Summary
Overview
Work History
Education
Skills
Certification
Languages
Accomplishments
Timeline
Generic

Jinson Jacob

Kottayam

Summary

Certified medical coder (CPC) with 6 years of experience seeking to expand expertise in healthcare. Looking for a position to utilize training and skills to drive organizational success. Passionate about precise coding and attention to detail, aiming to make a meaningful impact. Excited to contribute to a team focused on delivering high-quality care and improving patient outcomes.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Senior Medical Coder

OMEGA HEALTHCARE PVT LMT
01.2024 - Current
  • Currently employed as multi-specialty denial coder.
  • Job Role: Utilizing claim ID to verify the medical record, claim form, and EOB. Selecting the appropriate denied or rejected reason for claim processing. Commonly performed end actions include advising on the claim, contacting representatives, filing appeals, requesting documentation, and clarifying practice issues from client end.
  • Ensured compliance with industry regulations by staying updated on current coding practices and guidelines.
  • Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions
  • Reduced claim denials by identifying and addressing common errors in the coding process.
  • Specialized in E/M, Pathology, Surgery, Radiology.
  • Refined operational procedures with Athena platform.

Process Executive in Medical Coding

INVENSIS TECHNOLOGIES PVT LMT
06.2023 - 01.2024
  • Handled coding processes for Gastroenterology and denial claims.
  • Maintained strict adherence to quality standards by conducting regular audits, resulting in reduced error rates.
  • Provided training and mentorship to team members, fostering a culture of learning and growth.
  • Conducted root cause analyses to identify underlying issues affecting process performance, enabling targeted solutions that addressed core problems rather than symptoms alone.
  • Served as an unofficial Team Lead

Senior Medical Coder

KRAFT BPO
03.2022 - 04.2023
  • Operated as a multi-specialty denial coder.
  • Handled coding denials for physician and hospital billing.
  • Job Role: Addressing insurance denials based on the denial reasons (CARC or RARC codes) to resolve issues related to physician payments through appropriate actions. These claims were reprocessed, resubmitted, appealed, corrected, or clarified with the clients as needed for documentation requests. Additionally, I have gained experience in denial management and the patient statement department.
  • Reduced claim denials by identifying and addressing common errors in the coding process.
  • Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
  • Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
  • Worked across specialties including anesthesia, surgery, E/M, radiology, pathology, urology, oncology, and gynecology
  • Software used: EPIC, EHR, Dr. Chrono

Medical Coding Specialist

OMEGA HEALTHCARE PVT LMT
06.2019 - 02.2021
  • Assessed reasons for denials and rejections, analyzing medical records to suggest necessary changes in ICD 10, CPT, Modifiers, and HCPCS codes.
  • Specialized in urology and oncology.
  • Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
  • Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
  • Utilized Allscripts and EPIC to streamline medical processes.

Education

Bachelor Of Science - Zoology

C. M. S. College
Kottayam, India
03.2019

Diploma - Medical Coding And Billing

I. I. M. C
Kottayam, India
10.2019

Skills

  • Management
  • Problem solving
  • Leadership
  • Medical billing experience
  • Revenue cycle management
  • Anatomy and physiology
  • Expert ICD-10 coding
  • HIPAA compliance
  • Teamwork
  • Time management
  • Problem-solving abilities
  • Adaptability and flexibility
  • Decision-making
  • ICD-10 coding
  • Microsoft Excel
  • Open office
  • Optum 360

Certification


  • CPC - Certified Professional Coder - AAPC

Languages

English
Advanced (C1)
Malayalam
Bilingual or Proficient (C2)
Tamil
Upper intermediate (B2)
Hindi
Intermediate (B1)
Telugu
Elementary (A2)
Kannada
Elementary (A2)

Accomplishments

    Accomplished the Think Big Challenge in 2020, demonstrating expertise in revenue cycle management within the Omega healthcare sector. Recognized organization-wide for innovative improvements to revenue management processes, resulting in winning a prestigious award. Proven track record of implementing strategies to drive revenue growth and operational efficiency.

Timeline

Senior Medical Coder

OMEGA HEALTHCARE PVT LMT
01.2024 - Current

Process Executive in Medical Coding

INVENSIS TECHNOLOGIES PVT LMT
06.2023 - 01.2024

Senior Medical Coder

KRAFT BPO
03.2022 - 04.2023

Medical Coding Specialist

OMEGA HEALTHCARE PVT LMT
06.2019 - 02.2021

Bachelor Of Science - Zoology

C. M. S. College

Diploma - Medical Coding And Billing

I. I. M. C

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