Varatharaj Perumal CPC, CCS, CPMA
Dubai,UAE
Summary
Highly organized and results-driven healthcare professional with 9 years of UAE market experience. Expertise lies in Revenue Cycle Management (RCM), Medical Coding, Inpatient Billing within the healthcare sector.
Seeking a challenging role in Hospital Insurance/RCM to utilize skills in optimizing revenue streams, fostering operational excellence and contributing to a healthcare institution's growth.
Overview
13
13
years of professional experience
2
2
years of post-secondary education
1
1
Certification
Work history
Senior Inpatient Coder
Saudi German Hospital
Dubai, UAE
01.2025 - Current
- Assigning appropriate DRG codes for Inpatients and Day case stay based on ICD and CPT guidelines
- Allocating claims for coding based on specialty and length of stay
- Reporting to RCM manager about coding and submission status on daily basis
- Working closely with RCM Manager, finance and IT team to set up complete RCM process and hospital day-to-day work
- Meeting the Doctors on regular basis to improve clinical document especially for CC and MCC conditions
- Coordinating with approval team to sort out coding related queries to secure final approval
- Making sure Outlier, add-on, high-cost surgery and transfer payments are charged appropriately wherever it requires
- Coordinating with Resubmission team to track denial trends and for improvement
- Analyzing Revenue optimization monthly wise based on Initial DRG & Final DRG
- Concurrent coding for long stay patients
- Supporting for claim submission & Resubmission
Inpatient Medical coder
Clemenceau Medical Centre Hospital
Dubai, UAE
09.2023 - 12.2024
- Assigning appropriate DRG codes for Inpatients and Day case stay based on ICD and CPT guidelines
- Educating the Doctors for completeness of documentation in necessary of proper coding
- Concurrent coding for long stay patients and updating appropriate DRG levels to secure approval
- Provides DRG tracker for Inpatient and Day case stay to secure pre-approval
- Responds to coding related queries at pre-approval, coding and claims level
- Interacts with coding team to resolve documentation and coding related issues to ensure proper DRG assignment
- Processing claims through DHPO for payment, correct the errors manually in XML whenever it is needed
- Supporting resubmission team for DRG and other coding relater rejections and resubmitting the claims
- Audit the bills to make sure outlier, long stay payment, transfer payment, add-on payment for High-cost consumables, drugs and surgery are properly assigned
- Coordinating with resubmission team to analyze the trend of rejections
RCM Administrator
Mediclinic Parkview Hospital
Dubai, UAE
09.2018 - 09.2023
- Engaged in appropriate DRG codes for IP, Daycase patients based on ICD and CPT guidelines
- Coordinating with case managers for CC and MCC conditions to increase the DRG value with reference to complete documentation and medical necessity
- Providing ICD, CPT codes for preapproval request and managing coding related insurance queries
- Reviewing OT notes, assigning appropriate CPT codes, checking with coding edits for unbundling, MUE restrictions and querying Doctors for incomplete documentation
- Auditing the claims with reference to coding, billing guidelines and submitting through DHPO for processing and payment
- Proving feedback to billing team for incorrect charges captured to avoid over/under charging the services
- Providing feedback for retrospective audit reports from Insurance companies and following up for payment
- Interacts with coding team to resolve documentation and coding related issues to ensure proper DRG assignment
- Coordinating with Insurance companies for clarification on rejections, feedback and applying on the process if correction required or else convincing payer to accept the claims by providing justification and supporting documentation if needed
- Coordinating with our insurance team to secure final approvals for claims processing
Senior Medical Coder - OP & Daycase
Lifecare Hospital, VPS Group
Abudhabi, UAE
08.2016 - 08.2018
- Coding, auditing and submitting the claims to the respective insurance companies as per standard guidelines for Outpatient and Daycase
- Responsible for abstracting all medical information from the EMR and coding through SAP application using 3M
- Communicate with Physicians for documentation improvement as per the CMS-1995 E/M guidelines
- Make regular queries to Physicians for Procedure documentations, medical necessity as per the investigations ordered
- Maintain internal coding guidelines and non-covered services with reference to insurance specific.
- Responsible for 24 hours claim submission process as per HAAD requirements.
- Participated training programs for Physicians and medical staffs with regards to Tasneef audit protocol
Senior Medical Coder
World Source India
CHennai, India
08.2015 - 04.2016
- Worked in Hospital Management coding (HM coding) assigning E&M codes for Observation, Inpatient, Skilled nursing facility using ICD-10 codes for diagnosis
- Audit coded files and provide feedback for coding staff
Medical Coder
AGS Health
Chennai, India
07.2014 - 07.2015
- Worked in Emergency Department coding for outpatients with ICD 9, CPT and HCPCS level II coding
- Audit coded files and provide feedback for coding staff
Medical biller and coder
Omega Healthcare Services
Trichy, India
08.2012 - 07.2014
- Worked in Emergency Department coding for outpatients with ICD 9, CPT and HCPCS level II coding and I was in part of auditing team for pending claim
Education
Master of Science - Biotechnology
Bishop Heber College
Trichy, India 06.2008 - 04.2010
Skills
- Resolving coding discrepancies
- Managing deadlines
- Risk management planning
- Critical thinking
- Planning and organisation
- Process Improvement
- Team Leadership
- Efficient decision-making
- Loss prevention management
- Multidisciplinary team collaboration
Certification
CPC from AAPC
CCS from AHIMA
CPMA from AAPC
Personal Details
Date of Birth: 11th May 1988
Nationality: Indian
Marital status: Married
Visa: Employed
Timeline
Senior Inpatient Coder
Saudi German Hospital
01.2025 - Current
Inpatient Medical coder
Clemenceau Medical Centre Hospital
09.2023 - 12.2024
RCM Administrator
Mediclinic Parkview Hospital
09.2018 - 09.2023
Senior Medical Coder - OP & Daycase
Lifecare Hospital, VPS Group
08.2016 - 08.2018
Senior Medical Coder
World Source India
08.2015 - 04.2016
Medical Coder
AGS Health
07.2014 - 07.2015
Medical biller and coder
Omega Healthcare Services
08.2012 - 07.2014
Master of Science - Biotechnology
Bishop Heber College
06.2008 - 04.2010
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