Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic
NAGESH JADHAV-CPC

NAGESH JADHAV-CPC

HYDRABAD

Summary

Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

5
5
years of professional experience
1
1
Certification

Work History

Coding Expert

IKS Health. Hyderabad
Hyderabad
12.2023 - Current
  • Trained new coders on proper use of ICD-10 codes and CPT codes.
  • Provided coding guidance and assistance to physicians, nurses and other staff members.
  • Monitored quality assurance activities within the department including tracking trends in denials due to incorrect or incomplete coding information.
  • Maintained current knowledge of industry changes related to ICD-10 and CPT codes by attending seminars and webinars.
  • Responded promptly to inquiries from internal customers regarding correct application of codes.
  • Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
  • Performed periodic audits of coded data to ensure accuracy and compliance with established standards.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.

Medical Coding Analyst

<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">AQuity</span> Solutions India Private Limited Pune.
Pune
04.2022 - 12.2023
  • Maintained knowledge of current coding regulations, standards, and guidelines.
  • Reviewed claims prior to submission to determine eligibility requirements were met.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Assigned patients to diagnosis-related groups using appropriate computer software.
  • Maintained positive working relationship with fellow staff and management.
  • Mentored junior team members and managed employee relationships.

Sr.Medical Coder

Omega Healthcare Solution Bangalore
Bangalore
08.2021 - 04.2022
  • Verified accuracy of claims prior to submission for payment ensuring compliance with payer requirements.
  • Prepared reports summarizing findings from audit reviews for management review.
  • Trained new coders on proper use of ICD-10 codes and CPT codes.
  • Maintained current knowledge of industry changes related to ICD-10 and CPT codes by attending seminars and webinars.

Sr Medical Coder

<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Gebbs</span> Healthcare Solution. <span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Sambhajinagar</span>
<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Sambhajinagar</span>
06.2019 - 08.2021
  • Maintained current knowledge of industry changes related to ICD-10 and CPT codes by attending seminars and webinars.
  • Reviewed medical records to identify diagnoses, procedures and services rendered for accurate coding.
  • Assigned patients to diagnosis-related groups using appropriate computer software.
  • Maintained positive working relationship with fellow staff and management.
  • Mentored junior team members and managed employee relationships.

Education

SSC -

V.M.V. <span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Kalambar</span>(De.)
<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Kalambar</span>(De.)

HSC -

CHATRAPATI SHIVAJI JR. COLLEGE MUKRAMABAD
MUKRAMABAD

D.Pharmacy -

S.B.N.M. College Pharmacy.Haata Dist-Hingoli MH
<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Hatta</span>

B.Pharmacy -

Maharashtra College Of Pharmacy. Nilanga-MH
Nilanga

Skills

  • Expert ICD-10 coding
  • Skilled with HCC EM( Multi-specialty ) OP & IP, Critical Care Home residence
  • Outpatient Coding Knowledge
  • Workflow Management
  • Proficiency in ICD10 DATA Optum encoder EPIC, 3M
  • Hands on MS-office G-sheet Pivot Tables
  • Problem-Solving
  • Quality Assurance

Accomplishments

  • 1 time Rising star & 3 times Best performer of the month( IKS health)
  • 1 time top performer of quarter ( Gebbs healthcare)

Certification

  • CPC

Languages

Marathi
First Language
English
Proficient (C2)
C2
Hindi
Advanced (C1)
C1

Timeline

Coding Expert

IKS Health. Hyderabad
12.2023 - Current

Medical Coding Analyst

<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">AQuity</span> Solutions India Private Limited Pune.
04.2022 - 12.2023

Sr.Medical Coder

Omega Healthcare Solution Bangalore
08.2021 - 04.2022

Sr Medical Coder

<span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Gebbs</span> Healthcare Solution. <span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Sambhajinagar</span>
06.2019 - 08.2021

SSC -

V.M.V. <span style="border-bottom: 2px dashed #cf4343; padding-bottom: 1.2px;">Kalambar</span>(De.)

HSC -

CHATRAPATI SHIVAJI JR. COLLEGE MUKRAMABAD

D.Pharmacy -

S.B.N.M. College Pharmacy.Haata Dist-Hingoli MH

B.Pharmacy -

Maharashtra College Of Pharmacy. Nilanga-MH

Similar Profiles

CREATE PROFILE
NAGESH JADHAV-CPC