Sports
Krishnaraj M
RCM Medical coding Team Lead
Minjur
Summary
Team Leader experienced in directing activities of workgroups. Develops strategies, provides training, sets goals and obtains team feedback. Excellent interpersonal and communication skills. Big picture focus with excellence in communicating goals and vision to succeed. Problem solver, networker, and consensus builder.
Overview
13
13
years of professional experience
5
5
years of post-secondary education
3
3
Certifications
3
3
Languages
Work History
Team Leader
Guidehouse India Pvt LTD
Chennai
03.2023 - Current
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
- Enhanced team productivity by implementing efficient work processes and regularly reviewing performance metrics.
- Mentored junior staff members, helping them develop their leadership potential and advance in their careers.
Coding Audit Lead
Revele India PVT.LTD
Chennai
12.2015 - 03.2023
- Company Overview: Formerly Pradot
technologies
•
Working on denials and preparing report on
denial trends
•
Coding ICD-10 CM and CPTs such as E/M,
Surgery, Pathology and Radiology codes
based on report
•
Meeting with RCM and CRC and providing
coding guidelines to the client
•
Preparing coding appeals to insurances for
additional reimbursement for surgeries and
unlisted procedures
•
Enhanced audit efficiency by implementing
risk-based audit procedures and
methodologies. - Developed customized audit programs,
addressing specific business needs and
objectives.
•
Evaluated the effectiveness of implemented
solutions post-audit, ensuring ongoing
compliance with recommendations.
•
Led a team of auditors, fostering collaboration
and promoting professional development
among team members.
•
Improved audit quality by providing ongoing
training and support to junior audit staff
members
EXECUTIVE CODER
India Health care solutions
Chennai
07.2014 - 09.2015
- Reviewing plan of care such as SOC, ROC and REC
- Capturing ICD-9 CM and ICD-10 CM and PCS codes based on admission
- Analyzing patient medical history, Daily activities, Medications and updating OASIS sheets based on guidelines
- Interacting with physicians and assistants to ensure accuracy and raising queries for diagnosis and documentation
- Adhering to HIPPA compliance and maintaining patient confidentiality and safeguarding information security
EXECUTIVE CODER
Episource India PVT.LTD
Chennai
01.2012 - 07.2014
- Reviewing Medical records of the patients and capturing HCC ICD-9 CM and DRG codes
- Responsible for Inpatient coding for the allocated claims such as surgery note, discharge summary, OT Notes, Medication charts, Lab reports, Radiology reports etc
- Working on rebuttals and auditing the charts adhering to state and client specific policy guidelines
- Documenting the errors and providing training to the team
Education
Master of Science - Zoology
07.2009 - 08.2011
Bachelor of Science - Biotechnology
01.2006 - 06.2009
Skills
Team supervision
Certification
CPC certified from AAPC, 01258943
Accomplishments
- Episource – Nominated for Best employer of the year 2013.
- Indian Health care Solutions – Cleared BCHH-C as topper.
Personal Information
- Date of Birth: 11/01/88
- Nationality: Indian
- Marital Status: Married
Disclaimer
I am hereby declaring that the above statements are true to the best of my knowledge and belief.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
HybridImportant To Me
Career advancementWork-life balanceFlexible work hoursHealthcare benefitsWork from home optionTeam Building / Company RetreatsInterests
Timeline
Team Leader - Guidehouse India Pvt LTD
03.2023 - Current
Coding Audit Lead - Revele India PVT.LTD
12.2015 - 03.2023
EXECUTIVE CODER - India Health care solutions
07.2014 - 09.2015
EXECUTIVE CODER - Episource India PVT.LTD
01.2012 - 07.2014
University of Madras - Master of Science, Zoology
07.2009 - 08.2011
University of Madras - Bachelor of Science, Biotechnology
01.2006 - 06.2009
CPC certified from AAPC, 01258943
Completed ICD-10 certification
Certified in BCHH-C
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