Resume of HARISH RAO B.S., CPC (AAPC), CCS (AHIMA)

Mobile : +971-********* E-mail: adblh8@r.postjobfree.com & adblh8@r.postjobfree.com Sub: - Application for the post of a Medical Coder/ Insurance Coordinator.

Dear Sir/Madam,

I am looking for a new challenge with increased

international perspective within a larger team. I wish to submit myself as a candidate for the above post. I am an experienced certified medical coder (CPC

from AAPC and CCS from AHIMA) with very good

Management skills and RCM experience. I am a

graduate in B.Sc. (B tech& Zoology) from Bangalore University and have more than 10 years of

experience in Revenue Cycle management (UAE

and US Healthcare). I have deep knowledge of

guidelines of Medical Coding and Auditing

techniques. I can efficiently manage Medical

Records Department as well as Coding and claims. I am also efficient in coding techniques such as ED, E&M, Outpatient, Homecare, Family Medicine,

Internal Medicine, Pediatrics, Rehabilitation,

Psychotherapy, Allergy and Immunology, Inpatient,

Self-pay, Lab procedures with multispecialty.

It would be great if we meet personally to discuss how my knowledge and education will be useful to

you. Please let me know if I can provide you with

any other information or references, I look forward to hearing from you.

Hoping to get an early interview call from you,

Thanking you,

Medical Coding/Insurance

coordinator/Medical Record

reviewer

Canadian Care Medical

center Al Ain, Abu Dhabi

Mob: +971-*********

Harish Rao. B S, CPC, CCS

OBJECTIVE:

Using my skills and diligence, I intend to work in your company where there is ample scope of organizational and personal growth and to enhance my cognizance with practical expertise.

Educational Qualification

Bachelor of Science (CZBt) under Bangalore University.

Certified Coding Specialist under AHIMA.

Certified Professional Coder under AAPC.

Technical Skills:

MS office/PPT/operating windows and excel with formulas. License/ Certification

CPC credential from AAPC in 2012, member I.D - 01249405.

CCS credential from AHIMA in 2019, member I.D – 2804204.

ICD-10 certified coder from AAPC Passed ICD-10-CM Proficiency Assessment in 2014.

OnTrac - 4 star certified Team Lead from Qbar Technologies pvt ltd.

Six Sigma green belt certified from Greycampus Hyderabad. Professional Planning

CDI and CPMA

Professional Experience

Medical Coder /Insurance Coordinator/Medical Record Reviewer. Canadian Care Medical Center LLC, Al Ain, Abu Dhabi, UAE (Feb-2018 to Feb-2020) Medical coding trainer.

Only group healthcare, Bangalore, Karnataka, India (March-2017 to Nov-2017) Senior Team Leader (was working with US clients)/QCA/Medical coder. Omega Healthcare Management, Bangalore, Karnataka, India. Dec 2008 – Jan 2017 Responsibilities:

Protecting the Patient’s privacy and confidentiality of each medical Record. Also maintaining company’s privacy policies.

Assigning ICD & CPT for the entire encounter (Outpatient, Family Medicine, Internal Medicine, Pediatrics, Lab procedures, Homecare, Rehabilitation, Psychotherapy, Allergy and Immunology, Inpatient, Self-pay process) as per International Standards and HAAD Regulations.

Detect the Document deficiency that causes rejections and provide feedback to physicians to update manual and Electronic Medical records.

Performing daily Claim Pre-approvals, Claims Submission, Remittance Advise Check, Re-Submission and Reconciliation and Preparation of reports as per the management requirement.

Very good Experience and knowledge of DAMAN and JAWDA –TASNEEF audit methodology and implementation.

Clarifying Questions regarding DOH general exclusions and other Insurance related Questions. Explaining patients on Insurance coverage benefits by reviewing the polices.

Conducting Qualitative and Quantitative analysis regarding ICD-10-CM and/or CPT code(s) in patient medical record as per simple random sampling methods.

Assure the assignment of complete, accurate, timely and consistent codes.

Provide coding and documentation advice to the Doctors, Insurance team, clinical and professional staff.

Ensure coded data is accurate and reflects service provided, based on documentation, guarding against fraud and abuse.

Conducting Qualitative and Quantitative auditing regarding the medical documentation and submitting the auditing reports to the concerned authority and the management people.

Updating all the Clinical and professional standards as per the DOH guidelines.

Follow hospital coding guidelines and regulatory rules in governing corresponding coding decisions.

Home care scoring and reviewing KPI’s.

All the works assigned my Manager and Higher Management. Areas of Knowledge:

In-Patient (Day Care) & Out-patient Coding in Acute healthcare facilities and Long Term Care. (CPT & ICD 10).

Aware of Insurance policies of Thiqa, DAMAN, AXA and NAS other Insurance as well.

Pre-Approvals - Home Care Nursing, Physical, Occupational & Speech therapy. Evaluation and Management Coding & Rehabilitation, Psychotherapy and Allergy.

Medical Records Auditing (Qualitative & Quantitative).

Medical records analysis and Management and aware of MALAFFI implementation.

Very good knowledge of US healthcare RCM (eight years of experience with US clients) and UAE healthcare system.

Preparation of policies and procedures.

PERSONAL PROFILE:

Date of Birth : 28-06-1987.

Gender : Male

Nationality : Indian

Marital status : Married

Father’s name : Sadashiva Rao

Mother’s name : Shashikala

Interests : Choreography and theatre performance.

Languages Known : English, Hindi, Kannada, Tamil, Telugu and Marathi. Passport Details

Passport no: K9789109

Date of issue: 14/02/2013 Date of expire: 13/02/2023 Personal Skills

Fast Learner and good E-mail skills. Strong analytical thinking and Enthusiastic and committed team player.

Communication Skills and Strong Computer Skills.

Well-refined interpersonal skills, good personality and positive attitude.

Very well organized with ability to prioritize work and meet deadlines. DECLARATION:

I hereby declare that the details furnished above are true to the best of my knowledge and belief.

Date: Yours Faithfully;

Place: (Harish Rao)

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