ATUL KUMAR
Auckland,New Zealand
Summary
Experienced Senior Clinical Coder with over 9 years in diagnosis and procedure coding, recognized for exceptional productivity and efficiency. Proficient in ICD-10 coding, medical terminology, and navigating healthcare reimbursement processes. Demonstrates strong analytical skills and problem-solving abilities to ensure accuracy and compliance in high-pressure settings. Committed to leveraging expertise to enhance coding operations and support organizational goals.
Overview
9
9
years of professional experience
1
1
Certification
Work History
CODING QUALITY ANALYST
R1 RCM HEALTHCARE PVT. LTD.
02.2019 - 05.2023
- Audit medical records to identify errors in Coding and modifiers in compliance with coding regulations and guidelines
- Specialized in Auditing of diagnostic outpatient coding facility, Evaluation and Management and denials
- Working closely with Payment Integrity and denial team in to prevent Upcoding and other denials so that payment adhere to correct Coding standards
- Provide regular feedback to operation team on performance improvement and identify opportunities within the organization for training
- Monitor and evaluate standard documentation with multiple electronic health record (EHR) adhering to Standards of Ethical Coding
MEDICAL CODER
R1 RCM HEALTHCARE PVT. LTD.
09.2016 - 02.2019
- Assigned Diagnosis and procedure codes to patient records
- Maintained 95% accuracy while assigning codes to patient records
- Reviewed patient charts and identified any errors in patient records
- Coding using 3M and Codefinder and more Software's
- Interprets medical terminology and patient medical records for translation into the coding system
- Accurately follows coding guidelines to ensure legal compliance
CODING ANALYST
UNITED HEALTH GROUP
05.2015 - 09.2016
- Assigned Diagnosis and procedure codes to patient records
- Maintained 95% accuracy while assigning codes to patient records
- Reviewed patient charts and identified any errors in patient records
- Coding using 3M and Codefinder Software
- Interprets medical terminology and patient medical records for translation into the coding system
- Accurately follows coding guidelines to ensure legal compliance
CLINICAL CODER
E4E HEALTHCARE PVT. LTD.
12.2013 - 05.2015
- Assigned Diagnosis and procedure codes to patient records
- Maintained 95% accuracy while assigning codes to patient records
- Reviewed patient charts and identified any errors in patient records
- Diagnosis and Procedure coding using EPIC Software
- Interprets medical terminology and patient medical records for translation into the coding system
- Accurately follows coding guidelines to ensure legal compliance
Education
BACHELOR - Bachelor of Pharmacy
INNOVATIVE COLLEGE OF PHARMACY
01.2012
Skills
- Strong planning abilities
- Attention to Detail
- Medical Terminology
- Team Management
- Problem Solving
- MS Office
- Word
- Excel
- Outlook
- Power BI
- Analytical
- Code Finder
- 3M Code Finder
- EPIC Software
- Power Charts
- Workday
Hobbies and Interests
- Playing Cricket
- Volleyball
- Listening Music
Languages
- English
- Hindi
Personal Information
- Date of Birth: 07/12/89
- Driving License: Full
- Marital Status: Married
Certification
- Certified clinical coder (CPC) from AAPC.
- Health Insurance Portability and Accountability Act Certification.
- Passed Advanced Clinical coder challenge exam from HIMAA (Health Information Management Association of Australia) for enrollment in 13th Edition course.
- World health Organization (WHO) participation certificate.
Timeline
CODING QUALITY ANALYST
R1 RCM HEALTHCARE PVT. LTD.
02.2019 - 05.2023
MEDICAL CODER
R1 RCM HEALTHCARE PVT. LTD.
09.2016 - 02.2019
CODING ANALYST
UNITED HEALTH GROUP
05.2015 - 09.2016
CLINICAL CODER
E4E HEALTHCARE PVT. LTD.
12.2013 - 05.2015
- Certified clinical coder (CPC) from AAPC.
- Health Insurance Portability and Accountability Act Certification.
- Passed Advanced Clinical coder challenge exam from HIMAA (Health Information Management Association of Australia) for enrollment in 13th Edition course.
- World health Organization (WHO) participation certificate.
BACHELOR - Bachelor of Pharmacy
INNOVATIVE COLLEGE OF PHARMACY
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