries for coding clarification and incomplete documentation

Participate client Training and Discussion

Maintain All Production and Quality Report

Coding Denials work

Escalate the Technical issues such as application errors, software installation to IT Team.

Maintains confidentiality of the patients protected health information (PHI) in both electronic and paper formats.

Participates in the development of internal education programs by identifying key areas for appropriate code assignment

5. Swathi Physiotherapy Clinic, Erode-638001, TN, India

From Sep 2006 to Oct 2008

Designation: Senior Physiotherapist

Physiotherapy Evaluation and assessed patients to establish measurable goals to promote restoration of functional abilities.Identified and properly documented patient goals, evaluated progress and planned reevaluation.

Treating patients with IFT, Ultrasound therapy, Traction, Short wave Diathermy, wax bath, Infra Red Radiation, Electrical Nerve stimulation, TENS.

Mobilization and Manipulation Technique, soft tissue mobilization.

Facilitated ADLs and assisted patients with functional mobility to increase comfort and quality of life. Gait Training with supporting aids.

Applying Cast and Brace, KT Taping for support. Teaching Exercises dos and don’ts home programme. Home visiting treatment to stroke and Neuro muscular disability patients.

Physiotherapy exercise in pregnancy Antenatal,Postnatal and Baby care

Ergonomic advice and physiotherapy treatment intervention for occupational disorder to prevent Long term disability and work loss & promote return to activity.

Sport’s injury treatment and fitness training for sports person’s/students.

Post operative physiotherapy for patients who are referred by hospitals.

Conduct free physiotherapy camp to local villages and also in schools for early intervention and prevention supporting by NGO and Lions club.

6. Shri Shellapha Multispecialty Hospital, Salem, Tamilnadu, India.

From Jan 2006 to Sep 2006

Designation: Physiotherapist

I was involved in Inpatient Physiotherapy in the following Specialty:

a) Intensive Trauma care unit (Trauma)

b) Department of Orthopedics and Neurological (Pediatric and Adult)

c) Department of Cardio & Respiratory

Out-patient Physiotherapy service, routinely performed diagnostic and prognostic exams to evaluate muscle, nerve, joint and functional abilities. Reviewed physician referrals and patient medical records to formulate an accurate diagnosis and best course of treatment.

DECLARATION

I declared that above mentioned information are furnished by me are correct with my best knowledge and belief.

Date : 28/12/2016

Place : (M.VINOTHKUMAR)

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