Banu - Medical Coding Process Trainer - Chennai, TN, India

Nazeem Banu

Chennai, TN, India

Services

Medical Coding Process Trainer

Summary:

Medical coding is interpreting the medical record of patients and assigning numeric and alpha numeric codes for all the procedures and diagnoses involved in it, so that it is easy for reimbursement as well as statical data purposes.

Work History

Medical Coding Process Trainer

E4E Healthcare Services-Chennai

From January 2013

SPOC cum SME cum Quality Analyst cum Senior Coder

E4E Healthcare Services-Chennai

June 2009 - December 2012

Process: HCC and Radiology
Duration: June 2009 to Dec 2012

Skill Set - Training:
♦ Successfully managed HCC and Radiology coding Operations by training Fresher, Experienced and Cross Functional trainees and enabled them to achieve production and quality standards.

♦ Responsible for identifying training needs along with operation team leads and ensuring quality of training delivered confirming to pre-defined standards and schedule.

♦ Coordinating with the operations team, in formulating knowledge enhancement training programs and quality improvement initiatives of the established coding projects.

♦ Preparing customized Training Modules, Test Materials, Evaluating and providing Feedback sessions for trainees as per operational needs.

♦ Reviewing Client mails and updating the current instructions to the respective coders and trainees.

♦ Attend client calls and establish good relationship with customers through continuous performance in meeting the service level agreement.

♦ Conducted CPC training for CPC aspirants.

♦ Played a key role as specialty expertise during new coding project transitions.

Skill Set - SPOC / SME / Auditor - Quality Compliance:
♦ Acted as SPOC (Single Point of Contact) for all knowledge related issues for Chennai - 150 members including Coders, Auditors and SMEs (Subject Matter Expert) and for Noida - 35 coders.

♦ Performed a comprehensive review of random medical records and reports received to ensure all component parts are completed and accurate. Escalate to the appropriate head if there is any missing or incorrect data or information.

♦ Reviewed Client mails and updating the current instructions to the team members.

♦ Handled additional responsibilities of Team Management, Resource Planning and Work allocations, Team Deliverables and Production Logs, Quality Check for Trainees, Conducting Daily Meetings, Client Interactions and preparing Training Modules for Focussed Training and Client updates.

♦ Performs and submits...

Senior Coder cum Denials Management Analyst

Ecare India

June 2007 - May 2009

Skill Set - Senior Coder:
♦ Recognized on numerous occasions for delivering quality and timely output.

♦ Maintaining speed and accuracy when coding.

♦ Maintaining and updating Client Manuals.

♦ Educating new coders for compliance with ICD-9 classification systems and coding, regulatory guidelines.

♦ Conducted weekly refreshers based on audit feedback received internally and from clients.

♦ Involved in transition of new prospects/clients, by understanding their process and fulfilling their requirements in terms of deliverables and quality.
♦ Contributing to team effort and co-ordinating with team members to carry out work smoothly.

Skill Set - Denials Management:
♦ Handled all sorts of Coding related denials for resubmission with validation comments and did a trend analysis on the root cause of denials (Age, Gender, Bundling, Unbundling, Frequency, Medical Necessity, LMRP and CCI edits, etc., ) to educate coder.
♦ Recognizing the necessity of continuously developing skills and acquiring additional knowledge appropriate to the position.

Senior Coder and Medical Record Summarization

Integrated Technology Haus

May 2006 - May 2007

Chennai
Process: Radiology, E&M, Medical Summarization
Duration: May 2006 - May 2007

Skill Set - Senior Coder:
♦ Recognized on numerous occasions for delivering quality and timely output.

♦ Maintaining speed and accuracy when coding.

♦ Maintaining and updating Client Manuals.

♦ Educating new coders for compliance with ICD-9 classification systems and coding, regulatory guidelines.

♦ Contributing to team effort and co-ordinating with team members to carry out work smoothly.

Skill Set - Medical Record Summarization:
♦ Reading the complete medical history of patients and preparing a consolidated summary and coding all procedures and diagnosis available in the document.

♦ Approximately calculating Life Expectancy of the patients.

♦ Risk calculation with the help of Medicare Risk Adjustment Table for each patient.

♦ Advising Medicare about the prognosis of the treatment course.

Skillpages has been acquired by Bark.com!

Bark.com is pioneering the way people find local services. Skillpages is the world’s premier directory of service providers.

Find out more


Are you sure that you want to leave?