Ragunath Radhakrishnan

• Conducted regular coding audits to identify and Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.
• Utilize EHR/EMR systems for accurate and efficient coding processes. Assist in resolving coding discrepancies and optimizing reimbursement processes.
• Analyze and resolve claim denials related to coding issues, ensuring compliance with ICD-10-CM, CPT, and HCPCS coding guidelines.
• Review and analyze patient medical records to assign accurate codes for diagnoses, procedures, and services..
• Collaborate with healthcare providers to clarify diagnoses and obtain additional patient information to minimize future denials.
• Participate in audits and implement corrective actions as necessary worked as NDQA
• Prepare detailed audit reports and present findings to management, recommending corrective actions to enhance coding practices

• Utilized Practice Fusion, Epic, Advanced MD, Office Ally, and Citrix software for accurate and timely coding in Evaluation & Management and Professional emergency department records.
• Assigned work orders for 15 team members based on their respective clients and ensured completion within given TAT.
• Examined diagnosis codes to ensure accuracy, completeness, specificity, and appropriateness according to the service rendered.
• Trained and mentored new team members to ensure proficient handling of respective clients.
• Took responsibility for generating consolidated client reports after completing coding and charges, and distributed them through spreadsheets.
• Conducted audits on coded claims and entries by billers, ensuring compliance with insurance standards.

SOFTWARES : Citrix-Jaguar

• Accurately evaluate medical record documentation and assign procedural codes to support both emergency and nonemergency visits, including ambulance coding.
• Interpret medical information, such as diagnostic procedures, diseases, and symptoms.
• Manage Medicare and Medicaid reimbursement claims, ensuring the accuracy and completeness of coded services before submission.