Shoushik Mardirosian

818-***-****

adyhs4@r.postjobfree.com

Current Location: Santa Clarita, CA 91351

Work Authorization: Unites State Citizen

Summary:

•Professional with 15+ years of Coding experience.

•Expertise in ICD-10CM, CPT, HCPCS, M-codes, E & M, DRG, MS-DRG and APC

•Expertise in patient charts/claims, Data Quality, Query process, Research & Analysis, Data Collection

•Strong proficiency in Microsoft Office applications including Word, Excel, Power Point, and different health information software applications such as EPIC, Meditech, and 3M Encoder, All Scripts, Quadra MED, OPTUM, Cerner EMR. ICD-10- CM/PCS Coding of paediatric cases consisting of Neonatal Conditions (Jaundice, Meconium Staining, Complications during Labour/Delivery, Maternal Conditions affecting Newborn, Sepsis of Newborn, Respiratory Failure of Newborn, Developmental Delay, Chromosome Abnormalities, etc.), Neoplasms, Chemotherapy, Radiation, Immunosuppression, Congenital Heart Malformations diagnoses and procedures done to correct, Cleft lip/Cleft Palate diagnoses and procedures, Allergic reactions; Coding Newborn to young adult charts; Verify Attending Physicians and Dispositions as well as Operating Physicians; Citrix Database used for central access to applications; 3M 360 / CAC used for Inpatient Coding, Epic 2014 for Documentation and Abstracting, Review and compare CDS DRG/APR-DRG's for matches or mismatches, Add/Explain reason for DRG Mismatch in 3M 360, Physician queries made through Epic using a template suited to the diagnosis clarification.

•Coding and Abstracting of Inpatient, Outpatient, Ambulatory, Pro-Fee, Observation, HCC, ED & Physician records

•Knowledge of Medical Records filing and abstracting system, Healthcare Billing, Medical Terminology, Anatomy & Physiology, Pathology, Pharmacology, Legal Aspects of Healthcare and HIPAA

•Oncology radiology audit review based on by reports/documentation completion and revenue management audit code CDI from beginning of consult toward the end of the therapy (brachytherapy, OVT, SIM, IMRT).

•Teaching 20 years at community unified school district college, coding anatomy physiology and billing, collections, managing accounts receivables, follow-up.

•Knowledge of Cath and IVR services rendered.

Skills:

Strong Medical Terminology and Anatomy / HIPAA

Excellent ICD-10CM, CPT, HCPS, M-Codes, E&M

Billing and followup for multip specialty oncology, bone marrow, transplant of kidney, liver, heart.

3M-360 / CAC

MS-DRGS, APR-DRG, APC

Review and compare CDS DRG/APR-DRG's for matches or mismatches

Great personality, very upbeat and friendly

Education:

Translated to AA Degree in Science United by education Board but in Armenia is Bachelors.

Certification:

Certified Coding Specialist, AHIMA

Certified Medical Insurance specialists by State of California

Professional Experience:

Pierce Community College, Woodland Hills, CA 10/2005-Present

Professor for AAPC CPC Class Prep

Teaching ICD10CM, HCPCS, CPT coding, advance coding from operative and clinic notes, Billing for professional and facility, Workers Comp billing, anatomy, physiology, terminology.

Weekends on Sundays on Zoom. This is under Unified School district.

Sutter Health thru E-Team Recruiter

Emergency Room Charge Capture 09/2022-06/2023

Capturing all charges that has occurred in Emergency room before admit, observation and transfers.

Using Lynx 2023, and Epic to post charges of E/M, meds (infusion, push, hydrations, no tablets or inhalation meds), all radiological procedures, labs, and if they got admitted or discharged or eloped.

The Oncology Group, Cerritos, CA Sep 2021 – Jul 2022

Inpatient Coder Manager/Remote

•Emergency room done coding for multiple specialty Neurology, dermatology, cardio, gastro, ortho, retinol, at Children’s hospital and at Motion Picture hospital and Huntington hospital.

•ICD-10-CM/PCS Coding of various diagnosis and procedures, IVR, cath if ordered by consult provider or referring when patients get admitted or in observation unit.

•Inpatient DRG coding t Huntington and TOI Oncology using (citrix, Meditech, Epic, power chart software).

•Emergency room charges analyst checking if charges are correct based on CPT and ICD codes matching providers documentation (more like audit)

•Outpatient, observation, same day surgeries done it also at Huntington hospital and Children’s, and Motion picture hospital, using software Epic, Lynx, Citrix, Cerner, Meditech)

•3 M used it for 20 years within (Meditech and epic)

•Auditing coders inpatient and outpatient surgeries (biopsies), treatments and modifiers clinic visit encounters, and adding HCC codes while quality improving.

•BMT billing and collection of accounts receivables.

•Transplant billing and managing accounts receivables and followup.

Children’s Hospital, Los Angeles, CA Mar 2016 – Sep 2021

RADONC (Oncology Radiology Coder/Outpatient Emergency Coder/Auditing), ED Charge Capture

•Training and extracting documents coding for compliance and prebilling submittal. Coding of all Emergency.

•Coding of all Emergency room procedures and verifying documentation based on final diagnosis and accuracy of diagnosis based on imaging if necessary.

•Coding of outpatient multispecialty surgeries based on operative reports and if needed after query correction of coding. Radiology Oncology and Chemo coding (cath, IVR), procedures and evaluation management based on time spend with patients and missing nurses’ chemo procedures verification and then coding before dropping claims for export billing process.

•Also verifying if documents processed signed on oncology treatment therapies before coding and billing and making sure date of service and or number of therapies days in between

•correct. Attendant oncology seminar in Las Vegas about coding and documentation compliance.

•Use of 3M coder and Cerner Power Chart software working remotely and communicating with outlooks emails.

HDI, Remote (Part Time)Remote Nov 2015 – Feb 2016

Inpatient Medical Coder Auditor / DRG

•Review coded charts and make correction based on CC & MCC, and verification of PDX with education internal comments to providers.

•Revenue Cycle Management of all accounts daily after submission errors and denials review correction of submittals.

•ICD-10-CM/PCS Coding of various diagnosis and procedures ranging from PTCA, Biopsies, Open Reduction/Internal Fixation, Discectomy with Interbody Fusion, Systemic Viral Infections, Gastroenterology, Cardiology, Psychiatry/Behavioural, Cerebrovascular, Oncology, Fractures, Complications from Implanted Devices/previous procedures, Skin Transfers/Grafts, Transplants, Burns, Moms & Babies, Cardio, Prosthetic Implants/Replacements, Pregnancy (Maternal and Newborn records), Chemotherapy/Radiation, Vaccinations etc.,

•Documenting Newborn Birth Weight, Length, Apgar 1 minute/5 minutes, Gestational age, Date and Time born, Newborn Complications and Paediatric cases ranging from Acute Care to Monitoring.

• Verify Attending Physicians and Dispositions as well as Operating Physicians, Behavioural/Psychiatric Chart Coding, Query Physicians for confirmation and clarification using different templates for each situation, Citrix Database used for central access to applications, 3M HDM used for Coding and Abstracting, Power-Chart used for Documentation, Review and compare CDS DRG/APR-DRG's for matches or mismatches, CDS queries, changes or comments made through CDI DRG Monitor.

•Also coded outpatient surgeries same day (burn debridement, closed fractures, arthroscopies, tonsillectomy, g tube insertion, biopsies, lacerations repairs.

Alignment Healthcare, Anaheim, CA Jun 2014 - Sep 2015

Inpatient Coder / Clinical / HCC

•Followed established procedures for accurate review of patient accounts

•Review of all pdf’s inpatient records numerous pages long stay, multi-specialty, general surgery coding, present on admission, for inpatient level of care.

•Assigned and validated ICD-9 and ICD 10 codes –dual coding

•Compliant with hospital facility standard of work to streamline results and produce high productivity.

•ICD-10-CM/PCS Coding of various diagnosis and procedures ranging from Gastroenterology, Cardiology, Cerebrovascular, Fractures, Skin Transfers/Grafts, Transplants, Prosthetic Implants/Replacements, Biopsies, Pregnancy (Maternal and Newborn records), Chemotherapy/Radiation, etc., Paediatric cases ranging from Acute Care to Monitoring, Verify Attending Physicians and Dispositions as well as Operating Physicians, Citrix Database used for central access to applications, 3M HDM Data Entry used for coding Abstracting and Epic 2015 for documentation and Centricity for additional Abstracting/Data Entry, Review and compare CDS DRG/APR-DRG's for matches or mismatches CDS queries, changes or comments made through CDI DRG Monitor, Facility located in greater Chicago area.

Huntington Hospital Medical Records Dept., Pasadena, CA Feb 2014 – Feb 2015

Inpatient and Outpatient Medical Coding

•ICD-10-CM/PCS Coding of various diagnosis and procedures ranging from Gender Reassignment, Open Reduction/Internal Fixation, Gastroenterology, Cardiology (cath), Cerebrovascular, Fractures, Skin Transfers/Grafts, Transplants, Prosthetic Implants/Replacements, Biopsies, Pregnancy (Maternal and Newborn records), Chemotherapy/Radiation, IVR, etc., Paediatric cases ranging from Acute Care to Monitoring, Verify Attending Physicians and Dispositions as well as Operating Physicians, OSHPD Abstracting according to each visit scenario, Query Physicians for confirmation and clarification using different templates for each situation, Citrix Database used for central access to applications Cerner for Abstracting Documentation, Review and compare CDS DRG/APR-DRG's for matches or mismatches, CDS queries, changes or comments made through CDI DRG Monitor.

•Knowledge and utilization of medical terminology anatomy and physiology

•Working knowledge of DRG APC and diagnosis sequencing concepts.

•Proficiency in the use of all applicable software which includes the abstracting system

•Function in a busy environment with shifting and evolving priorities that change, accomplishing multiple tasks daily.

•Perform fast-paced environment with interruptions, by demonstrating ability to maintain positive relationship and courteous interactions with hospital staff and medical staff.

•Working with inpatient coders and hospitals outpatient on site, review audit of their production coding and accuracy tracking with education of the errors found.

City of Hope National Medical Center, Duarte, CA (Part Time) Aug 2015 – Nov 2015

Coder ICD 10 CM / Inpatient Coding Reviewer / Physician Trainer

•1:1 Face to Face training with Providers for the Go Live ICD 10 Project.

•Member of the ICD 10 Support Team

•Working closely with 9 inpatient coders remotely and communicating with phone and emails in regard to the corrections findings of their coding productivity and resubmitting.

•Train Providers on use of 3M ENCODER and OPTUM encoder in ICD-10 and translation of codes from ICD-9 to ICD-10.

•Assisted with all the coding and prebilling coded errors corrections.

•Participated in pilot Superbill Project for Inpatient and Outpatient

Med-Point Management Jul 2011 - Dec 2012

Coding Specialist / HCC

•Auditor/Provider Education of Evaluation Management, and all other clinical procedures coding with modifier add on or other additional codes.

•Auditing charts for HCC and validate Star measures

•Provides education to physicians in coding and preparing for ICD-10

•Fixed Incorrect Diagnosis codes to ensure timely reimbursement

•Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9CM codes for billing, internal and external reporting, research, and regulatory compliance activities. ? Accurately code inpatient conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting and in the UHDDS to arrive at the most appropriate MS-DRG assignment. Assign POA (present on admission) indicators as per official guidelines. Validate discharge disposition code assignment. Resolve error reports associated with billing process identify and report error patterns and when necessary, assist in the design and implementation of workflow changes to reduce billing error. Extensive Knowledge in ICD-9-CM, CPT, HCC, HCPCS and MS-DRG assignment, Used EPIC, Cerner, and 3M 360

Motion Picture Hospital Sep 2012 - Sep 2013

Coder II / Inpatient and Outpatient Surgeries

•Coding and abstracting of IP, OP, Same Day Surgery and ED charts.

•Maintain accuracy and productivity standards

•Assigned Infusion Codes for ED services.

•Abstracting of OSHPD Data requirements.

•forms then mailed them to the doctor’s office.

•Used EZCAP to check claims and reported codes.

•Audited medical charts and conducted coding and service training for physicians and staff for coding from the Soap documents

•Reviewed Inpatient and Outpatient audits, and E/M documentation auditing

•DRG coding audits based on operations reports.

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