Medical Coding

Medical Coding is one of the most important process in Revenue cycle management. Accurate coding is essential to avoid denials and increase reimbursement. To prevent any coding errors and coding denials our team of AHIMA or AAPC certified medical coders work on a simple principle “if it is not documented, it cannot be coded”.

BlissMD Healthcare Solutions offer Medical Coding service as a stand alone or as a part of Revenue Cycle Management services. Our experienced specialty specific coders are proficient in providing the following services:

Medical Coding

Professional Coding

Facility Coding

Risk Adjustment Coding

Auditing and Consulting

Chart Audits

HCC Denial Management

Clinical Documentation Improvement

Coding process at BlissMD

Medical Coding

Copies of Patient’s Super bills, Charge sheets, Medical records or any other clinical documentation related to coding are received from the client’s office or retrieved from the client’s EHR system through a secure connection.

Superbills with pre-assigned ICD 10 and CPT codes are forwarded directly to the QA department for an audit to ensure codes are appropriate for the services rendered and do not miss any digits. Once obtaining QA approval, the superbills are sent directly to the Charge entry department for processing.

Clinical documents, Medical records or Charge sheets that are not pre coded are segregated based on the specialty and assigned to the specialty specific medical coders to initiate the coding process.

CPT-4/HCPCS and ICD-10-CM Coding

The specialty specific coders study the Medical records and assign the appropriate CPT/HCPCS, ICD-10 and modifiers. Our coders ensure that the procedure and diagnosis codes assigned are in accordance with the procedure performed to avoid any possibilities of up-coding or down coding errors. Once completed, the coded documents are forwarded to the QA Department for auditing.

QA Department

A serious QA check is performed at every stage to meet client requirements and maintain accuracy. The Approved charts are then forwarded to the client for review then after client approval the charge entry department initiates the claims processing. Every effort is made to ensure the coding is completed with perfection and an error free claim is submitted to the insurance carrier.

Our Commitment

Rapid Turn Around Time (24 – 48 hours)

Guaranteed coding accuracy (minimum 95%)

Avoid Up Coding / Down Coding, Increase Accuracy

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Neelaveni Jayakumar

Sr. Manager – RCM

Neelaveni comes with nearly 10 years of experience in the healthcare industry spread across home health, In-Patient, Out patient, anesthesiology and radiology environment. Her specific areas of expertise are Revenue Cycle Management and Managed care contract negotiations. Prior to joining BlissMD Healthcare Solutions, she has spent a considerable amount of time working in Banking sector, Life Insurance and Health Insurance companies.

Neelaveni has a solid understanding of all aspects of revenue cycle management with a focus on best practices and expected outcomes to bring and show value at the client level, she has immensely contributed towards BlisMD’s continuous growth, innovation and expansion. Her strength includes client co-ordination, process enhancements and handling escalations, which comes from spending a significant amount of time in managing all billing processes resulting in increased savings and process improvements for the clients she has managed. She has completed a Bachelor’s degree in Mathematics and Science.

Elanchezhiyan A (Dean Mayor)

Founder and CEO

Elanchezhiyan is the Founder and a Chief Executive Officer at BlissMD Healthcare Solutions. He has more than 15 years of experience in US Healthcare industry. Elan created the company in the year 2013 and through his brilliant track record in leadership, management, and operational experience; He made BlissMD a cost effective, client centric, client oriented and most preferred Revenue Cycle Management service provider.

As a CEO of the Company, He oversees the strategic direction of the organization and upholds the company’s position at the forefront of the industry. Under his direction, the Company enjoys a rapid growth and achieves higher rate of customer retention, employee’s satisfaction and add new talents every day.

As a Founder of BlissMD, Elan brings an incredible amount of industry knowledge and relationships that he has built through the years while working in senior management positions in various US-based healthcare services companies. Personally, He is a peace loving Man. He likes playing chess, practicing yoga and Meditation.

Qurathul Zahira

Sr. Manager – Coding operation

As an accomplished healthcare professional with nearly 13 years of experience, Qurathul Zahira has successfully managed the operations, deliverables and audit functions for BlissMD’s coding department. Qurathul has been with BlissMD Healthcare Solutions since its inception. Qurathul is a certified professional coder. She holds a Master’s degree in physiotherapy (M.P.T) and has previously served as a physiotherapist in hospitals and nursing homes. Her Knowledge and understanding of Hospital and Professional fee coding has helped the organization cater to niche demands from clients.

Qurathul is also a subject matter expert of HCC Coding and regulations and this has helped BlissMD support payer side of business. In her current role, She plays a key role in planning overall organizational strategy, growth and customer satisfaction within coding services and Technology. Her client centric work ethic coupled with her focus on streamlining processes has helped BlissMD manage, retain and grow new and existing coding accounts.

Rajiv Manoharan

Sr. Manager – IT and Compliance

Rajiv Manoharan leads the IT and Compliance dept at BlissMD Healthcare Solutions. He and his team acts as BlissMD’s technical safeguards. Under Rajiv’s supervision his team monitors the patient’s electronic ePHI to keep it safe from any threats and control the access to it. He ensures all HIPAA technical safeguard standards are implemented strictly in the organisation without any breach. He ensures his team is kept updated to face any new security challenges.

Rajiv also takes the responsibility of managing full project lifecycle right from accessing the requirements of the project in accordance with the IT strategy, architecture, analysis and building solutions in line with customer requirements, testing, deploy and end-user training (technical and non-technical audiences).

He specializes in IT data security and project management. He has nearly 16 years of experience in the IT and web content management domains and brings in his creative problem-solving and analytical skills to the table. Prior to joining BlissMD Healthcare Solutions, He worked with organizations such as Chettinad Academy of Research & Educations., Dpro Technologies Pvt Ltd, etc.

Revathi R

Manager – Accounting and Finance

Revathi is one of the key decision makers for BlissMD’s over all administration. Revathi ensures the organization is in full compliance with the Law. Under her leadership the company’s Accounting and Finance department executes company’s receivables, payables, payroll, financial controls and financial reporting as per industrial standards. She is a BTech graduate and holds an MBA in accounting. Prior to joining BlissMD, she has spent a considerable amount of time working as a chief accountant in a reputed organization.

As a part of BlissMD’s leadership team, she has been one of a driving initiative to build a skilled and united workforce. She meticulously maintains and up skills the organization’s standards by implementing and evaluating the employees relationship policies and programs. She is known as a high energetic and a positive leader, who loves to face challenges and works smart to achieve it.