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CERTIFIED SIX SIGMA WHITE BELT 

AVETA BUSINESS INSTITUTE

CERTIFIED PROFESSIONAL CODER 

AAPC

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.



SCDL University

Delhi University

The Air Force School, Delhi

Senior Quality Specialist

VIPUL ARYA

R1RCM Global Pvt Ltd

Quality analyst

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.

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

UHG Pvt Ltd

Sr. Medical Coder

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.

Elico Healthcare service

Medical Coder

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 .

VIPUL ARYA’s posts