Summary
Overview
Work History
Education
Skills
Certification
Languages
Disclaimer
Work Summary
Course Coverage
Timeline
Generic

JEBAKUMAR A

Chennai

Summary

Excellent Medical Coding Specialist with extensive experience in high-pressure medical settings. Demonstrated expertise in accurately assigning ICD-10, CPT, and HCPCS codes, ensuring compliance with medical documentation standards. Strong foundation in anatomy, physiology, and medical terminology, contributing to improved coding accuracy. Proven success in implementing process enhancements that elevate coding precision and efficiency.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Medical Coding Specialist

AGS Health Care
11.2020 - Current
  • Having experience in handling multi-specialty projects.
  • Knowledge in the Emergency Department (facility coding), diagnosis (ICD-10-CM), and procedural coding (CPT-2019).
  • Good knowledge in level-based E/M, and injection and infusion coding.
  • Maintained up-to-date knowledge of medical terminology and coding changes.
  • Updated databases with new codes as they are released by regulatory agencies.
  • Quickly responded to staff and client inquiries regarding CPT codes.

Sr. Process Associate

AGS Health Care
04.2014 - 11.2020
  • As a Trainee Team Leader, I oversaw the trainee team, ensuring effective collaboration and development.
  • Managed client communications via email for efficient information exchange.
  • Resolved credit balance issues through detailed analysis and problem-solving techniques.

Sr. Revenue Cycle Analyst

Southerland Health Care
09.2011 - 04.2014
  • Merged CB packets into a single PDF for client submission.
  • Prepared monthly credit reports and charts for client presentations.
  • Reviewed medical records to ensure accurate coding before claims submission.
  • Conducted audits of patient accounts to identify potential inaccuracies affecting revenue.

Process Associate

Technosoft
09.2008 - 09.2011
  • Managed SOF team and reported directly to supervisor.
  • Analyzed billing issues and resolved accounts receivable discrepancies.
  • Examined credit reports to identify and solve underlying problems.

Financial Transaction Executive

Perotsystems
08.2007 - 09.2008
  • Posted insurance and patient payments accurately and efficiently.
  • Recorded denial codes from correspondence to ensure proper billing procedures.
  • Managed timely posting of payments to maintain accurate financial records.

Education

M.Sc. - Mathematics

Madras University
Chennai
04.2007

B.Sc. - Mathematics

Madras University
Chennai
04.2002

XII th -

St., Francis Xavier HSS
Tuticorin
03.1998

X th -

St., Francis Xavier HSS
Tuticorin
03.1996

Skills

  • Medical billing software (PPM, SANITAS, EPIC, IDX, NextGen, Citrix)
  • ICD-10CM coding
  • CPT coding
  • EM level coding
  • Procedural analysis
  • Diagnostic interpretation
  • Claims processing
  • Team leadership
  • HCPCS level II coding
  • Medical claims coding
  • Payment posting expertise
  • Denial coding knowledge
  • Mail returns and refunds

Certification

  • H.D.C.A (Honor’s Diploma in Computer Application) From CSC
  • Advanced MS excel Certification from Manipal academy for Certified Professionals

Languages

Tamil, English

Disclaimer

I hereby declare that the information given above is true and correct to the best of my knowledge and belief. Date: Place: Chennai. JEBAKUMAR. A

Work Summary

  • Review – Once the work-order is received check whether it is true refund or a credit balance trip by verifying the payment transactions and EOB.
  • Categorization – Refunds accounts are categorized by the categorization codes.
  • Medicare / Medicaid refunds – paperwork.
  • Commercial Refunds – Generate the Refund Request form from software.
  • Patient Refunds, Corrected Claim, Void Claim & Deleted HCPCS.
  • Attorney Refunds
  • Payment Posting: Reimbursement amount entered into client software.
  • Denial Coding: Entering the appropriate denial code/description in the denial tab.
  • SOF Process: Take the correct SOF and file to the appropriate insurance.
  • Mail return: Updating all details into softer from patient card copy.

Course Coverage

MS-Dos, MS-Windows, MS- office (Word, Excel, Power point) FoxPro 2.5, Oracle, VB, HTML, FrontPage

Timeline

Medical Coding Specialist

AGS Health Care
11.2020 - Current

Sr. Process Associate

AGS Health Care
04.2014 - 11.2020

Sr. Revenue Cycle Analyst

Southerland Health Care
09.2011 - 04.2014

Process Associate

Technosoft
09.2008 - 09.2011

Financial Transaction Executive

Perotsystems
08.2007 - 09.2008

M.Sc. - Mathematics

Madras University

B.Sc. - Mathematics

Madras University

XII th -

St., Francis Xavier HSS

X th -

St., Francis Xavier HSS
JEBAKUMAR A