Ajay Kumar

Ajay Kumar- Motivated medical billing and coding specialist with over 7 years’ experience in health operations management, billing, and coding. Expertise in ICD-9 and ICD-10, CPT, and HCPCS coding. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals. Core Qualifications   ICD-9 and ICD-10 Coding HMOs and Medicare Operations Management Quality Assurance and Auditing CPT and HCPCS Coding Medical Billing Medical Records Management Patient Confidentiality Professional Experience MEDICAL BILLING SUPERVISOR Omega Healthcare- Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management. Examine patients’ encounter forms to verify diagnosis codes, and reconcile codes against services rendered. Accurately input procedure and diagnosis codes into billing software to generate invoices. Used electronic charge capture practices such as billing and account receivables (BAR) system and medical billing clearinghouse accounts to submit codes and invoices on time. Follow up on past due invoices and delinquent accounts to reduce number of unpaid and outstanding balances. Document patient data and medical records, and perform routine medical record audits to comply with insurance company requirements. Uphold and reinforce compliance with hospital policies and federal regulations such as HIPAA. MEDICAL BILLING AND CODING SPECIALIST- Employers Direct Health (EDH) Provide administrative support to physicians and interpret medical reports and data to assign ICD-9 and ICD-10 codes; enter diagnosis codes and patient information into billing software. Update and manage diagnosis lists, coordinate routine documentation and coding audits, and execute qualitative analysis of discharged charges. Follow and maintain currency on coding, sequencing, and procedures best practices and updates. Review and validate accuracy of charges, including dates of service, services provided, location, patient identification, and provider signature. MEDICAL BILLER- E4E Healthcare Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers. Performed insurance verification, pre-certification, and pre-authorization. Entered procedure and diagnosis codes, and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnosis, and coded narrative diagnosis. Responded to staff and client inquiries regarding CPT and diagnosis codes. Address, # 42A, West Ponnagaram, 8th Street, Madurai, Tamilnadu – 625016, India Mobile # :-