Mohan Kumar

As a confident linguist with a professional service-oriented attitude and an entrepreneurial spirit, I am seeking a challenging role as a Manager Operations. I bring exceptional communication skills, keen attention to detail, and a high level of expertise in project management and Revenue Cycle Management.

Total years of Experience: 16 years of Experience in Medical Coding

Manager- Medical coding - Makura solution

(2023-09)

• Led a team of 45 members, overseeing end-to-end operations in the MEDICAL CODING process for a diverse set of multispecialty (E/M, Surgery, ER- both professional and facility, Outpatient and anesthesia) clients.
• Ensured prime-level client delivery for all clients and scope of Work (SOW). Initiated effort estimation for new prospects. Regularly monitor performance metrics and project dashboards, offering Value-Added Services (VAS) to enhance client satisfaction.
• Implemented process improvements to enhance efficiency and reduce coding errors.
• Prepared ISO documentation for operational processes in preparation for an external audit.
• Conducted weekly/monthly scheduled calls with clients on various platforms, including GTM, Zoom, Ring Central, and Teams.
• Costing report (Billable FTE vs. deployed FTE)
• Monthly team reports prepared and shared with HR team
• FTE details sharing on a monthly basis
• Excess FTE planning and cross skilling for upcoming process
• TAT report
• Project Analysis report(PAR)
• Attrition report
• Cost cutting sheet (Buffer list)
• Denial report along with %
• Automation tool enhancement
• Case study of an each projects
• Value adds to clients- Providing documentation enhancement to get additional reimbursement and FTE requirement
• Monthly client call-Arranging the monthly call with the client and presenting entire date including all updates/Issues if any
• Checking important client emails and responding on time
• Conducting weekly lead-level meetings to improve progress
• Analyzing the issues, if any, and providing an action plan to the client
• Presenting general management topics, such as time management, leadership skills, and others, to the entire company
• Generating dashboards for KPIs (Key Performance Indicators) to measure quality and productivity.

Executive- Medical coding - Ecare India Private Limited

(2014-08 - 2016-12)

Group coordinator- Medical coding - Ecare India Private Limited

(2017-01 - 2019-06)

• Detailed Documentation- Always handy with the discussion points well before the call
• Weekly Clarification- Outstanding clarification shared with the client on a weekly basis to reduce # of pending’s
• CAPA- If any issues in coding, will be updating in CAPA log and conducting appropriate action
• Backdated Audit (90 days)- This is ensure all the charts that was coded correctly
• Allocation to be made to the coder/reviewer based on the volume inflow
• Daily updates and team meetings are provided and conducted
• Conducting weekly assessments based on the recent updates is to ensure that all updates are made accurate by the coders to date
• Reviewing the SOP document on a regular basis and sharing it with the client on a monthly basis.
• On a monthly basis, every coder reviews their own performance
• Analyzing the denial report and preparing a protocol to prevent denials

Team Leader- Medical coding - Ecare India Private Limited

(2019-07 - 2022-04)

Assistant Manager- Medical coding - Ecare India Private Limited

(2022-05 - 2023-09)

• Value adds to clients- Providing documentation enhancement to get additional reimbursement and FTE requirement
• Monthly client call-Arranging the monthly call with the client and presenting entire date including all updates/Issues if any
• Checking important client emails and responding on time
• Conducting weekly lead-level meetings to improve progress
• Analyzing the issues, if any, and providing an action plan to the client
• Presenting general management topics, such as time management, leadership skills, and others, to the entire company
• Generating dashboards for KPIs (Key Performance Indicators) to measure quality and productivity.

Payer relationship Executive - E4e Health Care

(2010-04 - 2012-04)

Trainee & FTE- Medical coding & Precoding - E4e Health Care

(2012 - 2014-07)

BE - ECE (2005 - 2009)

12th - Gov. Boy’s hr sec school (2004 - 2005)

10th - Gov. Boy’s hr sec school (2003 - 2003)