CURRICULUM VITAE

RAMESH THANGAVEL CPC, CCS, MBA, RN

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

Email ID: adnc2f@r.postjobfree.com

UAE driving license-2479864

Career Objective

Possess strong team leadership, motivational and solution giving. Technically astute with hands-on experience in Medical coding and billing prophecy of United States and United Arab Emirates. Establish performance goals to meet efficiency levels, and quality assurance standard.

Aiming for a position wherein I can fully function to the best of my ability utilizing my proven progressive skills in coordination of electronic medical records, project management, quality management, supervision and compliance to assist the best healthcare entity with its purpose, growth and mission in the field of Hospital Insurance/Revenue Cycle management with 5.5 years of UAE market experience. Credentials

Certified Professional Coder (CPC) (AAPC)- AAPC-Member-ID-01271343 and ICD -10

CCS -Certified Coding Specialist -232070-AHIMA 2019 Professional Experience

Clemenceau medical center -DHCC -Dubai

Period: September 1-2019 to till date

Position: RCM supervisor (IP DRG /OP coding and submission and resubmission, reconciliation)

Worked closely with RCM manager and finance and IT team to set up complete RCM process

Worked closely with senior RCM and RCM manager for 2015 to 2018 code set change and pricing and factor rate negotiations

Worked closely with RCM manager and insurance companies for insurance contract and price negotiation

Daily case management for all admitted DRG patient

Meeting with physicians for monthly rejection trending and data analysis and addressing reason for rejections

Trained all doctors and nurses for DRG implementation,

Having weekly DRG meeting with doctors for cost management and documentation CURRICULUM VITAE

Working for IP/OP/claim Auditing and coding

Claims rejections analysis /resubmission report making /recon analysis /submission

Training the coders and billing team for rejection trending

Trained all doctor for UAE insurance prospective and documentation,

Worked with IQVA software team to build RCM and EMR software and software integration,

Worked with 3M and Bestcare software integration,

Worked as SME for Hospital IT team and software team for integration and worked as communication between inhouse IT team and outsourcing IT team

Very well know about XML edit and claim submission and Rejections and preapproval process

Handling claim submission and resubmission

Monitoring IP-DRG approval and replying for insurance queries,

Preparing monthly RCM revenue report, (submission, resubmission, reconciliation status)

Managing RCM duty timing and leaves,

Daily concurrent coding for all admitted patients.

BAREEN INTERNATIONAL HOSPITAL-UAE

Period: June -19-2017 and August 10-2019

Position: Senior claim auditor -IP-DRG, resubmission

Worked for IP/OP/claim Auditing and coding

Claims rejections analysis /resubmission report making

Training for coders and Doctors related to current rejection trending

Very well know about XML edit and claim submission and Rejections

Exeter Medical Center- Abu Dhabi and Dubai, UAE

Period: June -06 -2015 and June -19-2017

Position: Senior Medical coder worked as IP /OP

Exeter Medical Center was established to be the first Center for Bone and Joint Health in the region with a world class reputation for excellence in Orthopedics, Pediatrics, Neurology, Rheumatology and Other related services. EMC is supported by a number of world class surgeons in most musculoskeletal sub- specialties. The Center is equipped with open MRI, advanced radiology, bone densitometry, Ultrasound as well as fully equipped laboratory. EMC is affiliated with major private hospitals in Abu Dhabi and Dubai for use of their surgical theaters and inpatient facilities. CURRICULUM VITAE

XL Healthcare Bangalore- India

Total years of experience: 1.6 Years (April 2013 – Oct- 2014) and Position: Medical Auditor

A TPA company servicing various healthcare facilities around U.S. for Revenue Cycle. The XL Healthcare Solutions was established in 2009 and provide coding services for the various Hospitals and Medical centers in Nevada, U.S.

XL Healthcare Solutions was established under to bridge the differences between US healthcare service providers & service payers, and help physicians focus on the provision of clinical services by effectively managing the administration of medical practices.

e4e Healthcare Business Services (P) Ltd – India Period: November -05 -2014-March-27-2015 Total years of experience: 0.5 Years

Position: medical coder

Domain: Medical Coding

e4e Healthcare Business Services is an ISO 9001:2008 & SAS 70 certified company' and is an IT enabled Services and Business Process Outsourcing Company, with an enviable client list of reputed G2000 companies.

E4e has passion for Customer Delight through Business Intelligence and a Solution based approach to our client's needs and requirements that drive us. Cost, Quality, TAT, Productivity Improvements, 6- Sigma framework, Process Improvements & Transformations is not just our differentiators. It's our DNA. E4e services are tailor made to help clients choose their model of service & support. We offer 24x7, right-Shoring services through multi-channel, multi-lingual model from our 'Always-On' centers in the US, the UK, Philippines and India.

Domain Experience

Having over 8years of experience as in Medical Coding & Revenue cycle domain in versatile process aspects and holding Certified Professional Coder (CPC) certificate obtained from American Academy of Professional Coder

Extremely knowledgeable with regards to Medical coding guidelines and coding techniques (ICD-9-and 10- CM {Vol I II & III} CPT-4 and HCPCS), proficient in physician coding, Inpatient & Outpatient coding using 3M in adherence to IR DRG principle.

Also, good knowledge of Anatomy & Physiology, Medical Terminology and Pharmacology. CURRICULUM VITAE

Operational Description in Exeter Medical Center, UAE

Experience in coding Inpatient and Outpatient, one day surgery, medical records using ICD-9 and 10CM, CPT-4, DRG, and HCPCS. Denials coding,

Checking pre-approvals, coding, registration, submission, resubmission, collection and disputed reports,

Able to handle complete revenue cycle system and 3M software

Answering rejected approval requests, educating team members to avoid such errors in future.

Maintains speed and accuracy when coding Outpatient/Inpatient/ day care records.

Supporting the center with the process from end to end like appointment log, day end reports, production logs, addressing issues with the physician when documentation arose.

Supervising and Supporting team members in terms of production, knowledge sharing, and addressing issues.

Analyzing the rejection reasons and escalating the same doctors and management and providing solutions to reduce the rate of rejections without affecting the revenue. Educational profile

DGNM – 2005-2009

(Indian Nursing council, Bangalore, India)

Percentage: 72.00%

Secured: First class

MBA hospital management -2014

(Indian school of business management, Bangalore, India) Percentage: 80.00%

Secured: First class

CURRICULUM VITAE

Behavioral Skills

Good level of Patience, good listening skills, and ability to multitask, good man management skills. Professional Profile

Highly organized and dedicated with a positive attitude

Capability of executing assignments with right blend of intelligence, diligence

Effectively use business standard verbal and written communication skills on a daily basis.

Thrive to work in a challenging environment

All the information I have provided here is true to the best of my knowledge. I am ready to provide all my certificates and documents as and when required.

Yours Sincerely,

Ramesh Thangavel

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