GOKUL RAJENDRAN
Chennai
Summary
A competent and enthusiastic leader with a overall experience of Eight years in Medical coding and Three years of team leading experience Seeking a challenging and dynamic environment towards a successful career in the field of US Healthcare by making best out of my abilities and interpersonal skills .To be an active contributor to a team of ambitious people.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Team Lead –Service Delivery
02.2022 - Current
- Handling 6 accounts (EM-Surgery/ED Profee/EM-Dermatology with a team of 20 People), preparing and allocating the daily work loads for the associates
- Project management /Resource management and performing all the process activities for client satisfaction
- Participating in manager review meetings for the betterment of the process and revenue generation
- Maintaining MIS (Daily production and Quality reports, Incentive and monthly performance reports
- Enhance client and employee experience by continuous improvement ideas and executing at project level
- Project planning /execution, process redesign, change management, ensure adherence to SLA's (Productivity, Internal and External Quality)
- Effectively managing shrinkage by governing planned and unplanned leaves
- Reduce TAT towards client by process improvement
- Manage utilization percentage of the team
- Identify Training needs based on skills/Capability Gaps and plan/conduct accordingly Team goal setting Attendance management also conduct appraisal and performance management process with team as per agreed cycle
- Drive productivity and efficiency initiatives
- Career management and development of associates/Leads
- People engagement (On-One's, Team meeting, floor intelligence to control attrition
- Ensure operational processes and best practices are in place, documented and are regularly reviewed (SOP).
Process Coach
10.2021 - 02.2022
- Ensuring compliance with established coding guidelines, followed Novitas, palmetto MAC guidelines
- Worked in Multiple projects in urgent care specialty
- Coded 0 days &10 days global Procedures in Urgent Care
- Educating and auditing the team members on the client approved guidelines.
Senior Medical coder
Omega Healthcare services Pvt Ltd
02.2020 - 10.2021
- Review EHR physician encounters for completeness, accuracy and compliance with regulations
- Ensuring compliance with established coding guidelines, followed Novitas, palmetto MAC guidelines
- Worked in Multiple projects in urgent care specialty
- Coded 0 days &10 days global Procedures in Urgent Care
- Educating and auditing the team members on the client approved guidelines.
Senior Client Partner
Access Healthcare Pvt Ltd
Chennai
09.2018 - 01.2020
- Review EHR physician encounters for completeness, accuracy and compliance with regulations
- Ensuring compliance with established coding guidelines, followed Novitas, palmetto MAC guidelines
- Allocating Work for team members and managing the workflow within the shift hours
- Worked in Multiple projects in different specialties (Internal medicine, Dermatology, Otolaryngology)
- Coded outpatient E/M services, Preventive Services(99382-99397), Annual wellness visits(G0402-G0439) based on Medicare requirements and also Special Services(PHQ/GAD, Obesity counseling, MNT, EKG, CGM, Hierarchy of Infusions, etc.)
- Coded 0 days &10 days global Procedures on Otolaryngology
- Educating the team members regarding the updates shared by the Client based on CMS guidelines.
Senior Medical Coder
Vee Technologies Pvt ltd
Salem
07.2016 - 09.2018
- Review EHR physician encounters for completeness, accuracy, and compliance with regulations
- Analyze and extract clinical information from EHR physician notes
- Coded Outpatient E/M services (99202-99215), Consultation Services (99242-99244), Transition care Management(99495-99496), Ophthalmology Services(92002-92014), Prolonged services(+99354, +99345)
- Coded 0 days&10 days global Procedures in Integumentary, Musculoskeletal, Podiatry
- Consult physician to clarify missing or inadequate record information, verify diagnosis or justify medical necessity to support the level of E/M code
- Ensure compliance with established coding guidelines, followed Novitas MAC
- Responsible for capturing all billable services in accordance with the Official Medical Fee Schedule
- Responsible for completing all assigned codes in a timely manner to ensure a seven working day month-end close.
Education
BE(Biomedical engineering) -
Adhiyamaan college of engineering-Hosur
01.2014
Higher secondary school -
Sri Vijay Vidyalaya -Dharmapuri
01.2010
Skills
- Extensive anatomy/physiology knowledge Medical terminology, HPAA Confidentiality, Microsoft Office system
- Extensive knowledge with 8 years of experience Outpatient EM, ED Professional coding, Gastro Surgery, Dermatalogy coding
- Expertise in ICD-10 and CPT
- Experience with EPIC/Allscripts/eClinical works (ecW) software
- Team player with positive attitude
- Good written communication
- Exercises good judgment
- Qualified to determine if medical records are in support of individual patient risk adjustment score accuracy
- Proficient in educating providers in coding guidelines
Certification
- CPC -Certified Professional Coder
Software
Proficient in using Encoder-pro, Super coder, EPIC, Cerner, Allscripts, Citrix, eClinical Works (eCW)
Personal Information
- Father's Name: Rajendran .V
- Mother's Name: Vasugi.G
- Blood Group: A Negative
- Date of Birth: 12/13/91
- Marital Status: Married
Timeline
Team Lead –Service Delivery
02.2022 - Current
Process Coach
10.2021 - 02.2022
Senior Medical coder
Omega Healthcare services Pvt Ltd
02.2020 - 10.2021
Senior Client Partner
Access Healthcare Pvt Ltd
09.2018 - 01.2020
Senior Medical Coder
Vee Technologies Pvt ltd
07.2016 - 09.2018
BE(Biomedical engineering) -
Adhiyamaan college of engineering-Hosur
Higher secondary school -
Sri Vijay Vidyalaya -Dharmapuri
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