Dr Kiruba Thomas S
Hospital Liaison Officer at SHRI SATHYA SAI MEDICAL COLLEGE AND RESEARCH INSTITUTE- Claim this Profile
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Kannada -
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Tamil Native or bilingual proficiency
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English Professional working proficiency
Topline Score
Bio
Credentials
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HIPPA Privacy Officer
PCIHIPAAJun, 2020- Oct, 2024 -
Lean Six Sigma Yellow Belt Certification
MSME-TECHNOLOGY DEVELOPMENT CENTRE (PPDCAGRA)May, 2020- Oct, 2024 -
Saas Business Transformation
AWS certification and trainingMay, 2020- Oct, 2024 -
Clinical Validation on Bill Review
Coventry Health Care, an Aetna CompanyAug, 2013- Oct, 2024 -
Certified Professional Coder (CPC)
AAPCAug, 2009- Oct, 2024 -
ICD-10-CM
AAPC -
Lean Six Sigma Green Belt Certification
HCL Technologies
Experience
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SHRI SATHYA SAI MEDICAL COLLEGE AND RESEARCH INSTITUTE
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India
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Higher Education
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100 - 200 Employee
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Hospital Liaison Officer
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Nov 2019 - Present
• Coordinating the strategic objectives of the process in Medical Records Department. • Problem identification and solution development for the issues arising in Medical records department such as coordinating the Nursing departments for the case sheet delivery. • Quality parameters of the case sheets are identified and the information was conveyed to the HOD’s and Nursing departments through proper channel. • Training given for the MRD technicians who handles the ICD -10 coding process whenever required. • Acts as liaison between hospital, physicians to provide information and maintain positive relationships. • Assists in planning and executing educational offerings for hospital staff related to the care of hospice patients which includes preparation of power point presentation. • Complies with all policies and procedures of the hospital and College. • Involving in all the quality certifications programs of the hospital (NABH & ISO 9001:2015) to achieve the goals of the MRD department. • Prepared of curriculum/ Syllabus for the Elective subjects Yoga & Hospital Management for Allied Health Sciences. • Establishing students learning including both knowledge and skills for AHS & Nursing sciences. • Determine and prepare the appropriate content, teaching methods, assignments and Assessments for AHS & Nursing sciences. • Develop assignments that will help the students advance their thinking for AHS & Nursing sciences. • Attending all college wide applicable program meetings for AHS & Nursing sciences. • Attending Continuing Medical Education programs such as webinars & online courses as part of professional development. • Research: Being an internal expert for the subject Yoga, assisting in research methodologies in respect to Yoga and attending RAC (Research Advisory committee) meetings. Show less
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Medical Consultant
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May 2015 - Sep 2018
Volunteer clinical work as a Yoga & Naturopathic Medical Consultant responsible for treating patients and providing valuable community support and health education within the community. To reduce, sometimes gain weight and body sculpturing by physical exercises and diet. Community education and counselling, participation in various committees and task forces as needed. Attending 50-60 outpatients daily. Excellent management, Oral/Written communication and interpersonal skills, accustomed to work in a team environment with tight schedules and capable of working efficiently under pressure. Ramp up quickly & Handle new task. Show less
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Senior Consultant
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Jun 2014 - Apr 2015
• Domain expertise both on the provider and payer side. • Content development & training- The associates who are appearing for the Medical coding certification. • Work with various managers and team leaders to establish a process and to create skills matrix in identifying the training needs for the team members and for the new hires. • Incorporate profile based training for every role in the company within the E-learning application Study Company’s current training program, suggest modifications and bring out an effective training program to maintain consistency of skill levels amongst the staff in the organization. • Formulate and standardize the training program for new recruits and existing employees at all levels • Develop and create a certification program for the new recruits training process Liaise with external training vendors for new proposals and establish a planner to incorporate the certification training program for existing and new hires Support operations team in delivering the training program as per SLA (Service Level agreement) • Proven skills in requirement gathering, interacting with developers, documenting various business processes, coordinating various projects contributing in region of Healthcare Industries. • Experienced in interfacing with stakeholders and senior management with excellent communication and interpersonal skills. • Concrete understanding of Business Requirement gathering, Business Process flow, Business Process Modelling and Analysis, design documentation. • Strong problem solving and analytical skills with in-depth understanding of system development methodologies, techniques and tools. • Work with the development team to provide an environment ready for testers and end-users. • Facilitated test plan/test case walk-throughs for the Business and Development teams to obtain feedback and/or approval sign-off. Show less
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Cognizant Technology Solutions
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India
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Consumer Services
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Process Specialist
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Dec 2012 - Jun 2014
• Functioning as a Subject Matter Expert in supporting Auditing & Process training and handling a team of Associates. • Release training calendar to all stakeholders with predefined target date every month or quarter • Responsible for process document and process improvement • Be a business partner with leadership team and work closely to provide analysis which influences business decisions • Functioning as a Subject Matter Expert in supporting Auditing & Process training and handling a team of Associates. • Process training and handling a team of Associates. • Claims Adjudication Rules on iCES 1.4 and Content Manager and ICD-10 for Optum Insights (Ingenix). • LCD/NCD/CCI edits on Claims Manager based on Content Manager and Knowledge Base and RCM. • Sound knowledge in Anatomy, Physiology, Pathology, Diagnostic and Therapeutic Procedures. • Identifies appropriate assignment of CPT and ICD-9 and ICD-10 codes for physician and facility services. Additional data elements may require to be gathered during the chart review process. • Maintains a thorough understanding of assigned client coding specifics. Performs coding duties as appropriate for each site according to pre-determined schedules. • Working knowledge in the Software BR4. • Code medical records with ICD-9, ICD-10, CPT-4, and HCPCS Level II coding, daily while maintaining accuracy and achieving productivity goals. • Handling wide variety of medical reports Evaluation and Management, Pathology and Physical therapy. Show less
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Aegis Healthcare Ltd
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United Kingdom
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Hospitals and Health Care
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Senior Process Executive
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Aug 2011 - Aug 2012
• Functioning as a Subject Matter Expert in supporting Auditing & Process training and handling a team of Associates. • Sound knowledge in Anatomy, Physiology, Pathology, Diagnostic and Therapeutic Procedures. • Identifies appropriate assignment of CPT and ICD-9 and ICD-10 codes for physician and facility services. Additional data elements may require to be gathered during the chart review process. • Maintains a thorough understanding of assigned client coding specifics. Performs coding duties as appropriate for each site according to pre-determined schedules. • Working knowledge in the Software BR4. • Code medical records with ICD-9, ICD-10, CPT-4, and HCPCS Level II coding, daily while maintaining accuracy and achieving productivity goals. • Handling wide variety of medical reports Evaluation and Management, Pathology and Physical therapy Show less
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Dell
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IT Services and IT Consulting
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1 - 100 Employee
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MEDICAL RECORDS SENIOR REPRESENTATIVE
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Apr 2008 - May 2011
• Responsible for day-to-day operations and to meet production and quality. • Checking the batch status from FTP and downloaded folder. Checking the log responses from client and clearing the logs. • Escalated logs are reviewed every week and updates are discussed and shared with the team members and TL. • Planning and allocation of batches to complete in the turnaround time. Maintained the 98 % of accuracy and productive quality. • Working knowledge of ICD, CPT and HCPCS. Good knowledge of Anatomy, Physiology & Medical terminology. • Handling wide variety of medical reports Anesthesia and Surgery. Manage the quality analysis process of the Coders. • Communicate effectively and timely with upstream functional areas to resolve issues. Direct training as applicable for Coders and assist Coders with chart reviews as applicable. Show less
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Self
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Switzerland
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Business Consulting and Services
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1 - 100 Employee
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Medical officer
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Aug 2003 - Mar 2008
• Self-employed in private practice. • Clinical director and naturopathic doctor for Health Clinic • Volunteer clinical work as a Naturopathic Intern responsible for treating patients and providing valuable community support and health education within the community. • To reduce, sometimes gain weight and body sculpturing by physical exercises and diet. • Attending 30-40 outpatients daily. • Excellent management, Oral/Written communication and interpersonal skills, accustomed to work in a team environment with tight schedules and capable of working efficiently under pressure. • Ramp up quickly & Handle new task. Show less
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Education
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2005 - 2010
ALAGAPPA UNIVERSITY, KARAIKUDI
Master of Business Administration (M.B.A.), Hospital and Health Care Facilities Administration/Management -
1997 - 2002
Rajiv Gandhi University of Health Sciences
SDM college of naturopathy and yogic sciences, Naturopathic Medicine/Naturopathy
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