NAVEEN PRAKASAM
289, Sakthi Avenue, First Main Road, Perumalpattu Post, Chennai
Summary
To work in a creative and challenging environment where I can take part in the growth of the organization by applying my abilities to the best where there is a room for upgrading skills and knowledge.
Diligent Quality Auditor/GC with fair approach and strong attention to detail. Reduces errors and increases conformance by conducting thorough audits and routine reviews. Focused on helping root out systematic errors and improve consistency.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Coding Quality Auditor
AGS Health Pvt.Ltd
Chennai
07.2023 - Current
- Conducted internal audits to ensure compliance with quality standards.
- Monitored product performance and identified areas for improvement.
- Developed and maintained audit plans, checklists and procedures.
- Performed root cause analysis of non-conformance issues.
- Evaluated production processes for efficiency and effectiveness.
- Collaborated with coders to resolve quality issues in a timely manner.
- Created reports on audit findings, including recommendations for improvements.
- Provided guidance to team members on the implementation of corrective action plans.
- Verified accuracy of inspection records and updated them as required.
- Maintained all relevant documents related to inspections and audits in an organized manner.
- Facilitated training sessions on Quality Assurance topics such as ICD - 10 CM and ICD - 10 PCS codes.
- Identified process gaps by comparing actual results against expected outcomes.
- Scheduled education session to the coders and planned assessments.
- Produced official reports of findings to meet regulatory standards and assist senior leadership with improving operations.
GC (Group Coordinator)
Miramed Ajuba Solutions Pvt.Ltd
Chennai
04.2020 - 07.2023
- Worked as a GC (Group Coordinator) with 3 years’ experience in auditing.
- Prepared reports summarizing progress on various initiatives undertaken by the group coordinator.
- Assisted in developing strategies for achieving organizational objectives.
- Coached and developed direct reports to lead problem-solving activities.
- Maintained high standards of professionalism in all group interactions by modeling effective communication skills and respectful behavior towards colleagues.
- Provided ongoing support to team members, addressing concerns promptly and offering solutions to ensure optimal teamwork and progress towards objectives.
- Identified opportunities for outreach programs that would benefit the organization.
- Implemented feedback from management into operational processes within the group.
- Worked with other group leaders to identify and resolve issues between teams.
- Conducted regular performance evaluations of team members, offering constructive feedback and tailored coaching to enhance individual success within the group setting.
- Organized training sessions for team members on various topics relevant to their roles, enhancing skills development and job satisfaction.
Inpatient DRG Coder
AGS Health Pvt.Ltd
Chennai
02.2018 - 04.2020
- Experience with facility based IP –DRG with PCS coding and auditing.
- Accurately assigned codes using UHDDS guidelines and official print copy of code book, coding clinics etc
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Reviewed clinical data from medical records to assign ICD - 10 CM, ICD - 10 PCS codes.
- Maintained high accuracy rate on daily production of completed reviews.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Interpreted medical reports to apply appropriate ICD-10 CM, ICD -10 PCS codes.
- Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
- Quickly responded to staff and client inquiries regarding ICD - 10 CM codes, ICD - 10 PCS codes.
- Maintained positive working relationship with fellow staff and management.
Education
BSC – Bio-Technology -
Jaya College of Arts And Science
Chennai, Tamilnadu01.2017
Higher Secondary Examination -
Goverment Higher Secondary School
Chennai, Tamilnadu01.2014
Secondary School Certificate -
Goverment Higher Secondary School
Chennai, Tamilnadu01.2012
Skills
- MS Office
- ICD 10 CM
- ICD 10 PCS
- AHIMA CCS
- Report Preparation
- Investigation leadership
- Corrective Action Planning
- Performance Improvement
- Training and coaching
- Staff Management
- Audit process coordination
Personal Characteristics
- Willingness to learn new things
- Good at decision making
- Communication skills
Technical Skills
MS Office, ICD 10 CM, ICD 10 PCS, AHIMA CCS (Certified Coding Specialist)
Roles And Responsibilities
- Reviewing inpatient medical records and assigning accurate ICD-10 CM and PCS codes for diagnosis and procedures
- Resolving all coding edits prior to finalizing the abstract
- Adhering to all coding clinics and guidelines
- Querying physicians for clarifications as and when needed
- Assigning ICD-10 codes to the most basic and routine IP admissions and additional diagnosis codes based on specific clinical findings (laboratory, pathology, and psychological reports as well as clinical studies)
Personal Information
- Father's Name: R.Prakasam
- Date of Birth: 09/18/1996
- Gender: Male
- Nationality: Indian
- Marital Status: Unmarried
Languages
- Tamil
- English
- Telugu
Disclaimer
I do hereby confirm that the information and facts furnished above is true to the best of my knowledge.
Certification
- I have completed CCS (Certified Coding Specialist) certification on November, 2019.
Languages
Tamil
First Language
English
Proficient (C2)
C2
Telugu
Proficient (C2)
C2
Current Designation
Medical Coding Quality Auditor, AGS Health Pvt.Ltd
Timeline
Medical Coding Quality Auditor
AGS Health Pvt.Ltd
07.2023 - Current
GC (Group Coordinator)
Miramed Ajuba Solutions Pvt.Ltd
04.2020 - 07.2023
Inpatient DRG Coder
AGS Health Pvt.Ltd
02.2018 - 04.2020
BSC – Bio-Technology -
Jaya College of Arts And Science
Higher Secondary Examination -
Goverment Higher Secondary School
Secondary School Certificate -
Goverment Higher Secondary School
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