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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

Trình độ chuyên môn

  • Tình trạng hiện tại
  • Nghề nghiệp
  • Lĩnh vực
  • Kinh nghiệm làm việc
    10-15 năm (10-15 năm liên quan)
  • Kinh nghiệm quản lý
    I've had experience in managing 10-15 nhân viên
  • Kỹ năng
    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
  • Ngôn ngữ
    English
    Thông thạo
    Hindi
    Thông thạo
  • Trình độ học vấn cao nhất
    Master

Ưu tiên tìm kiếm việc làm

  • Hình thức làm việc mong muốn
    Full-time
    Quan tâm đến làm việc từ xa
  • Vị trí làm việc mong muốn
    Quality analyst
  • Địa điểm làm việc mong muốn
  • Freelance
    Không phải freelancer

Kinh nghiệm làm việc

Quality analyst

11/2015 - Hiện tại
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

03/2014 - 11/2015
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

01/2013 - 03/2014
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

08/2008 - 04/2012
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 .

Học vấn

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

Bằng cấp & Chứng chỉ

CERTIFIED SIX SIGMA WHITE BELT

AVETA BUSINESS INSTITUTE
Thêm số CCCD: GPzGj3GIzx
Phát hành vào 05/2022
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CERTIFIED PROFESSIONAL CODER

AAPC
Phát hành vào 12/2012
Không có ngày hết hạn