Summary
Overview
Work History
Skills
Certification
Timeline
Generic
Vishwa Prasad Cheruku

Vishwa Prasad Cheruku

Doha

Summary

As a coding professional, adept at leading teams to achieve high standards in coding accuracy and compliance. Depth of experience in coding supervision coupled with results-driven approach ensures operational excellence. Highly collaborative and adaptable, with core skills in leadership and process optimization.

Overview

20
20
years of professional experience
1
1
Certification

Work History

RCM Analyst (Acting Coding Supervisor)

Korean Medical Center, Lusail
10.2023 - Current
  • Maintain a working knowledge of ICD-10-CM and CPT coding principles, DRGs, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
  • Preparing & Analyzing the monthly & weekly revenue reports(Revenue by doctors, insurance & department wise revenue) and also reviewing the budgeted revenue vs actual revenue.
  • Involving in the insurance empanelment pricing & in the creation of packages
  • Reviewing the denials on monthly basis in order to avoid the same in upcoming days to ensure proper quality & avoid rejection rates.
  • Demonstrate the ability to perform quality coding and answer questions on inpatient/outpatient surgery, clinic, emergency room, and ancillary services
  • Provide training and instruction for new coders, including facility specific coding/abstracting guidelines, encoder and EMR functionality
  • Review the coding and pending queues daily to ensure all charts are processed in a timely manner and notify administrative staff in the event the twenty-four hours turn around standard cannot be met
  • Facilitate daily work assignments to coders and work with the Operations Manager to resolve coder questions and issues
  • Coach team members to improve their performance with some input and direction from management. Escalates performance issues as appropriate.
  • Recruiting, training and helping staff reach their professional development goals.


Senior IP Coder

Al Dhanna Hospital, NMC, Abu Dhabi
07.2022 - 08.2023
  • Worked as a, Senior Medical Coder in Inpatient department (DRG, Day care) Perdiem - 15 Charts or 30 LOS.
  • Reviewing inpatient medical records and assigning accurate ICD-10-CM, CPT, HCPCS and DRG codes for diagnoses and procedures.
  • Reviewing provider documentation to determine principle, secondary diagnosis, co-morbidities and complications.
  • Thorough understanding and application of medical necessity, DRGs for processing claims.
  • Involving in ensuring data integrity including appropriate sequencing and dispositions, resolving all coding edits prior to finalizing abstracts, compliant with HAAD/DOH regulations
  • Adhering to coding clinic guidelines, and queried physicians for clarifications on coding.
  • Querying physicians regarding incomplete documentation and further clarification on coding of diagnoses and procedures.
  • Performing CCI Edits in bundling and unbundling procedures for a proper reimbursement from the insurance company (payers/third party) to the physicians

Inpatient Coder

Burjeel Hospital, Abu Dhabi
10.2020 - 03.2022

Pre-Authorization Officer

Al Salama Hospital, Abu Dhabi
08.2017 - 09.2020

OP/ED Medical Coder

Akurate Management Solutions, Hyderabad
02.2015 - 07.2017

Radiology Coder

E-Rad Imaging & Reporting Ind Pvt. Ltd., Hyderabad
03.2013 - 01.2015

Virtual Assistant

Vteleard Pvt. Ltd., Abu Dhabi
03.2011 - 02.2013
  • Helping the radiologist in USA through TeamViewer software reading and interpreting the x-rays, MRIs, Ultrasound etc. images.
  • Converting the comments given by the radiologist after viewing the x-rays images into a medical report.
  • Preparing medical report viewing the images and comments given the ultrasound technique (paperwork) for the radiologist.
  • Check for mistakes, typographical errors, format of the report and proper signature and date before going to the report by the radiologist.

Medical Transcriptionist/Proofer

Mediland Transtech Pvt. Ltd., Hyderabad
01.2006 - 02.2011
  • Reviewed and edited second level reports prepared by medical transcriptionists, making sure that the transcription is correct, complete, and has a consistent style.
  • Transcribe dictation for a variety of medical reports such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, and/or discharge summaries.
  • Followed up with the healthcare provider to ensure the accuracy of the reports. Submitted health records for physicians to approve.
  • Followed patient confidentiality guidelines and legal documentation requirements as per HIPAA

Skills

  • Team collaboration
  • Inpatient Coding Expertise
  • Auditing and Quality Assurance
  • Revenue Analyzing
  • Advanced CPT coding
  • Training and mentoring
  • Medical terminology
  • Software Proficiency in Health insight, INSTA, 3M Module and Encoder
  • Problem-solving
  • Healthcare Regulations

Certification

1. CPC from AAPC

2. CCS from AHIMA

Timeline

RCM Analyst (Acting Coding Supervisor)

Korean Medical Center, Lusail
10.2023 - Current

Senior IP Coder

Al Dhanna Hospital, NMC, Abu Dhabi
07.2022 - 08.2023

Inpatient Coder

Burjeel Hospital, Abu Dhabi
10.2020 - 03.2022

Pre-Authorization Officer

Al Salama Hospital, Abu Dhabi
08.2017 - 09.2020

OP/ED Medical Coder

Akurate Management Solutions, Hyderabad
02.2015 - 07.2017

Radiology Coder

E-Rad Imaging & Reporting Ind Pvt. Ltd., Hyderabad
03.2013 - 01.2015

Virtual Assistant

Vteleard Pvt. Ltd., Abu Dhabi
03.2011 - 02.2013

Medical Transcriptionist/Proofer

Mediland Transtech Pvt. Ltd., Hyderabad
01.2006 - 02.2011

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