Sijan Chacko

Result-oriented and dynamic certified medical coding professional with 2+ decades of experience in business operations, training and process improvement. Development of high performing teams, establishing clear goals, defining measurable outcomes, building strong business partnerships, designing and implementing business processes ensuring uninterrupted cash flow.

Medical Executive - RIGHT REVENUE

(2013-05 - 2024-09)

• Certified Medical Coder (AAPC USA) – Proficient in ICD-9 CM and CPT of all specialities.
• Proficient with EMR not limited to EPIC, Cerner and MediTech.
• Medical transcriptionist, proficient in medical terminologies and typing speed of 60 wpm – transcription of all correspondences, progress notes, history and physical, consultation of all specialities.
• Medical billing including - insurance verification, claims transmission, payment posting, claims follow-up, account receivables, insurance claims review.
• Communication with insurance calling and coordination with patient on billing records and billing information.
• Strong liaison with patients, insurance companies, healthcare providers, in-house colleagues and software department (end-user ease).
• Led organizational responsibilities including business development, client and customer relationship management. Managed statutory compliance including payroll and human resource management.

Operations Manager – RCM - SYNTAX SOFT-TECH INDIA PVT. LTD.

(2012-05 - 2013-04)

• Responsible for revenue cycle operations and training.
• Enhanced staff productivity and increased the bottom-line by 25% overall.

Manager - RCM - VENNAR SOFT SYSTEMS INDIA PVT LTD.

(2011-11 - 2012-04)

• Launched the RCM division in Vennar and managing and overseeing day to day operations, operational crisis, backlog planning and management.
• Specialized in client relationship and business continuity.
• Invoice, P/L Review (monthly basis).

Manager (Operations and Training) - HCC Medical Coding - XLHEALTH INDIA PVT. LTD. (United HealthCare)

(2008-10 - 2011-11)

Operations

• Extracting and reporting chronic disease such as DM, CKD, CHF for Medicare and Medicaid beneficiaries.
• Vendor management including 80 remote Hierarchical condition category (HCC) medical coders.
• Key role in revenue optimization by introducing patient house-calls for healthcare documentation review.
• Team and operation representation for client management call.
• Verifying the core system to control the workflow including data management.
• Training plan decision and recruitment of new staffs.
• Internal team skill-gap fill and training management.
• Internal and client related training knowledge

MANAGER – RCM - PERFECTURE DBA OBSIDIANONE

(2005-11 - 2008-09)

• Established process charge tickets for old and new clients.
• Transitioned and established workflow and billing processes new clients and maintaining positive relationship with clients.
• Suggested insurance contracts (participating vs nonparticipating) for Ambulatory Surgery Centers.
• Managed 40+ RCM team with task involving medical transcription, proofreading, insurance eligibility and benefits verification, charge posting, transmitting claims, handling rejections, insurance calling, payment posting, account receivable management and daily review of aging report.
• Generating MIS reports, hosting weekly management review meetings, recording of minutes of meeting.

Executive Lead - Medical Coding - HEALTHOFFICE INDIA PVT. LTD.

(2002-06 - 2005-10)

• American Association of Professional Coders - Certified Outpatient Coder.
• Proficient International Classification Of Disease 9th and 10th Edition (ICD-9, ICD-10), Common Procedural Terminology (CPT), and accurately coding diagnostic and procedural information using ICD-9, CPT and Healthcare Common Procedure Coding System (HCPCS) codes in accordance with National correct coding initiative (NCCI) guidelines and Health Insurance Portability and Accountability Act (HIPAA) rules and compliance.
• Coded and audited multi-speciality in-patient and outpatient operative procedures and office visits.
• Communicated with medical providers to clarify missing or inadequate record information.
• Led a 14-member coding team, maintaining efficacy of QA and productivity scale, preparing recruitment initial screening-test modules, medical coding training modules, reconciling unbilled balances, and tracking chart deficiencies and client interaction.

Medical Transcriptionist/Editor/Proofreader - HEALTHSCRIBE INDIA

(2001-11 - 2002-06)

• Highly trained medical transcriptionist and proficient in medical terminology with typing speed of 60 words-per-minute and 99.9% accuracy.
• Proficient in Microsoft office including VLOOKUP and PivotTable.
• Consistent and regular attendance of 100%.

Bachelors - Computer Applications - Rabindranath Tagore University

Certification - Outpatient Coder - American Academy of Professional Coders (2002)