Summary
Overview
Work History
Education
Skills
Certification
Internship
Professional Enhancements
Personal Information
Areas Of Exposure
Extracurricular Activities
Projects
Accomplishments
Affiliations
Worked as Doping control officer in Common wealth game 2010 New Delhi India
Timeline
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Dr. Deepak Sharma

Dr. Deepak Sharma

#Health Care# Medical Coding
Delhi

Summary

To contribute for the continuous growth and development of an organization effectively by being part of it, and keep improving myself according to the objectives and vision set by the organization.


A Skilled professional with more 11 years of experience in: Client Management, Customer relations, Quality Management, Research and analytics, Team Leadership, Data Management, Training, Medical Coding and Clinical Investigation, Patient Assessment. Proficient in documenting work performed & audit results based on pre-determined standards / guidelines. Abilities in reviewing clinical components of medical records or claims as per medical policies. Sound knowledge of US medical coding and billing. Skilled in conducting audits including review of member medical records and employee records. Well versed with the concepts of Inventory Management, Capacity Management, MIS, Process Training, Client Interaction, New Hire Mentoring & Dispute Management. A keen communicator with honed interpersonal, problem solving, negotiation and analytical abilities.

Overview

13
13
years of professional experience
4
4
Certifications
2
2
Languages

Work History

Associate Operations Manager Coding-Quality

R1 RCM GLOBAL INDIA PVT LTD
04.2016 - Current
  • Currently managing and growing team of 20+ Auditors in R1 RCM Medical coding quality team with patient type as SDS/ED/E&M/Ancillary/Denials
  • Preparing and Managing weekly dashboards and monthly deck for quality connect with U.S operation team
  • Responsible to make sure meeting monthly SLA target for 300+ Global as well as U.S Coders
  • Collaborating with operation team for operational excellence and excellent customer service
  • Managing new transitions in R1 by stabilizing the process as per customer needs
  • Directly reporting to senior manager coding quality
  • rolling out internal and external job positions of auditors basis on project requirement
  • Part of panel interviews along with HR for new auditors hiring- internal and external
  • providing Training and buddy up to promoted associate managers to deliver their responsibilities in quality manager role
  • Managed, directed and prioritized quality tasks
  • Worked to provide strategic, operational and fiscal leadership while working to reach the company's long term goal
  • Maximizing the performance of existing users by providing regular performance feedback through regular team meetings
  • Providing monthly, quarterly and annual reports to the onshore and offshore management regarding the performance.

Senior Medical Coder

Surgical Care Affiliates
10.2015 - 04.2016
  • Worked as Senior surgery Coder for Ambulator surgery centre
  • Worked on multiple type of surgery eg: GI, orthopedic, Endoscopy, Musculoskeletal, Integumentary, IVR etc.
  • Sharing daily completed target report with onshore team.
  • Provided buddy up on SOP's and software navigation to new coders


Senior Medical Coder

R System International LTD
02.2014 - 10.2015
  • Worked as Senior coder for Anesthesia and SDS
  • Provided process buddy up and SOP's walkthrough to new coders
  • aligned as interim auditor for new joined coders
  • Taking Part in client call and other KT calls, preparing the agenda for the call
  • Training new comers by conducting training sessions or buddy up sessions.

Consultant Physiotherapist

RJ's Multispecialty Clinic, Noida, UP
07.2013 - 01.2014
  • Handled activities related to: Patient assessment, history taking, diagnosis of medical condition & formulation of treatment plan
  • Counselling, coordination and dietary education to patients
  • Managed data of patient records and organized various medical camps
  • Underwent various trainings to learn new & advanced techniques related to patient management.

Investigator (Health Insurance Domain - Fraud, Waste & Abuse)

Genpact
05.2011 - 06.2013
  • Undertaking activities related to: Clinical investigation in fraud, waste & abuse in US health insurance by analyzing high dollar value claims
  • Data Management, work allocation, process training, quality audit, etc
  • Played a key role in saving cost of company by using CPT & HCPCS codes through identification of aberrant billing pattern
  • Steered efforts in conducting case audit.
  • Worked on multispecilaity accounts ED/EM/SDS to identify Fraud, Watse, abuse, upcpoding, Downcoding

Education

MBA - Operation Management

IGNOU
02.2024

Bachelor of Physiotherapy -

Guru Gobind Singh Indraprastha University
12.2010

Skills

MS Excelundefined

Certification

CPC Certified from AAPC

Internship

Institute of human behavior and allied science, Delhi, 6 months, Dec'10-May'11

Professional Enhancements

  • Attended various trainings like: On the Job Learning at Genpact, Process Management at Genpact, FWA at Genpact, E-mail Writing, Time Management & Goal Setting at Genpact
  • Lean training trained by Black Belt at Genpact
  • Certified Doping Control Officer

Personal Information

Date of Birth: 09/30/87

Areas Of Exposure

  • Delivering assistance for data management & analysis; utilizing claims data to detect aberrancies & outliers in claims and developing trends & patterns for potential cases
  • Implementing long term/short term strategic plans & SOPs to enhance operations; spearheading cost saving initiatives in various processes
  • Providing assistance in analysis of clinical data elements
  • Developing reports of investigative findings, compiling case file documentation and issuing findings in accordance with agency policies & procedures
  • Managing fraud, waste and abuse program
  • Planning & managing document control functions; establishing & maintaining execution of document management processes & procedures
  • Handling & investigating activities related to fraud and abuse

Extracurricular Activities

Merit of working in Commonwealth Games - 2010, Delhi as Doping Control Officer

Projects

Amity Physiotherapy College, Effect of Sport shoes on vitals of tuberculosis patients, Submitted as per partial fulfillment towards BPT Degree Program.

Accomplishments

    1. Worked as Doping control officer in CWG (Common Wealth Games ) New Delhi India



Affiliations

1. Member of Americal Professional coder Association

2. Member of Indian Association of physiotherapist

3. Member of delhi council of physiotherapy

Worked as Doping control officer in Common wealth game 2010 New Delhi India

Worked as Doping control officer in Common Wealth Games 2010 held in New Delhi India.


Responsible for successfully conducting Dope test of randomly selected Athlete's.

Timeline

Associate Operations Manager Coding-Quality

R1 RCM GLOBAL INDIA PVT LTD
04.2016 - Current

Senior Medical Coder

Surgical Care Affiliates
10.2015 - 04.2016

Senior Medical Coder

R System International LTD
02.2014 - 10.2015

Consultant Physiotherapist

RJ's Multispecialty Clinic, Noida, UP
07.2013 - 01.2014

Investigator (Health Insurance Domain - Fraud, Waste & Abuse)

Genpact
05.2011 - 06.2013

MBA - Operation Management

IGNOU

Bachelor of Physiotherapy -

Guru Gobind Singh Indraprastha University
Dr. Deepak Sharma#Health Care# Medical Coding