Assignments in Healthcare-Medical Coding with an organization of repute- preferably in the ITES/BPO Industryy
A Competent US Certified CPC Professional (CPC-AAPC-US) with proven track record in operational/training management of nearly 16 years of rich experience in medical coding. Excellent communication, presentation and interpersonal skills with proven abilities in Operations, Mentoring, Teaching & Training.
Overview
22
22
years of professional experience
Work History
Project Manager
CORONIS AJUBA SOLUTIONS
Chennai
11.2022 - Current
Working as Project Manager, Coronis Ajuba Solutions, Chennai in Multispecialty / HCC
Key Domain: HCC Coding (Hierarchical Condition Category Coding), ED Coding (Facility and Professional Coding), SDS, and Behavioural Health and FQHC (Federally Qualified Health Center)
Lead the transition of coding operations ensuring minimal disruption to business operations
Develop and implement process improvements to increase coding accuracy and efficiency
Collaborate with internal stakeholders to ensure compliance with regulatory requirements and company policies
Provide education and training to coding staff on coding guidelines and regulations
Conducted audits and provided feedback to coders to improve coding accuracy and efficiency
Developed and implemented coding policies and procedures to ensure compliance with regulatory requirements
Finding opportunities for automation in coding applications
Project Head
Focus Healthcare Solutions
Chennai
01.2022 - 07.2022
Worked as a Project Head in Focus Healthcare Solutions, Chennai, in Vendor Operations for Smart Health RCM in HCC projects
Establishing, meeting and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives of SLA
Directing the day-to-day operations, financial management, and human resource management
System redesign, project improvement & management, and customer relationship management
Monitoring staff performance parameters including attrition and shrinkage
Maintaining KPI and performance metrics
Placing on various reports of team performances including quality
Transitioning of new clients
Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator
Develop and design training programs, including learning materials, curricula, and delivery methods to cover HCC coding guidelines, ICD-10-CM/PCS, and other relevant topics
Ensure training programs are aligned with organizational goals and objectives
Stay abreast of industry trends and research new training techniques
Conducting and overseeing the implementation of training programs, including scheduling, logistics, and delivery
Manage the training budget, allocating resources efficiently
Continuously assess the effectiveness of training programs through feedback and performance metrics
Make adjustments to programs based on evaluation results to improve future programs
Track and report on training outcomes and ROI
Lead and manage a team of trainers and training staff
Provide guidance and support to trainers and trainees
Foster a culture of continuous learning and development within the organization
Manage the employee onboarding process
Stay abreast of legal and regulatory requirements related to training and development
Communicate effectively with all stakeholders, including employees, managers, and leadership
Provide ongoing mentorship and coaching to coding staff to improve their skills and knowledge
Conduct regular audits of medical records to identify coding errors and areas for improvement
Develop and implement effective query processes to address coding discrepancies and ensure accurate coding
Regularly evaluate the performance of trainees/coding staff and provide feedback
Identify and analyze the organization's training needs, considering factors like business goals, workforce skills gaps, and emerging trends
Facilitate knowledge sharing and collaboration among coding staff
Consultant - Training
Corro Health
Coimbatore
05.2021 - 09.2021
Company Overview: formerly, Visionary RCM
Worked as a Consultant - Training in HCC domain of Corro Health (formerly, Visionary RCM) in Coimbatore
Formerly, Visionary RCM
Business Analyst
OptiSol Business Solutions
Chennai
01.2021 - 05.2021
Worked as freelance Business Analyst in developing Coding Application for a US Healthcare Facility in OptiSol Business Solutions, Chennai
Senior Associate Manager - SD Management
SUTHERLAND
Chennai
07.2014 - 07.2020
Monitors daily production schedule regularly and proactively addresses any obstacles to timely completion of jobs
Works hand-in-hand with cross-functional departments to meet delivery supporting the daily production schedule
Utilizes data to develop monthly productivity metrics to track employee productivity and improve coding department efficiency
Works hand-in-hand with cross-functional department managers and supervisors to meet company goals and objectives
Ensures that a work schedule is provided for each of the coders and re-orientation of team members
Creates development opportunities and promotes cross training to foster employee growth and advancement opportunities
Provides technical expertise and support to meet company goals and objectives
Assist with the ongoing development, interviewing, hiring and training of the Coding staff
Perform corrective actions when necessary
Senior Training Manager
EPISOURCE INDIA PVT LTD
04.2007 - 06.2014
Responsible for the daily operations of coding division including monitoring quality and quantity of work-flow to ensure completion of work assignments
Performs annual performance evaluations on staff
Provides cost effective management of resources
Work with our project management team to determine which medical records to validate and HCCs submitted during the risk adjustment process
Utilizes data to develop monthly productivity metrics to track employee productivity and improve department efficiency
Assists in the development of coding and abstracting policies and practice standards and communicates all policy changes as requested
Oversees work assignments of system wide coding staff and adjusts work lists to accommodate volume and schedule changes
Provides weekly reports to client and the Director of HIM Consulting
Reviewing claims so as to assess the Chronic illness, adverse effects of drugs & assigning the ICD-9CM diagnosis code to it, recording the ailments chronologically & giving emphasis to the HCC category
Reviewing charts with in-depth knowledge in the International Classification of Diseases from Providers of various Health plans, CPT to assess the risk score of patients and maintaining a statistical survey of the patient date-wise, submitting them to CMS (Centers for Medicare & Medicaid Services)
MARAL LABS
03.2003 - 03.2007
Managing, monitoring & investigating analysis, production to ensure all the drug molecules (both in raw and finished form) conform to the standard procedures
Selecting random sampling & conducting study qualification tests for the purpose of assessing the drug molecules efficacy to release into the market
Preparing proposals for submission to Drug control Department & conducting investigator meeting
Coordinating with Protocol working group for development and execution of Protocols
Controlling Investigatory Products & conducting supervision of studies
Education
CPC –CERTIFIED PROFESSIONAL CODER (US Healthcare) -
AAPC Certification
08.2008
B.Pharm -
K.M. College of Pharmacy
Madurai
01.1997
Skills
ICD-9
ICD-10 CM
CPT-4 Coding
Computer skills
EPIC
McKesson One Content
PARAGON
3 M software
Encoder software
Training
Coding Specialties
Radiology
Gastroenterology
HCC coding
Personal Information
Date of Birth: 01/27/73
Nationality: Indian
Marital Status: Married
Languages
English
Tamil
Disclaimer
03/14/25, Chennai, I hereby declare that all the details furnished above are true to the best of my knowledge.
Organisational Experience
Coronis Ajuba Solutions, Chennai, Tamil Nadu, Project Manager, 11/01/22, Present, Lead the transition of coding operations ensuring minimal disruption to business operations., Develop and implement process improvements to increase coding accuracy and efficiency., Collaborate with internal stakeholders to ensure compliance with regulatory requirements and company policies., Provide education and training to coding staff on coding guidelines and regulations., Conducted audits and provided feedback to coders to improve coding accuracy and efficiency., Developed and implemented coding policies and procedures to ensure compliance with regulatory requirements., Finding opportunities for automation in coding applications.
Focus Healthcare Solutions, Chennai, Tamil Nadu, Project Head, 01/01/22, 07/31/22, Establishing, meeting and continuously monitoring the goals and objectives while maintaining alignment with the strategic goals and objectives of SLA., Directing the day-to-day operations, financial management, and human resource management., System redesign, project improvement & management, and customer relationship management., Monitoring staff performance parameters including attrition and shrinkage., Maintaining KPI and performance metrics., Placing on various reports of team performances including quality., Transitioning of new clients., Interacts with a variety of people who impact the success of coding compliance program, and functions as a facilitator, liaison, and/or motivator.
Corro Health, Coimbatore, Tamil Nadu, Consultant - Training, 05/01/21, 09/30/21
OptiSol Business Solutions, Chennai, Tamil Nadu, Freelance Business Analyst, 01/01/21, 05/31/21
Sutherland, Chennai, Tamil Nadu, Senior Associate Manager - SD Management, 07/01/14, 07/31/20, Monitors daily production schedule regularly and proactively addresses any obstacles to timely completion of jobs., Works hand-in-hand with cross-functional departments to meet delivery supporting the daily production schedule., Utilizes data to develop monthly productivity metrics to track employee productivity and improve coding department efficiency., Ensures that a work schedule is provided for each of the coders and re-orientation of team members., Creates development opportunities and promotes cross training to foster employee growth and advancement opportunities.
Episource India Pvt Ltd, 04/01/07, 06/30/14, Senior Training Manager, Responsible for the daily operations of coding division including monitoring quality and quantity of work-flow to ensure completion of work assignments., Performs annual performance evaluations on staff., Provides cost effective management of resources.
Maral Labs, 03/01/03, 03/31/07, Managing, monitoring & investigating analysis, production to ensure all the drug molecules conform to the standard procedures., Selecting random sampling & conducting study qualification tests for the purpose of assessing the drug molecules efficacy to release into the market.
Professional Overview - Summary
A Competent US Certified CPC Professional (CPC-AAPC-US) with proven track record in operational/training management of nearly 16 years of rich experience in medical coding. Excellent communication, presentation and interpersonal skills with proven abilities in Operations, Mentoring, Teaching & Training.
Languages
English
Beginner
A1
Timeline
Project Manager
CORONIS AJUBA SOLUTIONS
11.2022 - Current
Project Head
Focus Healthcare Solutions
01.2022 - 07.2022
Consultant - Training
Corro Health
05.2021 - 09.2021
Business Analyst
OptiSol Business Solutions
01.2021 - 05.2021
Senior Associate Manager - SD Management
SUTHERLAND
07.2014 - 07.2020
Senior Training Manager
EPISOURCE INDIA PVT LTD
04.2007 - 06.2014
MARAL LABS
03.2003 - 03.2007
CPC –CERTIFIED PROFESSIONAL CODER (US Healthcare) -