SIVARAMAN RAJAMANICKAM
Retail Assistant
Auckland,AUK
Summary
Proven expert in Hospital Claims Management System and adept at multi-tasking, I spearheaded the RCM system implementation at Burjeel Hospital, ensuring revenue neutrality and compliance with Health Authority of Abu Dhabi. My leadership in Clinical Documentation Improvement significantly reduced audit recoveries at UMED - Kanad Hospital, showcasing my ability to enhance operational efficiency and accuracy.
Overview
2025
2025
years of professional experience
4
4
years of post-secondary education
Work History
Clinical Documentation Improvement Auditor
UMED - Kanad Hospital
1 2022 - 06.2024
- Supervision and management of Claims coding, submission, and resubmission (Out-patient, In-patient & Daycare) and providing updated report to the management
- Educate and advice Claims Units on proper coding standards and billing rules, documentation, procedures, and requirements
- Organizing and conducting Clinical Documentation Improvement (CDI) Trainings for Doctors, Nurses and Allied health professionals in order to maintain quality of documentation and avoid audit recoveries/rejections
- Orientation and conducting trainings on E/M and DRG billing methodology for Doctors, Nurses and Billing staff
- Identifying and correcting problematic areas before the insurance payers could challenge incorrect coding
Medical Coder & Auditor / CDI Analyst
Burjeel Hospital
01.2020 - 12.2021
- Actively participated in implementation of RCM system by testing various clinical scenarios
- Managing Quality audits of submission and resubmission, maintaining adherence to Health Authority of Abu Dhabi Claims and adjudication rules and coding guidelines
- Review and analysis of FFS vs DRG billing to ensure revenue neutrality in line with documentation and ethical billing
Education
Bachelor of Technology - Biotechnology
Anna University
Trichy, Tamilnadu 08.2011 - 07.2015
Skills
Hospital Claims Management System
Data Validation
Relationship Management
Price List Revision
Multi-Tasking
MS Office
Disclaimer
I hereby declare that the information furnished above is true to the best of my knowledge and belief.
References
Mr. Ajit Singh Sandha
Pharmacy Technician / Chemist Warehouse
Phone: +642102883296
Email: sandhaajit@gmail.com
Timeline
Medical Coder & Auditor / CDI Analyst
Burjeel Hospital
01.2020 - 12.2021
Bachelor of Technology - Biotechnology
Anna University
08.2011 - 07.2015
Clinical Documentation Improvement Auditor
UMED - Kanad Hospital
1 2022 - 06.2024
Similar Profiles
Savitha RajakumarSavitha Rajakumar
Internal Audit and CDI Manager at UMED,Abudhabi/ kanad Hospital, AL AinInternal Audit and CDI Manager at UMED,Abudhabi/ kanad Hospital, AL Ain
Fatemeh SalahFatemeh Salah
Customer Service at Kanad HospitalCustomer Service at Kanad Hospital
Bethel Yohannes WodajoBethel Yohannes Wodajo
Biomed Intern at Kanad HospitalBiomed Intern at Kanad Hospital