To,

The HR Dept.

Subject: Application for the Job Opening with your esteemed organization.

Respected Sir/Madam,

I, Manish Kumar, completed my Bachelor Degree of Physiotherapy in August 22, 2006 from PADMASHREE INSTITUTE OF PHYSIOTHERAPY, Bangalore including six months of compulsory internship from HINDU RAO HOSPITAL Delhi.

I have also completed my Diploma in Pharmacy from DV College Pharmacy, Haryana & Internship from Vivekanand Polyclinic Padam Nagar, Delhi-110007 in 2015. I am Certified Professional coder (CPC-AAPC).

I am seeking an employment in your esteemed Organization. I have enclosed my resume containing details of my education, work experience & references for your kind perusal. Kindly oblige me with response regarding the same.

Thanking you,

Date: 01st November, 2015

Applicant

(MANISH KUMAR)

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Job Profile:

I am a Certified Medical Coder (CPC) with 8 years’ experience in Healthcare industry. Currently I am working as Claims Quality Analyst with Medical Coding-Medicaid DDR Team in United Health Group, Noida. I have worked for specialties like Inpatient Patient Coding, Physician Coding etc.Prior working to UHG, I worked as a Medical Coder/Clinical Tester for Eli research & Genpact. I have also practiced Physiotherapy with several facilities for 2 years 5 months.I have very keen interest in the field of Pharmacy, Physiotherapy/ Clinical Testing & updating myself for same.

Skills- Pharmacy: I have working knowledge of dispensing OPD medicines, their usage for

medical conditions, their interactions & possible side effects. Physiotherapy: Knowledge to access patient diagnosis, understand their medical need &

independently plan Rehabilitation program for them.I have treated patient in specialties like Orthopedics, Sports Medicine, Geriatrics, Neurology, Medicine, and Gynecology & also have exposure in Lymphatics.

Medical Coding: Certified medical coder, worked for specialties Radiology, Eval. & Mgmt., Lab. & Path., Inpatient, Anesthesia etc.

- Able to code Medical records using CPT, ICD & HCPCS, PQRI; verify them for coding issues like exception & denials & as per guidelines provided by CMS & Private payers, also able to Test Payer & provider application clinically.

Career Objective: To contribute to success and the values of organization in turn to enhance my

professional and career skills.

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Manish Kumar (BPT, CSPT, D.Pharm, CPC- AAPC)Total Work Experience: 8 yearsHealthcare Experience : 8 yearsAddress: E2/104, 3rd floor, Gali No.03,Shastri Nagar, Delhi- 110052Contact Info: manishacer@gmail.com, Mob.-9868841984, 8447622485

EDUCATIONAL QUALIFICATIONS:

PROFESSIONAL QUALIFICATION

Bachelor of Physiotherapy (B.P.T.), 2006College: Padmashree Institute of Physiotherapy, Bangalore.University: Rajiv Gandhi University of Health Sciences, Bangalore.

Diploma In PharmacyCollege: DV College Of Pharmacy, Faridabad, HaryanaUniversity: Haryana State Board of Technical Education.

Certificate Course In Sports Physiotherapy, 2008College: Amar Jyoti Institute of Rehabilitation, Delhi.University: Guru Gobind Singh Indraprastha university,Kashmere Gate, Delhi.

Certificate Course In Medical CodingFrom: Globerian Inc.213 Chappaqua Road, Briarcliff Manor, (Mohan cooperative)

MEMBERSHIP: DCP Delhi Council for Occupational Therapy & Physiotherapy (MDCP Regd.No.PR-926)

Delhi Pharmacy Council, Old Secretariat, Delhi- 54.(Registration No. 25307)

ISIC Member Of Spinal Cord Society, ISICvasantkunj, Delhi (MSCS Regd. No.-1583)

Indian Association Of Physiotherapist,(MIAP Regd. No.- )

AAPC Member of American Academy of Professional Coders, 2011 .Registration no.-01178260Credentials- CPC (Certified Professional Coder)

Additional Qualifications: Office Automation with MS Office 2000 from CDAC, Connaught place, Delhi. CPC certified from American Academy of Professional Coders (AAPC). Lean certified Trained and tested & GB Trained at Genpact, Gurgoan. Qualified HIPAA with UHG, Genpact, MD Everwhere & Eli Research. Completed Competent Communicator levels of Toastmaster International – Proficient in

spoken English.

United Health Group : DOJ: 16th Dec.2013 Till current date- 01st Nov.2015.

Current Job Title: Claims Quality AnalystCurrent Team: MCD- Medicaid Data Development- Medical coding.MDD Manager- Dalip Kumar, Medical Coding Manager- Ishvinder Singh.Current Job Profile:

As Tech.1- I create state specific medical policy rules for Payer & Provider application, create Test cases & scenarios to capture medical policy.

I study Medicaid state specific policies for various specialties like DME, Physician Services, and Chiropractioners. I interpret policy documents for expected rules creation, works in collaboration with onshore team on a daily basis, also suggest for creation of a new flag per business requirement.

I have worked with Coding specialties- Inpatient, Physician Coding, Surgery Coding etc. I have attended various Trainings with UHG like- Medicaid DDR training, ICD-10 CM,

ICD-10 PCS, ICD-10 Anatomy & Physiology, Inpatient Coding training, Surgery Coding Training, Computer Assisted Coding- CAC.

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Software’s Usage: Content Manager, Content Manager, Claims Editing System, Beyond Compare, Jabber- Communication Tool, Encoder Pro, MS Office, Revenue Cycle Pro, 3M- Inpatient Coding Software, etc.

Reward & Recognition In UHG : Awarded with Venus award in Medicaid Team in 2015. Awarded as a resourceful employee with UnitedHealth Group in 2014.

Eli Research, Faridabad, Haryana: DOJ: 26th Aug.2013- 15th Dec.2014.

Job Title: Coding Content SpecialistProcess: Medical Coding, Manager- Vinay Kumar, Apoorba Ganguly.Job Detail:

Coded Evaluation & Management chart, Client education better coding. Worked on coding contents related with client queries. Answered Medical coding queries in Ask an Expert application section. Audit E/M Charts, Updating coding data for Coding Books, Product development for

Supercoder medical coding software.

Genpact, Gurgoan, Haryana : DOJ: 21st September 2011 till 17th Apr.2013

Job Title: Clinical Quality Analyst (Clinical Tester- Software application Tester)Process: Clinical Quality Assurance. Manager- Meghna Kumar, Vijay Khot.

Worked with Genpact as Clinical Tester for Payer (Insurance Company) & Provider (Physician) software applications development process.

Job Detail: Test clinical & functional integrity for Healthcare Products. Create and test (Clinical & Functional) scenarios related to business requirement of client

for Product development, Maintenance, and Testing (Scenarios must follow strict protocols and procedures & in compliant to regulatory guidelines).

Generate product enhancement ideas for client. Clinical testing for payer and provider software applications. Also used SQL, Oracle software to execute queries. Products – Provider (Physician) & Payer (Insurance Companies) applications. Used Medical coding knowledge CPT, HCPCS & ICD guidelines for Quality assurance,

did ICD coding, E&M Physician coding.

Reward & Recognition : Spot Award in Feb.2012 for outstanding contribution towards process. Bronze Award in July, 2012. Bronze Award in October 2012.

Experience Prior to Genpact: MD Everywhere India Pvt. Ltd., Noida, U.P Job Title: Medical Coder Process: Medical Coding, Manager- Parthasarthi Mazumbdar, Ravi Malik. Duration: 27th Jan, 2009 to 11th Sep, 2011. Job Responsibilities: Medical Coding: Specialties- Radiology, Pathology (Handling 2 clients individually), E&M-

O/P, Emergency, Medicine, Anesthesia, PQRI or PQRF. ICD Coding: Psychiatry, EKG, Gastroenterology and Others. Handling Denials and exceptions: Claim analysis for denials for Modifiers, CPT’s, Global

period issues- Bundling issues, Medical necessity etc. Problem solving on various fronts to get clean claims.

Billing Query Handling: Assisting Billing executives for coding issues.

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Uses Coding Software’s: Encoder Pro, Medical Manager, Related web. Sites, PDF editor etc.

Independently handled Clients- Pathology, Radiology, and ICD coding.

Reward & Recognition:Got appreciated for my work in Company meeting with an Appreciation Letter.

Physiotherapy Work Experience: 1) Completed internship from Hindu Rao Hospital, Delhi.

Depts. Postings: -OPD, IPD, Medicine, Orthopedics, Neurology, ICU, Handicap Ward, Geriatric care Clinic etc

2) As a Chief Physiotherapist at AYUDHAM SOCIETY FOR OLD & INFIRM(REGD.), Najafgarh Delhi,

From: Sep.2006 to April 2007.3) As a Chief Physiotherapist at Sri Guru Nanak Sukhshala Charitable Hospital, Malka Ganj,

Delhi. From: April 2007 to Nov. 2007.

4) As a Physiotherapist at SPARSH PHYSIOTHERAPY CLINIC, Kingsway camp, Delhi.5) Worked voluntarily with SUNDER LAL JAIN HOSPITAL, DELHI6) Worked with SHUKLA NURSING HOME for 1yr., Shastri Nagar, Delhi.7) Also worked with Kaya Kalap Hospital, Burari, Delhi.8) Trained & Tested in Manual Therapy from Capri Institute of Manual Therapy, Delhi.

Summary of Work experience :

S.No Place of Work/ State/Country

Period of Employment(MM/DD/YY

)

Designation Reason Of Leaving

From To1 Ayudham Society for

Old & Infirm-Geriatric Care, Delhi,

India

9/1/2006 5/6/2007 Chief Physiotherapist

Joined Hospital OPD

2 Sri Guru Nanak Sukhshala, Charitable Hospital Malka Ganj,

Delhi, India.

5/7/2007 5/31/2007 Chief Physiotherapist

Opportunity in Nursing Home IPD

3 Shukla Nursing Home, Delhi, India

6/1/2007 7/31/2008 Chief Physiotherapist

Hospital OPD/IPD

4 Kayakalap Hospital, Burari, Delhi, India.

8/10/2008 1/26/2009 Chief Physiotherapist

Opportunity with a

Healthcare Business

5 MD Everywhere India Pvt Ltd

1/27/2009 9/12/2011 Medical Coder Opportunitywith an MNC

Genpact6 Genpact, Gurgoan,

India9/21/2011 4/17/2013 Clinical Quality

AnalystProject

successfully completed

with Genpact7 Eli Research,

Faridabad8/26/2013 12/02/2013 Clinical Coding

SpecialistCommuting

to Office very difficult

8 United Health Group 12/16/2013 Till Present (01st Nov.

2015)

Claims Quality Analyst

Continued Till date

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Area of Interests: Pharmacy, CRA, Analytics, Business Intelligence. Clinical & Functional Testing of Software application. Exercise Specialist & Health Fitness Trainer, Specialized Sports Physical therapist. Medical Coding.

PERSONAL INFORMATION:

Name : Manish Kumar, DOB: 09/27/1981Spouse Name : Mrs. Rashmi Sharma, DOB: 10/08/1983Daughter : Shruti Sharma, DOB: 05/20/2011Guardian Name : Mr. Rajender Pal Sharma

Mrs. Mithlesh SharmaDate of Birth : 27th Sep. 1981Nationality : IndianMarital : MarriedLanguages Proficiency : English, HindiCurrent address (mailing address)

: E2/104, Plot No.-104, 3rd floor, Gali No.03,Shastri Nagar, New Delhi, PIN-110052

Permanent Address : H.No.-83/1, 2nd floor, Gali No.03, East Moti Bagh, Sarai Rohilla, New Delhi, PIN-110007

Contact : Mobile:+91-8447622485, 9868841984Resi: 011-23699933Email : manishacer@gmail.com

Passport : G1288158 expires on 1/9/2017

Expectations : want to grow further, ready for future challenges & opportunities outside my native country. Also want to gain CCS certification.

: Congenial work environment and opportunity to grow.

Attached copy of my Certification & Professional education: Continue on next page

Date : 01st Nov. 2015 Place : New Delhi

Applicant (Manish Kumar)

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