Kunal Suryawanshi
Pune
Summary
- Total 8+ years of experience in the field of Clinical Data Management & Healthcare Coding
- Working on consolidation of data, allocation.
Working on mails of clients on a daily basis for discrepancies shared. - Weekly Team sessions for discrepancies and new updates.
- CDM (Client Specialist) and handling multiple studies across different therapeutic areas and managing people
- Successfully worked and managed multiple studies from startup phase through database lock. I have been providing basic and comprehensive data management expertise to the new members within the team to provide efficient, quality data management that meets customer expectations
- Handled responsibilities of project deliverables from operations perspective by handling functional teams, data review and quality control activities by understanding and complying with core operating procedures and working instructions.
Overview
11
11
years of professional experience
Work History
Medical Coding Specialist
Medmecs Billing Services
11.2022 - Current
- Working on consolidation of data, allocation.
Working on mails of clients on a daily basis for discrepancies shared. - Weekly Team sessions for discrepancies and new updates.
- Analyzing the medical record Assigning the CPT, ICD as required based on the standard operating protocol.
- Working on E/M level chart According to CMS, Medicare and Commercial Payer etc… guidelines.
- Maintaining patient confidentiality and information security. (HIPAA).
- Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA), and the Center for Medicare and Medicaid Services (CMS) for the assignment of diagnostic and procedural codes.
- Follow the guidelines to Medicare, CMS & Commercial insurance.
- Possess Knowledge in MIPS.
Medical Coder
WNS Global Services Pvt. Ltd
09.2021 - 07.2022
- Analyzing the medical record. Assigning the CPT, ICD as required based on the standard operating protocol.
- Working on E/M level chart According to CMS, Medicare and Commercial Payer etc… guidelines.
- Meet daily coding production and quality standards as per SLA. Collaborate with Billing department to ensure all bills are satisfied in a timely manner.
- Maintaining patient confidentiality and information security. (HIPAA).
- Extensive knowledge of official coding conventions and rules established by AMA, and the Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
- Follow the guidelines to Medicare, CMS & Commercial insurance.
- Possess Knowledge in MIPS.
Senior Clinical QA/CDM (Client Specialist)
Access Healthcare Pvt. Ltd
03.2015 - 03.2019
- Assessment of clinical documents like Emergency Documents, Physician notes, Prescriptions and its sub-classes, Lab reports, Consult notes, Operative notes, and Discharge summaries etc.
- As Client Specialist need to detect, interpret and update the treatment related information from the case of patient which helps to convert physical health information into electronic medical record (EMR) under HIPAA act which help to provide seamless service to patients.
- To perform case reports including data entry into Facility Q1 Database. Detailing reports like patients Chief complaints, Review of systems, medical history, Examination, Medication details adverse effects, diagnosis details, Lab data, Radiology Examination etc.
- To identify proper ICD - 10 CM according to Final Diagnosis from patients reports to physician.
- Follow the ICD 10 data or ICD guidelines for selection of numerical code with excluded and included.
- Entry for cases and forwarding to QC work flow. Ensure accurate and complete data entry of reports from documents with timelines and Quality.
Dispatch Control Officer
BVG INDIA
03.2014 - 02.2015
- Solving issues through interacting with CDM team member provide support in terms of ongoing documentation and filing.
Production Officer
V. Durga Chemical Udyog
08.2013 - 02.2014
- Having six month experience as a production officer and also handling a Quality Control Department in small scale industry - V.DURGA CHEMICAL UDYOG
Education
B. PHARMACY - Pharmacy
SMBT College of Pharmacy
Igatpuri, Nashik, India03.2013
Skills
- Claims Processing
- Professional ethics
- HIPAA Compliance
- CODING (EMR systems), CDM
- Well versed with Medidata's RAVE, Athena
- Microsoft Office Suite
- (Excel, Word, Outlook, PowerPoint) Spreadsheets, - Email, Internet and Social Skills
COMPUTER KNOWLEDGE:
Additional Information
Name: Kunal Ravindra Suryawanshi
Date of Birth: 19th Feb 1989
Gender: Male
Marital Status: Married
Nationality: Indian
Permanent Address: N-4/2JE-1/24/1, Savata Nagar, Cidco Nashik
Languages Known: English, Hindi, and Marathi
Timeline
Medical Coding Specialist
Medmecs Billing Services
11.2022 - Current
Medical Coder
WNS Global Services Pvt. Ltd
09.2021 - 07.2022
Senior Clinical QA/CDM (Client Specialist)
Access Healthcare Pvt. Ltd
03.2015 - 03.2019
Dispatch Control Officer
BVG INDIA
03.2014 - 02.2015
Production Officer
V. Durga Chemical Udyog
08.2013 - 02.2014
B. PHARMACY - Pharmacy
SMBT College of Pharmacy
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