Summary
Overview
Work History
Education
Skills
Personal Information
Languages
Disclaimer
Organisational Experience
Professional Overview - Summary
Languages
Timeline
Generic

Ramkumar R

Chennai

Summary

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) -

AAPC Certification

B.Pharm -

K.M. College of Pharmacy
Ramkumar R