All My Healthcare Domain stuffs

 
 

EDI RESTful Web Service API

Many Healthcare software development company needs Subject Matter Expert to complete their Medical Billing Component. In order to develop the Medical Billing Application, X12 EDI plays a major role. For example, from the Medical Billing software, they need to send the bill (claim) to the Insurance via Clearing House and the format should be X12 EDI 837. So i decided to provide a Latest Spring Boot Restful web services API Calls for all the major transactions that are needed in the Medical Billing Application. Here is the List of transactions available and please connect with me to use these API Service calls.
2. Parse EDI 271 Message to Human Readable Text       
3. JSON to EDI 837 Professional Claims
    
4. Parse EDI 837p Message into JSON
 

Meaningful use Public Health Surveillance

Not too much information on the measure http://healthcare.nist.gov/docs/170.302.l_PublicHealthSurveillance_v1.2.pdf . Any one knows what exactly have to do in the EMR Workflow ?

About Me

LinkedIn Profile : https://www.linkedin.com/in/senthil-muthiah-16693857/

Email : vbsenthilinnet@gmail.com 

Location: Bengaluru (Bangalore), India.


Skills  : US Medical Billing, US Health care, Revenue Cycle Management,
Practice Management System, EDI Transactions such as EDI 837I, EDI837P, EDI270, EDI271, EDI835, ETC and EMR, HL7, etc. Also E-Prescription certification via Sure scripts, MU Stage 1 certification,etc

 

 

  • Strong knowledge in Medical Billing (aka) Practice Management systems and published self-learning Chapters. You can check here
  • Developed own EDI 835 Parser. Please check here
  • Solid knowledge in Java EE and still hands on writing Complex business logic.
  • Solid knowledge in ZKOSS RIA Framework and has been awarded from their team as one of the contributors. You can check here.
  • Good Knowledge in the Latest MVVM Design pattern and created several examples to help developers. You can check here.
  • As an independent developer, recently completed the Independent Practice Management software (PMS), you can see some screens in the following link
    Link 1 , Link 2, Link 3
  • Recently completed Meaningful stage 1 Certification for the current product. Helped the developers to understand the requirements for MU Stage 1.
  • Involved in creating complete documentation for EDI 5010. Please check here
  • Strong knowledge in Crystal reports and created numerous of Reports for Practice management application
  • Conducted interviews with key business users to collect requirement and business process information.
  • Interacting with the developers on resolving the reported bugs and various technical issues.
  • Gathered Business Requirements and wrote Business Requirements documents (BRD) by working with the client's IT staff, project managers.
  • Received numerous letters of recommendation, and appreciation from customers, and management.
  • Conducted various meeting with Billing End users and come up with an Exclusive Tool called MedAZ Billing Tool, which takes care most part of their Follow-up activities. Actively involved in database design, user interface design, coding and implementation activities in that.
  • Provided HIPAA integration and applied ANSI ASC X12 standards for 837 (P, I, D), 270/271, 276/277, 278, and 835 transactions
  • Developed HL7 interfaces for Orders (ORMs) and Results (ORUs)
  • Played Billing Revenue cycle Collection manager for some time and understood the complete billing process which helps to build an independent system called Billing Tool.

 

Summary

A technology-driven professional with over 16 years of experience including nearly 9 years in Software Development and Business Analysis. Thorough understanding of the SDLC with proficiency in mapping Business Requirements, Technical Documentation, Application Design, Development, Integration, Testing, and Troubleshooting for Information Systems Management. Adept in business process analysis and design, and application-based process reengineering.

Well-versed with US Healthcare Domain – Electronic Medical Record (EMR) & Medical Billing. Exposure in design, creation, testing and documentation of new and amended programs from supplied specifications in accordance with agreed standards. Deftness in monitoring delivery of high-quality customer experience. Strong communication, interpersonal, analytical & team-building skills with proficiency at grasping new concepts quickly and utilizing the same in a productive manner.

Well versed with Health care certification such as CCHIT, Meaningful use Stage 1, Sure scripts e-prescription, and HL7 Both inward and outward lab modules.

Core Competencies

Project Management Software Development Business Analysis
Requirement Gathering Technical Support Troubleshooting
Client Servicing Software Testing Gap Analysis
MU Stage I Certification CCHIT Certification E-Prescription Certification

IT Skills

Visual Basic 6.0, VB.NET 2005
Microsoft SQL server 2000/2005/2008
Crystal Report 8.5, 11.5
VBA (Word and Excel macros), Windows NT Service, Web service in VB.NET
Java 1.6
Hibernate 4.x
Spring Security 3.x 
Maven 3
MySQL Server 5.x
Jasper Reports 4.x
Dynamic Reports 3.x
Dynamic Jasper 4.x
MyBatis 3
Zkoss Framework 6.x
Angular 9
Spring Boot
and Many more…………
and whatever current and future Technology…… 



Knowledge Purview

  • Sound knowledge in ZKOSS RIA Framework and has been awarded from their team as one of the contributor
  • Possess good knowledge in the Latest MVVM Design pattern and created several examples to help developers
  • Well versed with Crystal reports and created numerous of Reports for Practice management application
  • Proficient in the following Modules:
    • HPI, ROS, and EXAM Templates
    • Patient Encounter or SOAP
    • Screen-based permission user security
    • Sure scripts E-Prescription Certification
    • Lab inward and outward Modules
    • Encounter – Current Medication and Prescription
    • Billing – Charges and Payments
    • EDI 4010 and 5010
    • Billing Reports

Employment Details
Aug’10 – June 2013  e-Cosmos Solutions India Pvt., Bangalore as Senior Business Analyst/Product Owner
Highlights

  • Involved in creating complete documentation for EDI 5010
  • Involved in Meaningful Use stage 1 Certification.
  • Involved in UI Mockup for the web-based product.
  • Successfully completed the Independent Practice Management software (PMS)

Jan'05 - Aug'10: Koni Ameri Tech Services India Pvt. Ltd., Chennai

Highlights

  • Conducted interviews with key business users to collect requirement and business process information
  • Coordinated with the developers on resolving the reported bugs and various technical issues
  • Gathered business requirements and wrote Business Requirements Document (BRD) by working with the client IT staff and Project Managers
  • Obtained numerous letters of recommendation, and appreciation from customers and management.
  • Organized various meetings with Billing End users and came up with an Exclusive Tool called MedAZ Billing Tool, which takes care most part of their Follow-up activities
  • Actively involved in database design, user interface design, coding, and implementation activities
  • Provided HIPAA integration and applied ANSI ASC X12 standards for 837 (P, I, D), 270/271, 276/277, 278, & 835 transactions
  • Developed HL7 interfaces for Orders (ORMs) and Results (ORUs)
  • Managed responsibilities of Billing Revenue cycle Collection Manager for some time and understood the complete billing process which helps to build an independent system called Billing Tool
  • Functioned as a Subject Matter Expert in US Health care outpatient domain.

Actively involved in:

  • CCHIT 2008 Certification
  • Superscript E-Prescription Certification
  • Integrating Lab services from the quest, Lab Corp, etc.


Growth Path:

  1. Jan'05 - Apr'05 Senior Programmer
  2. Apr'05 - Apr'06 Programmer Analyst
  3. Apr'06 - Apr'08 Senior Business Analyst
  4. Apr'08 - Aug'10 Chief Technical Officer

Highlights

  • Organized various meetings with Billing End users and came up with an Exclusive Tool called MedAZ Billing Tool which takes care of most part of their Follow-up activities
  • Actively involved in database design, user interface design, coding, and implementation activities
  • Successfully completed the migration of patient demographics, procedure rates, locations, referring physicians from Lytec/Medisoft/Medical Manager, etc. database to Medaz database

Previous Experience (Non Healthcare Domain Experience)

  1. Mar'02 - Dec'04: Mice Computer Center, Madurai as Senior Programmer
  2. Sep'00 - Feb'02: Soft Solutions Pvt. Ltd., Chennai as Programmer
  3. Dec'99 - Aug'00: Laconic Software India Pvt. Ltd., Dindigul as Programmer
  4. Oct'96 - Nov'99: Lakhotia Computer Center Dindigul as Senior Faculty


 

Client Testimonials

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