Shiva kumar
Hyderabad
Summary
Seeking a position to utilize my skill and abilities in professional growth while being resourceful innovative and flexible while at the same time contribute towards the progress and development of the organization.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Sr Associate
R1rcm
12.2023 - Current
Developed strategies for analyzing and appealing denied insurance claims, ensuring revenue recovery and reducing risk of future denials.
Sr Associate
Doctus Data services pvt ltd
Hyderabad
03.2022 - 09.2022
- Woked as a denial coder
- Trained team associates in proper procedures, team policies and strategies for success.
Associate
WIPRO Pvt Ltd
Hyderabad
10.2019 - 12.2021
- Achieved compliance with Australian coding standards (ACS) through accurate assignment of ICD-10-AM/ACHI codes to patient records.
Education
Bachelor of Science - PCM
Guru Nanak degree college
Bidar, Karnataka01.2012
Intermediate - Bi.P.C
Vidya Independent PUC collage
Bidar, Bidar Dist01.2009
Post graduate diploma - PGDCA
computer application
Bidar01.2007
S.S.LC -
Parimala high School
Bidar, Bidar Dist01.2005
Skills
- Clinical coding and AM coding
- Denial management for E&M
- Terminology in medicine
- ICD-10 CM specialization
- CPT familiarity
- ACHI
- Denial management
- Claim analysis
- Understanding HCPCS modifiers
Certification
- CPC certification, AAPC, 01873051
- AI in Medical Billing and Coding certification
Languages
English
Hindi
Telugu
Kannada
Custom Section
- Post graduate Diploma in Computer Application (PGDCA)
- Good Knowledge on Excel
Hobbies and Interests
- Listening Music
- Watching cricket
- Cooking
Training
- Trained as Certified Professional Coder (CPC)
- Trained on - Medical terminology, ICD-10 CM, CPT HCPCS MODIFIERS
Disclaimer
I hereby declare that all the above information is true to the best of my knowledge, belief, and information.
Hobbies and interests
- Intellectual & Cultural (Demonstrates Curiosity): Learning languages, traveling, reading, history.
Timeline
Sr Associate
R1rcm
12.2023 - Current
Sr Associate
Doctus Data services pvt ltd
03.2022 - 09.2022
Associate
WIPRO Pvt Ltd
10.2019 - 12.2021
Bachelor of Science - PCM
Guru Nanak degree college
Intermediate - Bi.P.C
Vidya Independent PUC collage
Post graduate diploma - PGDCA
computer application
S.S.LC -
Parimala high School