AKSHAYA THANGARAJ
Chennai
Summary
- Dedicated and reliable certified medical coder with 8 years of experience in HCC [ICD 10 CM] coding.
- Proficient in time management and prioritizing tasks.
- Result driven with excellent skills in communication and working with a team.
- Strongly focused with ability to complete tasks accurately in a fast paced environment with conflicting deadlines.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Coder
Agilon Health India Pvt. Ltd
Bangalore
09.2023 - Current
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Crafting clear and concise queries that specifically address the identified documentation issues.
- Recording the provider's response and updating the medical record accordingly.
Executive Medical Coder
Episource India Pvt.Ltd
Chennai
09.2017 - 02.2023
- Analysis of Patient Health Information for Reimbursement which involves coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements and complications.
- Maintained current working knowledge of ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained positive working relationship with fellow staff and management.
- Maintained high accuracy rate on daily production of completed reviews.
Education
Bachelor of Science - Biochemistry
Dr. MGR Janaki College of Arts & Science For Women
Chennai, India04-2017
HSC -
Children's Garden Higher Secondary School
Chennai, India04-2014
SSLC -
Children's Garden Higher Secondary School
Chennai, India04-2012
Skills
- Core Technical Skills
1 ICD 10 Coding knowledge- HCC & HEDIS codes
2 Medical terminology: Has knowledge in anatomy, physiology, and medical procedures
3 Understanding of Healthcare Regulations: Familiarity with HIPAA, CMS guidelines and payer specific guidelines
4 EHR/EMR software proficiency- Experienced with tools like EClinicalWorks, Athena
5 Coding software Tools- Worked in coding platforms like EncoderPro, Optum360
- Analytical & Detail-Oriented Skills
1 Attention to Detail- Spotting minor documentation errors or mismatches
2 Critical Thinking- Accurately interpret complex patient records
3 Problem-Solving-Resolving coding discrepancies or claim denials
- Organizational & Communication Skills
1 Time Management- Managing high volumes of records and meetings deadlines
2 Written & Verbal Communication- Interacting with healthcare providers to clarify documentation
3 Confidentiality & Ethics- Ensuring Sensitive patient data is handled properly
PROJECT EXPERIENCE- ROLES/RESPONSIBILITIES
- Project 1 #Aetna Commercial
Organization: Episource India Pvt Ltd
Roles: Reviewed Patient Health Record and assigned corresponding ICD 10-CM codes based on Client updates.
Experience: 6 months
- Project 2 #Optum Processing Review
Organization: Episource India Pvt Ltd
Roles: Reviewed Patient Health Record and assigned corresponding ICD 10-CM Part C codes based on client updates using EClinicalWorks EMR tool.
Actively performed error monitoring and chart auditing to ensure accuracy, compliance and adherence to coding guidelines. Reviewed coded charts for discrepancies, identifying trends in coding errors and provided feedback to enhance coding quality.
Conducted comprehensive project training for 60 freshers in Medical Coding, covering core concepts, coding guidelines, compliance standards and project specific guidelines.
Experience: 4 years 8 months
Project 3 #Catalyst
Organization: Agilon Health India Pvt Ltd
Roles: Reviewed Patient Health records and assigned corresponding HCC & HEDIS codes using ECW EMR tool.
Conducted comprehensive project training for 10 freshers in Medical Coding, covering core concepts, coding guidelines, compliance standards and project specific guidelines
Experience: 8 months
Project 4 # DCOL (Diagnostic Clinic of Longview)
Organization: Agilon Health India Pvt Ltd
Roles: Reviewed Patient Health records and assigned corresponding HCC & HEDIS codes using Athena EMR.
Identified documentation gaps and promptly initiating queries to ensure impactful diagnoses are thoroughly supported.
Experience: 1 year 2 months
Accomplishments
- Received "Emerging star" award in Aetna project from Episource India Pvt Ltd.
- Received many "Weekly awards" and "Quality awards" for maintaining 100% quality for the whole month.
- Received appreciation from management level for maintaining high quality and Performance.
PERSONAL DETAILS
Address: No 2/14, Dhandeeshwaram 2nd Cross Street, 6th Main Road, Velachery, Chennai-600042
Mobile: 8056065975
Email: aksakshaya97@gmail.com
Date of Birth: 06/05/1997
Place of Birth: Chennai
Nationality: Indian
DECLARATION
I hereby declare that the information provided above are true to the best of my knowledge and belief.
SIGNATURE
Akshaya
Certification
- CPC- Certified Professional Coder Exam (AAPC), Chennai [Jan 2020]
- CRC- Certified Risk Adjustment Coder Exam (AAPC), Chennai [Jun 2019]
COURSES
Computational Biology- Dr. MGR Janaki College of Arts & Science for Women, Chennai [July 2015-Oct 2015]
INTERNSHIPS
Clinical Lab Techniques-Durga bhai Deshmukh Hospital & Research Centre, Chennai [April 2016- May 2016]
Languages
Tamil
First Language
English
Upper Intermediate (B2)
B2
Timeline
Medical Coder
Agilon Health India Pvt. Ltd
09.2023 - Current
Executive Medical Coder
Episource India Pvt.Ltd
09.2017 - 02.2023
Bachelor of Science - Biochemistry
Dr. MGR Janaki College of Arts & Science For Women
HSC -
Children's Garden Higher Secondary School
SSLC -
Children's Garden Higher Secondary School
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