Tamizhselvi Illayaraja
Chennai
Summary
13+ Yrs of Work Experince.
Team-oriented Medical Coding leader with proven leadership and motivational skills successful in helping group members achieve business goals. Respectful and clear communicator focused on enhancing teamwork and collaboratively addressing challenges with logical approaches. Skilled in building relationships and enhancing employee satisfaction to drive work performance. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
14
14
years of professional experience
1
1
Certificate
Work History
Group Leader
Access Health Care Private Limited
01.2022 - Current
- Trained new team members by relaying information on company procedures and safety requirements.
- Supported staff with developing professional skills and abilities, uplifting team performance.
- Delegated tasks strategically and monitored progress for timely completion.
- Resolved conflict quickly to limit operational disruption and maintain positive, productive working environments.
- Monitored team performance to identify productivity improvement opportunities.
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Quality Analyst
AGS Health
01.2022 - 01.2023
- Analyzed quality and performance data to support operational decision-making.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Compiled and distributed weekly feedback to team leaders and managers to improve service time and quality while increasing productivity.
- Recorded findings of inspection process, collaborating with quality team to implement corrective actions.
- Assisted facility providers with documentation requirements to completely and accurately reflect patient care provided.
- Consulted with providers for clarification of conflicting or ambiguous clinical data.
- Developed and conducted seminars, workshops, short courses, informational briefings and conferences concerned with health record documentation.
- Applied comprehensive knowledge of medical terminology, disease processes, treatment modalities and principles and practices of health services to confirm proper code selections.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Maintained accuracy, completeness, and security for medical records and health information.
Process Associate
AGS Health
11.2013 - 12.2021
- Analyzed process flows and identified areas of improvement to increase productivity and reduce costs.
- Monitored and reported on process performance to verify compliance with established standards.
- Collaborated with team to define business requirements for organizational processes, achieve productivity standards, and adhere to accuracy standards.
- Developed standard operating procedures and document workflows to drive current and future processes.
- Worked with individual patients to code medical observations and professional services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Staff Nurse
Dr. Mehta's Hospitals
12.2009 - 06.2011
- Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Assessed physical, psychological, physiologic, and cognitive status of patients.
- Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
Education
Associate of Science - General Nursing & Midwifery
C.K. Hospital
Erode, India - 638 001Bachelor of Science - Post Basic Nursing
Saveetha University
Chennai, India - 600 07703.2013
Skills
- Professional Coder CIC
- Microsoft Excel
- Issue Resolution
- Statement Billings
- Medical Terminology
- Diagnostic Codes
- Data Security Procedures
- Thorough Claims Reviews
Certification
- Certified Professional Coder, CIC- from AAPC with 74%
Languages
English
Advanced (C1)
Tamil
Bilingual or Proficient (C2)
Timeline
Group Leader
Access Health Care Private Limited
01.2022 - Current
Quality Analyst
AGS Health
01.2022 - 01.2023
Process Associate
AGS Health
11.2013 - 12.2021
Staff Nurse
Dr. Mehta's Hospitals
12.2009 - 06.2011
Associate of Science - General Nursing & Midwifery
C.K. Hospital
Bachelor of Science - Post Basic Nursing
Saveetha University
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