Download Rijeesh Rathnakumar

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Priyarijeesh
[email protected]
OBJECTIVE
To work for a progressive organization in a highly motivating and challenging environment that provides
the best opportunities to grow and utilize my potential to the fullest to achieve the organization’s goal while
achieving my personal goals.
WORK EXPERI EN CE
LOGIX HEALTH CARE PVT LTD, BANGALORE - INDIA
(December2015– June 2016)
Medical Coder
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Assigned appropriate ICD-10, ICD-9, CPT and HCPCS codes to patient records.
Reviewed member charts, lab and consult reports for identifying documented diagnosis
Developed relationships with providers and staff with consistent communication and training
Developed and maintained standard auditing policies and procedures
Educated providers in correct documentation and coding and provided educational material.
Maintain 100% correct coding and accuracy.
Abstract clinical information for a variety of medical records
Used Encoder Software Coding Program (OPTUM 360 Encoder Pro)
Verifies signatures and checks medical charts for accuracy and completion
Review, analyze, and approve codes for diagnostic and procedural information that determines Medicare,
Medi-Cal and private insurance payments.
Handle other essential duties as assigned or required
OMEGA HEALTH CARE PVT LTD, BANGALORE - INDIA
(December2014– November2016)
Medical Coder
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Coordinate and review all patient accounts to ensure proper billing-coding following medical guidelines
and compliance rules
Code drugs and anesthesia for pain management
Assigned appropriate ICD-9 and CPT codes to patient records
Maintain 100% correct coding and accuracy.
Using Modifier and HCPC and adding charges when needed.
Used Encoder Software Coding Program (OPTUM 360 Encoder Pro)
Ensure proper determination of billing requirements to Third party payers
Assign medical diagnosis codes to patient records for insurance purposes
Review, analyze, and approve codes for diagnostic and procedural information that determines Medicare,
Medi-Cal and private insurance payments.
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KEY SKILLS
Biotechnology:
Isolation of Genomic DNA, Plasmid DNA& RNA
Agarose Gel Electrophoresis
SDS Page
Polymerase chain reaction
Transformation
Restriction fragment length polymorphism
Western blotting technique
Microbiology:
Culture methods, maintenance, Staining and Identification of Bacteria.
Standard Plate Count
Antibiotic Sensitivity Tests
Multiple Tube Fermentation Test of Water
Sterilization and Disinfection Techniques
Work experience with Centrifuge, Laminar Air Flow, Hot air oven and Incubator
Biochemistry
UV-Vis Spectroscopy
Thin Layer Chromatography
Work experience with white light illuminator, UV trans illuminator, colorimeter, gel doc ,muffle furnace, heating
mantle, magnetic stirrer
Medical Coding
Medical Terminologies.
Human Anatomy, Physiology, Pathology, Clinical tests and Surgical Procedures.
ICD-9 CM General Coding guidelines, conventions and coding for acute and chronic conditions and late effect,
Impending and Pressure ulcer stages Coding.
Experience in ambulance coding
T RAIN IN G AN D C ERT I FI C A TI ON S
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‘B’ and ‘C’ certificate holder in National Cadets Corps, India.
Worked on “STUDY OF ALCOHOL PRODUCTION FROM WASTE VEGETABLES” as part of B.Sc. project.
Diploma in“Basic Techniques in Clinical Biochemistry” as part of B.Sc. degree.
Attended National level seminar on “Emerging Trends in Biopharmaceuticals” held at St. Mary’s
College, Thrissur.
Participated in UGC sponsored National seminar and Workshop On “Biological Techniques” held at
Mar Athanasius College Kothamangalam.
Participated in UGC sponsored National Seminar on “New Frontiers in Molecular Biology”
conducted at Mar Athanasius College, Kothamangalam.
Attended national level lecture workshop on“Molecular biology in 21st century” held at MACFAST
Thiruvalla.
A study on “A PROTEIOMIC AND ATOMIC ABSORBTION SPECTRUM ANALYSIS OF Channagachua” as
a part of Msc. Project
Attended “Indian Health Care BPO” for medical coding training program.
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EDUCATI ON
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M.Sc. Biotechnology (2012 to 2014)
Mar Athanasius College, Kothamangalam, Eranakulam, Kerala - Mahathma Gandhi University
B.Sc. Biotechnology (2009 to 2012)
St. Josephs Higher Secondary School, Thrissur, Kerala - India
Higher Secondary EducationXIIth (2009)
Bethany Convent Girls HSS,Kunnamkulam, Thrissur, Kerala– India
Secondary Education Xth (2007)
Bethany St John’s English HSS,Kunnamkulam,Thrissur, Kerala– India
DECLARAT I ON
I hereby declare that the above-mentioned particulars are true to best of my knowledge and belief.