RAMKUMAR H
Chennai
Summary
Highly skilled and meticulous Medical Coder with over 10 years of experience in interpreting and applying medical coding guidelines to accurately code patient diagnoses and procedures. Proficient in ICD-10, CPT, HCPCS and HCC coding systems. Demonstrated ability to manage multiple tasks and deadlines, and to interpret and apply complex medical information. Proven track record of improving efficiency and accuracy in coding, resulting in improved revenue cycle management. Committed to maintaining up-to-date knowledge through continuous education and training. Excellent communication and interpersonal skills, with a strong attention to detail and the ability to work effectively in a team environment.
Overview
13
13
years of professional experience
Work History
Multispecialty to ED Profee
10.2020 - 02.2025
- Verifies and abstracts all the relevant data from the medical records to assign appropriate codes for the following settings: Multispecialty Outpatient Clinics, Urgent Care Centers, Inpatient Hospital Setting
- Code 12 charts per hour and meeting the standards for quality criteria
- Needs to constantly track and implement all the updates of AMA guidelines, AHA guidelines, and CMS guidelines
- Under general supervision, organizes and prioritizes all work to ensure that records are coded and edits are resolved in a time frame that will assure compliance with regulatory and client guidelines
- Adherence with confidentiality and maintains security of systems. Compliance with HIPAA policies and procedures for confidentiality of all patient records
Senior medical coder
Nthrive Global Solutions Pvt. Ltd.
07.2016 - 09.2020
- Coding Expertise: Utilize advanced knowledge of medical coding systems (e.g., ICD-10, CPT, and HCC) to assign accurate codes to diagnoses, procedures, and services.
- Quality Assurance: Conduct thorough reviews of coded medical records to ensure compliance with coding guidelines, accuracy, and completeness.
- Team Leadership: Provide guidance, mentorship, and training to junior coders, assisting in their professional development and ensuring consistency in coding practices.
- Auditing and Compliance: Perform regular audits of coded records to identify discrepancies, errors, or potential compliance issues, implementing corrective actions and process improvements as needed.
- Continuing Education: Stay abreast of changes in coding regulations, healthcare policies, and industry best practices through ongoing education and professional development activities, ensuring coding practices remain up-to-date and compliant.
Healthcare claims processor
E4E Healthcare Business Services Pvt. Ltd.
07.2012 - 06.2016
- Review, process, and adjudicate healthcare claims for accuracy and compliance.
- Code and bill claims accurately, adhering to coding guidelines and regulations.
- Maintain detailed documentation and ensure quality and compliance standards are met.
- Provide excellent customer service, addressing inquiries and concerns professionally.
Education
BCA - computer application
TMG College of Arts & Science
Manimangalam01-2012
HSC - undefined
Government higher Secondary school
01-2009
SSLC - undefined
Government higher Secondary school
01-2007
Skills
Verbal and written communication
Detail-oriented
Adaptability and learning
Medical coding
Timely outpatient coding
Claims investigation and correction
HIPAA compliance
Regulatory compliance
Mentorship and Training
Team leadership
Problem-solving and decision-making
DISCLAIMER
I declare that the information and facts stated herein are true and correct to the best of my knowledge and belief. I undertake to abide by the conditions of employment specified by the recruiters. Date: Place: Yours Sincerely (RAMKUMAR H)
Timeline
Multispecialty to ED Profee
10.2020 - 02.2025
Senior medical coder
Nthrive Global Solutions Pvt. Ltd.
07.2016 - 09.2020
Healthcare claims processor
E4E Healthcare Business Services Pvt. Ltd.
07.2012 - 06.2016
SSLC - undefined
Government higher Secondary school
HSC - undefined
Government higher Secondary school
BCA - computer application
TMG College of Arts & Science