Dawa Tsering

Experience

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  Ganesh ortho & trauma centre

  Jun 2006 - Jun 2008

  Consultant physical therapist

  consultant physical therapist, dealing with all the disorder associated with my profession.

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  Noida

  Jul 2008 - Dec 2012

  Genasis/Pacific

  Senior Medical Coder, job profile include as below:ASC codingHospital inpatient & out patientProfessional codingPCS/V3 codingHCPC coding

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  IDS infotech

  Jan 2013 - Jan 2014

  Senior medical coding analyst

  Senior Medical Coder, work profile:Professional/providerE & M codingHCC codingIVR codingDME codiingBilling/InsuranceSuperbillDeniel & Coding CorrectionCharge entryICD - 10Project handle:HCC projectICD - 10 project

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  United Health Group

  Jan 2014 - Aug 2019

  Worked closely with senior leadership ensuring team utilization, quality and stream line of new project.Quality update of team from Manila, Hyderabad and Noida. Daily. Methodology used are weekly and Monthly matrics of auditor performance.Focus on individual team member growth and performance. Effective utilization of each team member skill.Smooth transition of new joiner to company system. Training the fresher as per company project requirement. Current training methodologies are fast track, short term and long term with 100% practical approach. Show less Primary Responsibilities:Identifies appropriate assignment of ICD-10 CM & ICD PCS codes for facility services provided in the inpatient settings (additional data elements may be required during the chart review process)Maintains a thorough understanding of assigned client coding specificsPerforms coding duties as appropriate for each site according to pre-determined schedulesReviews and maintains records of charts coded, held, and/or missingProvides documentation feedback to providers as appropriateMaintains up-to-date coding knowledge by reviewing materials disseminated/recommended by the QM Manager, Coding Operations Managers, Director of Coding/Quality Management, among othersParticipates in coding department meetings and educational eventsProvides both monthly distribution statistics and Activity Report forms for each site codedIdentifies promptly to appropriate supervisor questions or concerns that ariseCommunicates to supervisor and documents interactions with staff, department supervisors, and medical director for a particular siteParticipates in peer coding audits and forwards charts as requested to Quality Management for reviewIncorporates quality assurance information and feedback into coding processIdentifies coding methods needing improvement and makes recommendations when appropriateHandled added responsibilities which included: i.Daily Quality report from Manila, Hyderabad and Noida shared to the management and MIS team.ii.Weekly Calendar updation on Utilization of Auditor from Manila, Hyderabad and Noida and shared the same to Supervisors.iii.Weekly Production report from Manila, Hyderabad and Noida shared to Onshore team.iv.Education update to team.v.Handling technical challenges from team on:a.Computer assistant coding b.Encoderpro c.Revenue cycled.Technical challenges.vii: Ensuring strict adherence to the process parameters/systems as per defined guidelines and leads managing team functions in a most appropriate. Show less

  • Management Trainee

    Feb 2017 - Aug 2019

  • Auditor Medical Coding

    Jan 2014 - Feb 2017
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  UnitedHealth Group

  Aug 2019 - Dec 2023

  Payment Policy Senior Analyst / Reimbursement Policy Manager

  Closely worked with Onshore Partner, collaborating with the payment integrity team. Analysing Data, Developing Policy, Aligning the sourcing, Getting approval, involving research, grievances and deployment.Consecutive 5EE Ratings.

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  Jorie AI

  Dec 2023 - now

  Deputy Manager

  Multi Facility Project Transition, Quality improvement, Denial Management and Training.Establishes and evaluates cutting-edge technologies; defines user requirements; creates technical specifications; establishes production, productivity, quality, and customer-service standards; contributes data and analysis to organizational strategic plans and reviews; and determines operational strategies through the completion of needs assessments, performance reviews, capacity planning, and cost-benefit analyses. Show less