Highlights:Offering over 12+ years of work experience; seeking a position in an organization that provides me ample opportunity to explore & excel while carving out the niche for personal, professional as well as organizational goals in the field of Healthcare Revenue Cycle Management/Operations/Team Management

Skills:ICD9 to ICD 10, clinical and functional testing, medical coding

Certification:• Certified Professional Coder (medical coding) certification from American Academy of Professional Coders. • LEAN certified by Genpact. • Accelerated Health Reimbursement Program (Genpact) • Performance Management Program (Genpact) • Green Belt trained and tested (Genpact) • Diploma in Medical transcription (CBay certification) • 3 Years Diploma Certification in Software Engineering from STG Ltd.

Honor:• Recipient of Gold Award in 2012 and Silver Award in 2011, Genpact • Credentials of winning Bronze award for contribution towards process improvement in 2009, 2010 Genpact. • Awarded the Most valuable player award in 2008, Genpact. • Recipient of LEAN Ace certificate for providing ideas to improve process efficiency in 2008, Genpact • Won Best employee of the year award, Globerian. • Recipient of many appreciation letters from Clients (Audits), Globerian

Principal Consultant 12/2006 - current
Genpact, Gurgaon, new delhi India
Industry: Healthcare
Part of Solutioning team with end to end involvement in development of Overpayment Identification Tool from requirement analysis to system study, designing, coding, testing, documentation and implementation. Review, study and comprehend healthcare mandates and regulatory changes to devise solutions that address industry pain points. Develop high-level estimates on project plans, resource utilization, velocity (function point or similar)
• Handled a team of 10 testers in different phases of project including planning, scheduling, costing and budgeting, onsite-offshore coordination, implementation and transitions. • Hands on experience in Project Management using Agile Methodology (Scrum Model). • Identifying patterns related to member and provider profiling using big data. • Assisting clients to define & refine IT strategies. Reviewing requirement/technical specifications, developing, and finalizing testing scenarios. • Understanding requirement specifications and creating clinical/functional test cases to ensure quality and compliance. • Utilized Quality Center/QTP/DevTrack for directing, tracking and outlining needs during a project. • Facilitating regular meetings/daily stand-ups, backlog grooming with product owner, sprint and release planning, retrospectives, demonstrations, project planning and facilitating issue resolution meetings as and when required. • Test Healthcare Claim processing software systems (payer/provider), Knowledgebase; including acceptance testing, compatibility testing, unit, integration and functional testing. • Handling clients independently; ensuring timely communication, handling queries, providing new ideas for ever changing and challenging US healthcare. • Generating monthly database like productivity, Quality, attendance, etc. • Driving innovation across the process; have logged multiple lean ideas for enhancing the process. • ICD-10 expert; ICD-10 Certified from AHIMA and involved in ICD-10 implementation and transition projects for different healthcare applications which include application/system analysis and upgrade for ICD-10 code fields and acceptance in the system as phase of transition; ICD-9 to ICD-10 backward mapping ensuring history claims payment integrity using GEM file.--

Delhi University 05/1996 - 05/1999
New Delhi, Delhi, India
Degree: Bachelor's Degree
Major:Botany Hons
Done Graduation in B.sc Botany Hons and a 3 years diploma in software engineering..

Vijay Khot