Santhosh M

About Santhosh M

Passionate about Healthcare and RCM industry, I bring 17+ years of experience in Medical Coding, RCM and Healthcare IT with Good background of Medical Anatomy, Physiology. I have exp\'d in Provider (Multi specialty coding) and Payor (Risk adjustment Coding (Retro, Concurrent and Prospective review)) coding and CDI(Clinical Documentation Improvement). I am good at Operational and Quality management. I have handled multiple clients, implemented new solutions, improved performance in terms of Productivity with Quality with Automation solutions (AI & NLP, Gen AI). I am driving the Operational & Quality teams, additionally Vendor management, Client Management, P&L, Resource Management, Project Management, Hiring and Training department. I have experience and expertise in different Coding Systems like US coding, Australian Coding, UAE Coding. Below are highlights about my experience in Coding & Healthcare other areas-> Multi specialty Coding exp like E/M OP, IP, ED, MS-DRG, Surgery, Radiology, Anesthesia, Pathology, IVR, HCC (Risk Adjustment), Denial Management-> CPT, ICD 10 CM, HCPCS, PCS (US Coding)-> ICD 10AM, ACS, ACHI (Australian Coding)-> IRDRG (UAE Coding)-> Experienced in SNOMED CT, LOINC coding. I am always keen to learn new things that helps and add to my skill set which is a career path in my personal & professional growth.

Experience

1. Associate Director - Medical Coding

   Raapid Inc

   Apr 2024 — Present

Education

• Kakatiya University (SRR Govt. Degree Collage, Karimnagar)

  Bachelor of Science

  2004 — 2007