KANNAN. J
CCS
Chennai,TN
Summary
My objective is to work in a challenging environment where I can lay my experience to the organization’s best use and which make me a versatile in my carrier. PROFESSIONAL SUMMARY: - Senior Associate coder – 9 + years’ experience in medical billing and coding End to End RCM of US Healthcare & UAE Healthcare
Overview
1
1
Language
1
1
Certification
3
3
years of post-secondary education
10
10
years of professional experience
Work History
Senior Associate Coder
APM(ACCUMED) Medical Billers PVT LTD
Perungudi, Chennai, Tamilnadu - 600096
12.2019 - Current
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Verified signatures and checked medical charts for accuracy and completion.
- Initiated, performed and documented quarterly coding audits for physicians.
Medical Recs Coding & Transaction. Sr. Associate
NTT DATA Information Processing Services Private Limited
Manapakkam, Chennai - 600089, Tamil Nadu
10.2018 - 12.2019
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Reviewed [Number] medical records per [Timeframe] to select appropriate coding sequences.
Senior Client Partner
Access Healthcare Services
Ambattur Industrial Estate, Chennai, Tamil Nadu 600058
03.2017 - 10.2018
- Reviewed charts and flagged incomplete or inaccurate information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Kept accurate log of all requests for medical information and records.
- Maintained accuracy, completeness and security for medical records and health information.
AR Analyst - RCM
Omega Healthcare Management PVT LTD
Kandancavadi, Chennai, Tamil Nadu 600096
07.2012 - 07.2016
- Verified proper ICD-9 coding on claims.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed services rendered and completed to reconcile codes.
- Efficiently collected payments and communicated with clients.
- Posted payments and collections on regular basis.
- Transferred balances to correct payers.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Analyzed medical records to satisfy insurance company mandates.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Posted charges, payments and write-ups for cardiovascular procedures.
- Researched and followed up on denied insurance claims.
- Collected payments and applied to patient accounts.
- Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Transaction Executive
E-care India PVT ltd
Mount Road, Chennai, Tamil Nadu 600002
07.2010 - 06.2012
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Education
Bachelor of Arts - B.SC (Maths)
01.2007 - 01.2010
Skills
PROFESSIONAL TRAINING PROGRAM:-undefined
Accomplishments
- Medical Billing – Demo entry & charge entry worked for 2years.
- Payment posting, correspondence, refund worked for 1 years.
- QCA for all the process (DC, PP, Denial & refund) worked 2 year.
- Working AR analyst including IVR call for 6 MonthCERTIFICATION:.
- CCS certified by American health information management association (AHIMA)MEDICAL CODING AND BILLING SOFTWARE:.
- 3M, Nextgen, E-clinical work, Mega view, centricity, Athena.
Additional Information
- ( Medical billing 5.5 years & Medical coding 4 year) I have experience for both Medical Billing & Medical Coding. 1 Year 6 Month worked in E-care India Pvt Ltd from Mount road. 4 Years working Omega Healthcare Management Pvt Ltd from Kandhanchavadi. 1.6 Year worked at Access Healthcare from Ambattur, Chennai. 1.6 month worked at NTT Data information PVT Ltd (Formally Dell service) at Ramapuram, Chennai. Now working in APM medical billers Pvt LTD at Perungudi. ACTIVITIES FOR MEDICAL CODING: 1 year 6-month experience at Access healthcare. (1-year 6-month experience in Denial coding for multispecialty – Athena project) at access healthcare. 1 year 6-month experience at NTT Data information PVT Ltd. (worked front end coding for anesthesia-surgery (4 months), Multispecialty denial coding entry level for 6 month and Audit level for 1 year. Currently working in APM medical billers PVT LTD. (Working as senior Associate coder for Multi-specialty denial coding. I know about IPDRG specialty also.
Certification
CCS certified by American health information management association (AHIMA)
Timeline
Senior Associate Coder - APM(ACCUMED) Medical Billers PVT LTD
12.2019 - Current
Medical Recs Coding & Transaction. Sr. Associate - NTT DATA Information Processing Services Private Limited
10.2018 - 12.2019
CCS certified by American health information management association (AHIMA)
04-2018
Senior Client Partner - Access Healthcare Services
03.2017 - 10.2018
AR Analyst - RCM - Omega Healthcare Management PVT LTD
07.2012 - 07.2016
Transaction Executive - E-care India PVT ltd
07.2010 - 06.2012
Quaide Milleth College For Men - Bachelor of Arts, B.SC (Maths)
01.2007 - 01.2010
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