Avatar of VIPUL ARYA.

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

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

Work experiences

Quality analyst

R1RCM Global Pvt Ltd

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

UHG Pvt Ltd

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

Elico Healthcare service

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

Accretive Health

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 .

Educations

SCDL University

Master of Business Administration (MBA)
Masters in operations management

2017 - 2021

Delhi University

Non-Degree Program (e.g. Coursera certificate)
Bachelor of Commerce

2004 - 2007
Logo of The Air Force School, Delhi.

The Air Force School, Delhi

High School Diploma
Commerce

1994 - 2004

Licenses & Certifications

CERTIFIED SIX SIGMA WHITE BELT

AVETA BUSINESS INSTITUTE

Credential ID: GPzGj3GIzx
Issued May 2022
No expiration

CERTIFIED PROFESSIONAL CODER

AAPC

Issued Dec 2012
No expiration
Powered By CakeResume