Deepak Kumar Singh
Greater Noida
Summary
Senior Physician Compliance Quality Analyst with expertise in medical coding, quality auditing, and compliance. Specialises in ICD-10, CPT, and HCPCS coding systems, ensuring accurate billing and adherence to regulations. Enhances coding workflows through EHR systems, improving productivity and accuracy. Utilises various billing software while maintaining HIPAA compliance and confidentiality to optimise reimbursement for healthcare services.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Senior specialyst
R1 RCM Global Pvt. Ltd
Noida
07.2024 - Current
- Facilitated discussions with onshore stakeholders, addressed all queries in real time, and created detailed MoM to ensure alignment and follow-up actions.
- Acted as a primary point of contact during client meetings, ensuring clear communication between stakeholders and the development team.
- Collaborated with cross-functional teams based on client feedback to improve product outcomes.
- Addressed and resolved onshore queries to maintain workflow efficiency.
- Led coder QR calibration calls to align team members on quality standards, improving coding accuracy and consistency.
- Secured Quality role in Physician Compliance department via UP.
- Implement an efficient legal compliance plan that adheres to federal and state laws to ensure protection against fraud and abuse.
- Document audit tests and findings to complete audit-related documentation and memorandums.
- Maintained high-quality standards via regular training, review meetings, and updates.
- Ensured correct coding for efficient billing processes in surgical specialties.
- Identify relevant information to select appropriate CPT codes for procedures.
- Ensured adherence to compliance standards through detailed documentation reviews for Physician compliance audit access.
- Analysed patient records to accurately assign International Classification of Diseases ICD codes for various medical procedures and diagnoses.
- Delivered comprehensive training sessions to junior coding specialists, enhancing team competency and performance.
Senior Medical Coder
R1 RCM Global Pvt. Ltd
Noida
09.2020 - 01.2023
- Assigned ICD-10 codes, sequencing diagnoses and E/M services from patient medical records to support accurate physician billing.
- Accurately coded patient information using ICD-10-CM and CPT coding systems, enhancing billing accuracy.
- Utilised ICD-10, CPT, and HCPCS coding systems to assign correct codes and facilitate billing processes.
- Review and abstract relevant clinical data from electronic medical records to select the appropriate CPT code for procedures.
- Reviewed and corrected edits in Epars for accuracy and compliance.
- Ensured coded data reflected services provided based on documentation, safeguarding against fraud and abuse.
- Consulted with physicians to optimise reimbursement and ensure compliance for the organisation's clients.
- Specialty — General Surgery, Inpatient & Outpatient/office E/M, ED Pro fee services and Edits.
Quality Auditor
Ingenious BPO
Noida, Uttar Pradesh
02.2018 - 09.2020
- Selected appropriate CPT codes for procedures after data analysis.
- Enhanced billing procedures by leveraging ICD-10, CPT, and HCPCS codes.
- Reviewed medical records to accurately code diagnoses and procedures for reimbursement.
- Ensured compliance with data protection and privacy regulations.
- Kept current with coding updates.
- Supervised junior coders aiding in their professional growth and boosting team effectiveness.
- Maintained compliance with medical guidelines.
Medical Coder
Ingenious BPO Pvt. Ltd
Noida
08.2017 - 02.2018
- Specialty - General Surgery, Inpatient & Outpatient/office, ED department Pro Fee.
- Utilised strong time management skills to constantly meet and exceed code completion targets.
- Accurately coded patient information using ICD-10-CM and CPT coding systems, enhancing billing accuracy.
- Implemented a peer review system to enhance coding accuracy and reduce errors.
- Secured QA role through internal job posting.
Medical Coder
Iservices Pvt. ltd
Noida
01.2016 - 08.2017
- Started medical coding career at iServices Pvt. Ltd. as medical coder.
- Maintained up-to-date knowledge of coding updates and revisions, applying them accurately to medical records.
- Accurately coded patient information using ICD-10-CM and CPT coding systems, enhancing billing accuracy.
Marketing Executive
Lupin Lboratories
Mau
09.2015 - 01.2016
- Implemented marketing plans for new product launches, working closely with product team to meet key milestones and deadlines.
- Developed and evaluated marketing strategies aligned with company objectives and market trends.
- Prepared marketing forecasts to guide strategy on daily, weekly and quarterly basis.
- Updated and maintained marketing collateral, including brochures and presentations, ensuring consistency and relevance across materials.
Marketing Executive
Dr. reddys laboratories
02.2013 - 09.2015
- Enhanced outreach through targeted marketing strategies that expanded customer base.
- Built new business partnerships to drive customer acquisition and generate revenue.
- Executed marketing plans for new product launches alongside product team to achieve key milestones and deadlines.
- Maintained and updated marketing collateral, including brochures and presentations, to ensure consistency and relevance.
Education
Foundation Degree in Science - B. Pharmacy
NIET
Greater Noida, UPSkills
- Compliance auditing
- Quality assurance
- ICD-10
- CPT
- HCPCS Level II
- Medical coding
- Revenue Cycle Management
- NextGen Healthcare
- Athena Billing
- Centricity EMR
- Epic Systems
- Cerner power chart
- Meditech
- 3M 360 Encompass
- Select coder
- Encoder
- HIPAA Compliance
- Medical Documentation
- Health Data Structures
- Data Trends Analysis
- SCM
- Prime
- NCH
Certification
Certified Medical Coder (CPC), AAPC
- AI certified Medical coder and Auditor
Accomplishments
- Promoted a Physician Compliance Audit Initiative via Internal Job Posting (IJP), increasing awareness and participation among eligible staff.
- Achieved SuperStar and SigningStar certifications through R&R, consistently recognized.
- Spearheaded the development of a new medical coding process at Ingenious BPO Pvt. Ltd, streamlining workflow and reducing coding errors.
Custom
Aligned to me Physician compliance audit to provide education and improvement in medical documentation for provider.
Timeline
Senior specialyst
R1 RCM Global Pvt. Ltd
07.2024 - Current
Senior Medical Coder
R1 RCM Global Pvt. Ltd
09.2020 - 01.2023
Quality Auditor
Ingenious BPO
02.2018 - 09.2020
Medical Coder
Ingenious BPO Pvt. Ltd
08.2017 - 02.2018
Medical Coder
Iservices Pvt. ltd
01.2016 - 08.2017
Marketing Executive
Lupin Lboratories
09.2015 - 01.2016
Marketing Executive
Dr. reddys laboratories
02.2013 - 09.2015
Foundation Degree in Science - B. Pharmacy
NIET