Chitranjan Tyagi

Address for communication:

San Jose, CA-95134

Contact e-mail: adu8dv@r.postjobfree.com

Phone: 805-***-****

CAREER OBJECTIVE

Nurturing a culture of learning and technological excellence to achieve value based operational excellence providing customer delight.

To work with full honesty and unfazed determination towards making everything I do a success with the efficient use of all the resources I have and thus moving up the ladder of success.

CERTIFICATIONS AND SKILLS

●Responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance)

●COC (FORMERLY KNOWN AS CPC-H) CERTIFIED

●Utilized Citrix,Sovera PowerChart, EPIC, 3M, SCM reimbursement software and Revenue cycle management software.

●Demonstrates proficiency in computer applications such as Microsoft Excel, Power Point, Word, and Outlook.

●Sound communication skills backed by a skill to reach a negotiation in any professional set up with the use of confident and cordial body language.

●Successfully completed online training course in Clinical Research by National Institute of Health (NIH)

●Predisposition towards learning anything that has to do with Pharmacy field (diseases, drugs and their mode of action, adverse effects profile, different phases of trials)

●Good command over medical terminology.

●Good knowledge of human anatomy and physiology.

●Very good communication skills incorporating the basic element of persuasiveness.

EDUCATION

●B. pharmacy from Maharaja Surajmal Institute of Pharmacy, GGSIPU

●Secondary education from PratibhaVikasVidyalaya (Delhi)

●Senior secondary education from Commercial senior secondary school (Delhi)

EXPERIENCE (8.5 years)

●Worked as Compliance Quality Specialist for E/M Inpatient and Outpatient projects and also handled Ed projects in both Facility and Professional setups- R1RCM, NOIDA - From June 2017 to Dec 2022

●Also worked as Senior Medical Coding Analyst in R1RCM as an E/M coder. Secondary Alignment done to ED professional projects.

●Worked in United Health Group, Noida- July 2015 till June 2017 as ED professional/Facility Coder

●Worked in E4E Business solutions PVT. LTD. (Feb 2014 to Dec 2014) as a ED professional/Facility as well as E/M Coder.

ROLE AND RESPONSIBILITIES

●Reviews assigned ICD-10-CM codes, which most accurately describe each documented diagnosis and/ or procedure according to established ICD-9-CM / ICD-10-CM and CPT-4 coding guidelines along with modifier usage and medical terminology.

●Monitors all coding accuracy at various levels of detail and maintains coding quality as needed.

●Tracks coding issues and reviews coding inaccuracies to highlight areas of improvement. Reports or resolves escalated issues as necessary.

●Performs a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.

●Researched medical coding ICD-10, HCPCS and CPT-4 to let client know the outcome of medical claim.

●Monitors, audits, and reconciles all documents required for data entry, returns incomplete or questionable documents to generating location or provider.

●Provides a high level of technical education and serves as a subject matter specialist regarding coding and documentation.

●Supports and educates team members about coding best practices and procedures to meet compliance and regulatory requirements.

●Utilizes audit results to provide data driven feedback to providers and management to improve coding accuracy and identify opportunities for improvement and re-training.

●Utilized Citrix, PowerChart, EPIC, 3M, SCM reimbursement software and Revenue cycle management software.

DISTINCTIVE ACHIEVEMENTS

●Secured 1st position in BLITZKRIEG 07 an event held in MSIT in AD–VENTURE “SELL IT” Competition

●Secured 3rdposition in college level quiz organised by MSIP

●Secured merit in General knowledge contest organised by LION PRATIBHA all over Delhi

●Played as Captain of Cricket team of MSIP in College Cricket tournament

●Played as vice-captain in volley ball tournament

●Won a few prizes in sprints and relays at school level

PERSONAL INFORMATION

Father’s Name: Mr. Rakesh Tyagi

Mother’s Name: Mrs. Santosh

D.O.B: 01-07-1986

Gender: Male

Marital status: Married

Nationality: Indian

Languages known: Hindi, English (proficiency level high)

DECLARATION

I hereby solemnly declare that all the facts mentioned above are true and correct to the best of my knowledge and belief.

Place: San Jose, CA

Date: January 2023

(Chitranjan Tyagi)

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