Arun Gandhi
Uthangarai
Summary
Senior Medical Coder/Auditor with a track record of 96% coding accuracy at VeeHealthtek. Specialized in HCC coding and clinical data management, excelling in prospective, retrospective, and concurrent reviews. Demonstrated expertise in patient data analysis and compliance audits, consistently delivering high-quality coding results.
Overview
4
4
years of professional experience
Work History
Senior Medical Coder/Auditor
VeeHealthtek
03.2023 - Current
- Achieved 84% coding accuracy as a "Certified Professional Coder (CPC)".
- Conducted coding audits to ensure compliance with regulations.
- Reviewing patient data before an encounter to identify potential HCC conditions, and ensure accurate coding, ultimately improves risk adjustment and reimbursement for healthcare providers.
Projects Involved:
1. P3 prospective.
2. Summa Care MA.
3. Summa Care ACA.
4. Harmonycares RADV (Audit Process).
Tools Experienced:
1. Epic
2.Cerner
3.Ciox
Executive Medical Coder
Corrohealth
05.2022 - 02.2023
Coder/Auditor Projects Involved:
- 1. HUMANAMRA
- 2. OPTUM MRA Facility
- 3. COTIVITI ANTHEM
- 4. CIGNA
- 5. OPTUM LOAN MRM.
Tools Experienced.
1. Ciox
2. Cerner
NANDHA MEDICAL COLLEGE AND HOSPITAL
05.2021 - 07.2021
- COVID DUTY
- PHARMACY MANAGEMENT AND PURCHASE
Education
DOCTOR OF PHARMACY.(PHARM.D) -
DR.MGR University
01-2022
Skills
- Medical chart review
- Clinical data management
- Coding accuracy
- Epic charting
- HCC coding
- ICD-10 coding
- Healthcare reimbursement
- Patient data analysis
- Cerner documentation
- Risk adjustment
Languages
- English
- Tamil
- Malayalam
Projects
Effect of 5S PDCA technique on the improvement of pharmacy inventory management system on a major trauma care centre
Disclaimer
I hereby declare that the above mentioned particulars are correct up to my knowledge and I bear the responsibilities for the correctness of above mentioned particulars.
Personal Information
Date of Birth: 11/04/97
Projects Involved
- HUMANA, MRA
- OPTUM MRA FACILITY
- COTIVITI ANTHEM
- CIGNA
- OPTUM LOAN MRM
Timeline
Senior Medical Coder/Auditor
VeeHealthtek
03.2023 - Current
Executive Medical Coder
Corrohealth
05.2022 - 02.2023
NANDHA MEDICAL COLLEGE AND HOSPITAL
05.2021 - 07.2021
DOCTOR OF PHARMACY.(PHARM.D) -
DR.MGR University
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