Summary
Overview
Work History
Education
Skills
Certification
Timeline
OperationsManager
VINOTH GANESAN

VINOTH GANESAN

Subject Matter Expert - Medical coding
Chennai,TN

Summary

"Self-motivated and emotionally intelligent coding professional with strong mental agility and cognitive flexibility. Experienced in leading coding teams to achieve operational excellence and ensure compliance with industry standards. Proven track record of optimizing coding processes and enhancing team performance. Seeking a Coding Supervisor role at Optum to leverage leadership skills and drive efficiency in healthcare coding operations."

Overview

7
7
years of professional experience
4
4
years of post-secondary education
2
2
Certificates

Work History

Medical Coding Associate

Athenahealth
Chennai, Tamil Nadu
08.2023 - Current
  • Successfully managed existing responsibilities while proactively taking on additional projects to enhance my skill set and gain valuable exposure.
  • Collaborated closely with a team of eight auditors, providing guidance on daily coding tasks, ensuring quality standards, and fostering accountability.
  • Serving as the POC for pre-go-live auditing, offering coding expertise and creating documentation opportunities in the absence of defined requirements.
  • Acted as the POC for pre-sale activities, partnering with the Clinical Documentation Review (CDR) team to review medical records and coordinate with expert medical coders.
  • Worked in collaboration with the product team to optimize In-App Guidance (IAGs) and implement enhancements, leading to a significant reduction in Evaluation and Management (E/M) errors.
  • Initiated over ten targeted audits as part of a coding accuracy initiative from January 2025 to March 2025, aimed at mitigating practice escalations, particularly for high-profile clients such as Arches Medical and Barrow Brain & Spine.
  • Recognized with the "Most Impactful Team" award for contributions to the pre-sale review process.

Senior Medical Coding Analyst

Athenahealth
Chennai, Tamil nadu
10.2021 - 07.2023
  • Acting as POC for AccessHealth, managing daily and weekly responsibilities, including sending preliminary files, addressing rebuttals, conducting weekly education and quality calls, and sharing Month-to-Date (MTD) files and error trends to mitigate practice escalations.
  • Initiated multiple targeted audits and post-go-live audits to address the recent go-live status of practices and prevent potential escalations.
  • Actively participated in various audit types, including Audit the Auditor, Targeted Audits, Proactive Audits, and BPO Quality Assurance Audits, tailored to project requirements.
  • Held multiple responsibilities, including leading BPO education calls, providing constructive feedback, and maintaining scoring logs and trackers.
  • Serving as the POC for Accuracy and Training & Support, facilitating communication between teams, addressing clarifications, and tracking resolutions via Smartsheet.
  • Recognized with awards for "Auditor of the Month" for five consecutive months and honored as a "Pillar of Support."
  • Managing vendor relationships through weekly rebuttal discussions, identifying trends based on errors identified in daily audits.

Coding Specialist

IKS Health
05.2021 - 10.2021
  • Managed daily inventory cleanup and allocation of cases.
  • Utilized expertise as an E/M coder with proficiency in Athena Clinicals, specializing in coding for Annual Physicals/AWVs, TCM for Home Health, Telemedicine, Pediatric Medicine, and Family Medicine.
  • Contributed collaboratively to Smart Sheets projects, ensuring accurate coding of held charts by proactively seeking clarification from clients and addressing missing documentation slips.

Medical Coding Officer

Miramed Ajuba
03.2020 - 04.2021
  • Coding Emergency department medical records with appropriate CPT and ICD's
  • Assigning MIPS with relate to the providers documentation of plan of care for diagnoses
  • Accounts for coding and abstracting of patient encounters, including diagnostic and procedural information, significant reportable elements, and complications
  • Assigns codes for reimbursements, research and compliance with regulatory requirements utilizing guidelines.


Junior Medical Coder (L2 & L3 Auditor)

Episource
05.2018 - 02.2020
  • Analyzes medical records and identifies documentation deficiencies.
  • Coding diagnoses from physician record note under ICD 10 guidelines.
  • Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
  • Worked in NLP projects - To dissect clinical narratives, physician notes, and other unstructured textual data, extracting pertinent medical codes and information with exceptional accuracy.
  • Handles special projects as requested
  • Worked in testing Salesforce considering the new changes that were implemented to enhance the coding efficiency.
  • AWARDS : Best coder, Star Performer

Education

B.TECH - Biotechnology

Karpaga Vinayaga College of Engineering And Technology
Chennai, India
05.2018

HSC - Biology

St.Joseph's Matriculation Higher Secondary School
Perambalur, India
05.2014

CPC - Medical Coding

AAPC
Chennai, India
02.2020 - Current

Skills

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Certification

CPC - Certified Professional Coder

Timeline

Certified PMI Agile Practitioner (PMI-ACP)®

11-2024

Medical Coding Associate

Athenahealth
08.2023 - Current

Senior Medical Coding Analyst

Athenahealth
10.2021 - 07.2023

Coding Specialist

IKS Health
05.2021 - 10.2021

Medical Coding Officer

Miramed Ajuba
03.2020 - 04.2021

CPC - Certified Professional Coder

02-2020

CPC - Medical Coding

AAPC
02.2020 - Current

Junior Medical Coder (L2 & L3 Auditor)

Episource
05.2018 - 02.2020

B.TECH - Biotechnology

Karpaga Vinayaga College of Engineering And Technology

HSC - Biology

St.Joseph's Matriculation Higher Secondary School

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VINOTH GANESANSubject Matter Expert - Medical coding