Abhilash Suresh
Bengaluru
Summary
Experienced Coding Manager with 12 years experience in the medical coding field.
AAPC credentialed - CPC
Medical Billing and Coding Specialist with 12 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
12
12
years of professional experience
Work History
Sr. Medical Coder
HGS
08.2012 - 04.2019
- Directs the daily coding operations coordinating the accurate and timely coding and classification of all inpatient and outpatient medical records, and the abstracting and data entry of diagnostic, statistical and billing information
- Manages the administration of Auditing, Training and Day to Day operations coaching for all employees
- Monitors the personnel and activities of the Clinical Documentation Improvement Program including quality control of data and reports, education and communication between coders and Clinical Documentation Specialists
- Implemented standards and methods to measure the effectiveness of all department activities
- Led a team of 15 employees into a successful ICD-10 go live implementation
- Identification, and coordination of physician education
- Monitors financial bill holds working with Patient accounts to review outstanding accounts, clarify billing/coding issues and other intradepartmental concerns
Group Leader
Access Healthcare
07.2019 - 08.2021
- Coordinated the daily operations, personnel management and implementation of policies and procedures for the Multispecilty denials coding staff
- Review, research and resolution of denied codes, claims and other billing issues
- Orientation and training of new employees
- Resolved conflict quickly to limit operational disruption and maintain positive, productive working environments.
- Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
- Trained new team members by relaying information on company procedures and safety requirements.
- Conducted routine inspections to check quality and compliance with established specifications.
- Provide ongoing educational support to coding staff, physicians, and other clinicians
Assistant Manager
Blueroad Technologies
08.2021 - 06.2024
- Responsible for daily operations of Outpatient coders in monitoring coding production and quality
- Worked on a multi-disciplinary team to analyze and coordinate the restructuring of modifier edits from Patient accounts to coding
- Created a centralized tool to store all department policies and procedures for all staff to utilize
- Collaborated with the Endoscopy chair on documentation improvements and implemented a coder query process with this specialized area
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Improved customer satisfaction by addressing and resolving complaints promptly.
- Developed strong working relationships with staff, fostering a positive work environment.
- Assisted in recruiting, interviewing, hiring, and onboarding of new employees to maintain adequate staffing levels.
- Coordinated with vendors to ensure timely delivery of products and resolve any supply chain issues.
- Collaborated with the management team to develop strategic plans for business growth and improvement.
- Enforced company policies consistently while handling disciplinary actions when necessary with fairness and respect.
- Conducted employee performance evaluations, providing constructive feedback for growth and development.
- Conducted performance evaluations and provided constructive feedback to employees.
- Assisted in budget preparation, ensuring alignment with financial goals.
- Negotiated with suppliers to secure better pricing, reducing operational costs.
- Defined clear targets and objectives and communicated to other team members.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Successfully managed Transition projects and allocated resources to maximize productivity and profitability.
Education
BCA - Computer Science
Bangalore University
BNES Degree College04.2012
Skills
- More than 8 years management experience in organizational leadership and relationship building
- Organized manager and leader; able to quickly assess needs of department and provide tools to resolve difficulties
- Alliance building skills necessary to department growth and success
- Coaching skills to help enhance learning and improve staff performance
- In-depth knowledge of medical coding including ICD-10, CPT, DRG, and modifier usage
- Comprehensive knowledge of general coding and compliance standards
- Proven patience and self-discipline
- Proficient with computer software applications
- HIPAA Compliance
- Claims Processing
- Revenue Cycle Management
- Medical Billing
- Workflow Management
- Organizational Skills
- Strong written, verbal & interpersonal communication skills
- Certified AI MS office
Timeline
Assistant Manager
Blueroad Technologies
08.2021 - 06.2024
Group Leader
Access Healthcare
07.2019 - 08.2021
Sr. Medical Coder
HGS
08.2012 - 04.2019
BCA - Computer Science
Bangalore University
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