Senior Medical Coder (IP & OP)
Resume:
Sanjit Kumar Mishra, CPC, ICD-** Proficient
PROFILE SUMMARY
Total Exp. in Medical Coding: 20 Years +
E-mail id: ******.******@*****.***
Contact No. 91-955*******.
Professional Synopsis
IMPARTING TRAINING TO MULTIPLE PROCESSES AND TEAMS, Responding to Clients on Coding Issues, Addressing Coding Denial Issues
Work on Team updates in usage of concepts: CCI Edits, MUE LMRP/LCD, Vol.III Codes, RBRVS & HIPAA.
Expertise in usage of tools : AAPC Coder(Codify), Supercoder.com, EnCoder Pro, Flash Code, etc.
Software Exposure in Coding: HL-7, Centricity, IH-Gem,etc., ECLINICAL
Experience Details
1. Business Associate : Coding Consultancy Service.
Company : Coronis Health, USA
Duration : 17th December 2021 – 5th August 2024.
Role : Project-based Support to the Team: Audits & Training
Specialties : Coding Audits in Surgery + E&M + Denials in:
Ob-Gyn, Pain Management, Cardiovascular, GI & GU.
Other Coding Expertise: Lab, Pathology, Radiology.
2. Freelancing : Coding Consultancy Service.
Company : M-Scribe Technologies LLC (merged to Coronis Health above).
Duration : 11th June 2021 – 16th December 2021
Role : Project-based Support to the Team: Audits & Training
3. Position : Assistant Manager, Coding
Company : Miramed Ajuba
Duration : 21st Apr. 2020 – 10th June 2021
Client Communication of SLAs
Client Communication on Improvement Plans
Action Plan and Implementation for Team Performance
Attrition Management.
4. Position : Sr. Project Lead
Company : NTT DATA.
Duration : 21ST March 2017 – 18th April 2020.
Role :
AUDIT : E/M AUDITS
Coding Denial Management QC
Surgery Coding Audit (Ortho, Gastro, and Obgyn).
TRAINING : Project-based Training (Podiatry & Lab Coding)
Basic Coding Training on E/M and ICD-10-CM
Training Manual & Training Quality Evaluation
5. Position : Manager, Coding.
Company : NPB Consultants.
Duration : Nov, 2015 – 28th Feb, 2017.
Role :
CORE CODING : E/M Coding QC
Coding Denial Management
Infusion/Injection Coding
Minor Surgery Coding (Integumentary System).
Radiology and Cardiology Coding.
Lab Coding QC
TRAINING & Operations: Basic & Project-based Training, and Team Management
Working with Billing and AR for to minimize denials
6. Position : Head, Quality and Coding.
Company : Medeye Services.
Duration : Aug, 2013 – Nov, 2015
Role :
CORE CODING : Podiatry, Neurology, and Ophthalmology Coding
Home Health Services & Transitional Care Coding.
Psychiatry Coding.
OPERATIONS : Quality Monitoring
Team Mentorship & Management
Performance Analysis
7. Position : Medical Billing Coder.
Company : Fair Value Pvt. Ltd.
Duration : Feb 2012- April 30, 2013.
Role : URGENT CARE CODING AND DENIAL MANAGEMENT
8. Position : Team Lead, Medical Coding.
Company : Infrahealth Pvt. Ltd.
Duration : Nov.2006- July 2009. (Four-month break).
Role :
CORE CODING : E/M Coding & Denial Management.
Basic and Project-based Coding Training.
Gastroenterology & Anesthesia coding.
OPERATIONS : Client Communication and Team Management.
9. Position : Asst. Medical Coder/Coder/Sr.Coder.
Company : ATT Inc. Pvt. Ltd., Noida.
Duration : September 2002- August 2005
October 2009 – September 2010.
Role : Radiology & Cardiology Coding
Emergency Department Coding
Surgical Pathology Coding.
ACADEMIC QUALIFICATIONS
1. Course : Certified Professional Coder (CPC).
Organization : AAPC.
Company : ATT Inc., USA (branch in Noida.)
2. Course : Medical Transcription.
Organization : ITIL, Usha.
Trainers : C’ Bay Systems Inc., USA.
3. IT Qualification : MS Office, UNIX, ‘C’, and Oracle-D2K.
Organization : SQL Star International, Bhubaneswar.
Trainers : Authorized Oracle Professionals.
Duration : March 1998 to Feb 1999.
4. Basic Qualification : B.Sc. (PCM) (pass).
University : Utkal University.
Year of Passing : 1988.
Personal Details
Name : Sanjit Kumar Mishra
Gender : Male.
Marital Status : Married.
Father’s Name : Late G.K. Mishra.
Mother’s Name : Sailabala Mishra.
Res. Town : Bhubaneswar.
Res. State : Orissa.
PRESENT LOCATION : CHENNAI, India.
Sanjit Kumar Mishra, CPC. Date: 28th September 2023.
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