ANTONY KURIAKOSE
Trivandrum
Summary
Certified Medical Coder with AAPC CPC Certification (91%) with 3+ years experience in HCC (Risk Adjustment) coding and strong experience in medical transcription field with knowledge of ICD-10 CM guidelines, medical terminologies, anatomy, physiology, disease process, etc.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Quality Analyst
Clarus RCM
Coimbatore
02.2025 - Current
- Currently working as QA at Clarus RCM, Coimbatore.
- Reviewing and auditing in Cioxx tool by accurately marking errors and providing feedback.
- Hands-on experience in various projects, Centene ACA, Centene MRA, Anthem MRA.
Associate III (Sr. Medical Coder)
UST
Trivandrum
01.2023 - 11.2024
- Worked as a Sr. Medical Coder for Independent Blue Cross, assigning proper HCC codes for projects, MA and ACA using AccuRisk tool, by maintaining the set productivity and quality.
Clinical Admin Coordinator
XL Health (Optum) Corporation
Bangalore
01.2022 - 01.2023
- Job duties included reviewing medical records, abstracting and assigning proper Medicare HCC Risk Adjustment ICD-10 diagnosis codes from both handwritten and EMR notes, auditing records already coded.
- Worked for United Health Group, Centene Medicare Advantage insurances, Optumcare-Caremount-NY project.
Medical Language Specialist
Deliver-Health Solutions
Chennai
01.2015 - 01.2022
- Work profile includes editing and proofreading medical reports with >99% accuracy.
Quality Assurance Team Leader
Accentia Technologies
Technopark, Trivandrum
01.2010 - 01.2014
- Accountable for client deliverables - quality aspect.
- Improving and maintaining quality standards as specified by the client.
- Planning and implementing quality improvement methods.
- Responsible for sampling/auditing.
- Mentoring and Counseling.
- Maintaining data of each individual with respect to quality and direct upload.
- Client complaints and feedback handling.
- Attending conference calls with the clients.
- Introducing all necessary things with concurrence with Dy. Mgr. Quality for improving the quality standards of the employees.
Quality Analyst & Proofreader
Accentia Technologies
01.2004 - 01.2010
- Worked as QA and Proofreader in the Quality Department with responsibilities of daily audits to monitor the performance of employees, editing medical records, identifying errors, involve in error analysis, creating further training and testing modules for the team, and suggesting improvement measures.
Team Leader
Accentia Technologies
01.2003 - 01.2004
- Worked as a Team Leader with responsibility to manage a team of 15 – 20 MTs and Editors, drive the team to achieve internal targets as well as client SLAs, planning and implementing cost reduction factors, act as a one-point contact for Managers for communication, grooming and counseling the MTs to DSP status, recommend timely rewards for the team, effective planning for proof rate reduction.
Medical Transcriptionist
KGISL
Coimbatore
01.2000 - 01.2003
- Read copy and proof ASR hospital records to detect and correct errors in medical terminologies, drugs and dosages, spelling, punctuation and syntax and verified content data and laboratory values using standard reference sources.
- Demonstrated quality transcription work consistently to multiple clients maintaining an accuracy score of 98%.
Education
BBA - Business Administration (Pursuing)
University of Mysore
Pre-degree -
Fathima Matha National College
Kollam, Kerala, IndiaSSLC -
LMEMHS
Chavara, Kollam, IndiaSkills
- MS Word, Excel, PowerPoint
- Medical terminology
- Anatomy & Physiology
- Pharmacology
- ICD 10 CM & HCC Guidelines
- Researching & Referencing
- US accents
- Fast learner
- Attention to detail
- Goal-oriented & Organized
- Highly motivated & Punctual
- Detail-directed problem solver
- Confident & Hardworking
- Team player & Fast Learner
- Good communication skills
Certification
- IP-DRG Training, Thoughtflows, 03/01/23
- AAPC CPC Exam, 91%, Completed
- CAIMC, AAPC, Completed
- Medical Coding Training, Iris Learning Solutions, Completed
- Leadership & Personality Development Program, Prof. C.F. Joseph, Director, Born to Excel Center, Dubai, Completed
- Medical Transcription Training, KGISL, Coimbatore, Completed
References
- Mrs. Shereena, Iris Learning Solutions, +971-9048128603, info@irislearning.co.in
- Mr. Sujin Joseph, +91-9847404913, sujin.joseph@accentiatech.com
Personal Information
Date of Birth: 04/10/82
Timeline
Quality Analyst
Clarus RCM
02.2025 - Current
Associate III (Sr. Medical Coder)
UST
01.2023 - 11.2024
Clinical Admin Coordinator
XL Health (Optum) Corporation
01.2022 - 01.2023
Medical Language Specialist
Deliver-Health Solutions
01.2015 - 01.2022
Quality Assurance Team Leader
Accentia Technologies
01.2010 - 01.2014
Quality Analyst & Proofreader
Accentia Technologies
01.2004 - 01.2010
Team Leader
Accentia Technologies
01.2003 - 01.2004
Medical Transcriptionist
KGISL
01.2000 - 01.2003
BBA - Business Administration (Pursuing)
University of Mysore
Pre-degree -
Fathima Matha National College
SSLC -
LMEMHS
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