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职场能力评价定义
VIPUL ARYA
Senior Quality Specialist, MBA, CPC.
11 years of experience in medical coding, Auditing and billing with good management and leadership skills.
Skilled in ICD 10,CPT,E/M ,ED facility and professional Coding and auditing, denial management.
Good verbal and written communication.
Demonstrates strong leadership skills and an ability to train and motivate team members.
A strong professional with MBA-operations management and a bachelor of Bachelor of Commerce from Delhi University.
Jangpura, Pant Nagar, New Delhi, Delhi, India
November 2015 - Present
Senior Quality Specialist
R1RCM Global Private Ltd.
It is a KPO organization, having their head office in Chicago, USA. R1RCM is a leading provider of healthcare revenue cycle management services.
Job responsibilities
Proactively involved checking the quality, interacting with the coder and sending them 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 individual feedback to the coder based on the quality report and other feedback to improve 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 a new process.
Work Experience
March 2014 - November 2015
Sr. Medical Coder
UHG Private Ltd
UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. It offers health care products and insurance services.
Job responsibilities
Accurately assigning ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines, they maintain no less than 98% accuracy in choice and sequencing of codes.
Worked on the 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
January 2013 - March 2014
Medical Coder
Elico Healthcare service
The Company provides remote processing services to Medical Billing Companies Ambulance
Billing Companies, Surgery Centers, Nursing Homes and Hospitals based in the USA, UK & the 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.
I went onshore on a training project in Alaska for 3 months.
August 2008 - April 2012
Process Trainer
Accretive Health Private Ltd
Conduct Basic Healthcare/HIPAA, RCM Training of new and existing employees.
Verifying Insurance Eligibility, Updating Patient Demographics, Charge Entry, Hospital and Physician billing Claims, Posting of Payments, Work on Denials.
Conduct Process Training of new joiners and existing employees.
Attend Conference Calls/WebEx training regularly along with the required team members
ACHIEVEMENTS/TRANSITIONS
I Have Attended L&D training classrooms like Accountability & Building ownership and
process related to training that helped me to develop my individual personality apart from
my daily roles and responsibilities.
Migrated Medicaid US Healthcare process from Michigan US office and worked
closely with clients in bringing the process to BAU stage
Migrated US Medical Billing US Healthcare based process from Michigan US .
Education
2021 Completed
SCDL University
Masters in operations management
2007 Completed
Delhi University
Bachelor of Commerce
2004 Completed
The Air Force School, Delhi
Commerce
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
VIPUL ARYA
Senior Quality Specialist, MBA, CPC.
11 years of experience in medical coding, Auditing and billing with good management and leadership skills.
Skilled in ICD 10,CPT,E/M ,ED facility and professional Coding and auditing, denial management.
Good verbal and written communication.
Demonstrates strong leadership skills and an ability to train and motivate team members.
A strong professional with MBA-operations management and a bachelor of Bachelor of Commerce from Delhi University.
Jangpura, Pant Nagar, New Delhi, Delhi, India
November 2015 - Present
Senior Quality Specialist
R1RCM Global Private Ltd.
It is a KPO organization, having their head office in Chicago, USA. R1RCM is a leading provider of healthcare revenue cycle management services.
Job responsibilities
Proactively involved checking the quality, interacting with the coder and sending them 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 individual feedback to the coder based on the quality report and other feedback to improve 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 a new process.
Work Experience
March 2014 - November 2015
Sr. Medical Coder
UHG Private Ltd
UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. It offers health care products and insurance services.
Job responsibilities
Accurately assigning ICD-10 and/or CPT-4 codes in accordance with Coding Departmental guidelines, they maintain no less than 98% accuracy in choice and sequencing of codes.
Worked on the 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
January 2013 - March 2014
Medical Coder
Elico Healthcare service
The Company provides remote processing services to Medical Billing Companies Ambulance
Billing Companies, Surgery Centers, Nursing Homes and Hospitals based in the USA, UK & the 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.
I went onshore on a training project in Alaska for 3 months.
August 2008 - April 2012
Process Trainer
Accretive Health Private Ltd
Conduct Basic Healthcare/HIPAA, RCM Training of new and existing employees.
Verifying Insurance Eligibility, Updating Patient Demographics, Charge Entry, Hospital and Physician billing Claims, Posting of Payments, Work on Denials.
Conduct Process Training of new joiners and existing employees.
Attend Conference Calls/WebEx training regularly along with the required team members
ACHIEVEMENTS/TRANSITIONS
I Have Attended L&D training classrooms like Accountability & Building ownership and
process related to training that helped me to develop my individual personality apart from
my daily roles and responsibilities.
Migrated Medicaid US Healthcare process from Michigan US office and worked
closely with clients in bringing the process to BAU stage
Migrated US Medical Billing US Healthcare based process from Michigan US .
Education
2021 Completed
SCDL University
Masters in operations management
2007 Completed
Delhi University
Bachelor of Commerce
2004 Completed
The Air Force School, Delhi
Commerce
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