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VIPUL ARYA
Senior Quality Specialist
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VIPUL ARYA

Senior Quality Specialist
11 years of Experienced in Medical coding Auditing and billing with good management and leadership skill Skilled in ICD 10,CPT,E/M facility and professional Coding and auditing, denial management. Good verbal and written communication. Demonstrates strong leadership skills and ability to train and motivate team members. Strong Professional with MBA-operation management and bachelor of Bachelor of Commerce from Delhi University.Experienced in Medical coding Auditing and billing with good management and leadership skill Skilled in ICD 10,CPT,E/M facility and professional Coding and auditing, denial management. Experts in Outpatient, ED, E/M, minor surgical procedures, radiology, ancillary, ePARS, denials, epremis/Relay etc. Expert in different Medical coding and Billing software: Epic, Cerner,3M, ACS. Good verbal and written communication. Demonstrates strong leadership skills and ability to train and motivate team members. Strong computer skills with demonstrated proficiency in word processing, spreadsheet, database and email applications Demonstrates initiative, flexibility and excellent time management skills with the ability to multitask concurrent priorities in an organized manner. Strong Professional with MBA-operation management and bachelor of Bachelor of Commerce from Delhi University.
R1RCM Global Pvt Ltd
SCDL University
Jangpura, Pant Nagar, New Delhi, Delhi, India

Professional Background

  • Current status
  • Profession
  • Fields
  • Work experience
    10-15 years (10-15 years relevant)
  • Management
    I've had experience in managing 10-15 people
  • Skills
    Accountability
    Verbal and Written Communication
    Time Management Skills
    Strong Leadership
    Flexibility
    Decision Making
    Excellent Communication
    Attention To Detail
    Critical Thinking and Problem Solving
    Adherence To Deadlines
  • Languages
    English
    Fluent
    Hindi
    Fluent
  • Highest level of education
    Master

Job search preferences

  • Desired job type
    Full-time
    Interested in working remotely
  • Desired positions
    Quality analyst
  • Desired work locations
  • Freelance
    Non-freelancer

Work Experience

Quality analyst

Nov 2015 - Present
It is a KPO organization, having their head office in Chicago, USA R1RCM is a leading provider of healthcare revenue cycle management services. Proactively involved Checking the Quality. interacting with coder and sending daily, weekly & monthly, Quality reports and preparing dashboards. Proactively manages all queries in relation to medical coding. Leads/participates in quality improvement projects and actions as appropriate. Communicates effectively with key stakeholders of all the assigned projects. Manage day to day operations of the department including coordination, prioritization, personnel supervision and issues resolution of coding. Review distribution of work within the coding team. Providing the individual feedback to coder based on the quality report and other feedback to improve the job efficiency. Gained Depth knowledge in Outpatient ED/E/M, SDS/RAD/ANC setting and CPT code and Modifier mapping. Doing Prebill Audit for the smooth transaction of New process.

Sr. Medical Coder

Mar 2014 - Nov 2015
1 yr 9 mos
UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota It offers health care products and insurance services. The Coder accurately assigns ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines maintaining no less than 98% accuracy in choice and sequencing of codes. Worked on ICD 10 Special project & conducting dual coding for ICD 9 and 10. Worked on ED Facility and E/M project. Participates in coding meetings and education conferences to maintain coding skills and accuracy

Medical Coder

Jan 2013 - Mar 2014
1 yr 3 mos
The Company provides remote processing services to Medical Billing Companies Ambulance Billing Companies Surgery Centers, Nursing Homes and Hospitals based in USA, UK & Middle East. Gained in Depth knowledge of coding techniques and guidelines of medical coding ICD, CPT, HCPCS Responsible for translating the health care provider's diagnostic and procedural phrases into Coded form by reviewing and analyzing the health records to identify the relevant diagnosis and procedure for the distinct patient encounter. Worked on ED Facility, Office Visit, encounter. Went to Onshore on job Training project in Alaska for 3 Month.

Trainer

Aug 2008 - Apr 2012
3 yrs 9 mos
Conduct Basic Healthcare/HIPAA, RCM Training of new and existing employees. Verifying Insurance Eligibility, Update Patient Demographics information, Charge Entry, Process Hospital and Physician billing Claims, Posting of Payments, Work on Denials. Conduct Process Training of new joiners and exiting employees. Attend Conference Calls/WebEx training regularly along with the required team member ACHIEVEMENTS/TRANSITIONS I Have Attended L&D trainings classroom like Accountability & Building ownership and process related trainings that helped me to develop my individual personality apart from my daily roles and responsibility. Migrated Medicaid US Healthcare process from Michigan US office and worked closely with Client in bringing the process to BAU stage Migrated US Medical Billing US Healthcare based process from Michigan US .

Education

Master of Business Administration (MBA)
Masters in operations management
2017 - 2021
Non-Degree Program (e.g. Coursera certificate)
Bachelor of Commerce
2004 - 2007
Logo of the organization.
High School Diploma
Commerce
1994 - 2004

Licenses & Certifications

CERTIFIED SIX SIGMA WHITE BELT

AVETA BUSINESS INSTITUTE
Credential ID: GPzGj3GIzx
Issued May 2022
No Expiration Date

CERTIFIED PROFESSIONAL CODER

AAPC
Issued Dec 2012
No Expiration Date