Partheshkumar Patel

Work History

Work History

Dec 2013 - Present

Sr.Quality Assurance Analyst

NS IT Solutions

ICD10 - Department of Health and Human Services (HHS) mandated adoption of ICD-10 procedure and diagnosis codes. ICD 10- The U.S. Department of Health and Human Services (HHS) published the implementation date of the 10th revision of the International Classification of Diseases (ICD-10). This mandated compliance date for ICD-10 codes (both diagnoses and hospital inpatient procedure codes) represents an aggressive time frame for the members of the healthcare value chain (specifically payers) to prepare for the transition. The move to ICD-10 version requires significant changes across the operations of the enterprise including claims intake, External interfaces, Claims adjudication, Payments and Reports, Pricing. Center for Medicare and Medicaid Services (CMS) will only accept ICD-10 claims.

Education

Education
2013

Master Of Science 

Stratford University - Fall Church , VA ,USA

Information System

2012

Bachelor Of science 

Rajasthan Vidyapeeth (Deemed) University  - Udaipur, Rajasthan , India 

Civil Engineering 

2007

High School Diploma

Rajasthan Vidyapeeth (Deemed) University  - Udaipur, Rajasthan , India 

Civil Engineering 

2007

High School Diploma

M.S.University

Interior Design

Skills

Skills
8
Sr.Quality Assurance Analyst
  • Involved in performing the SIT (System Integration Testing) and UAT (User Acceptance Testing) of new system.
  • Work on IMAP (Clinical translation tool) and assist the clinical analyst with UI and UAT testing
  • Worked on creating specifications for transitioning business from HIPAA 4010A to 5010 and from ICD-9 to ICD-10.
  • Prepared test data and helped load test data into the test database environment.
  • Testing of EDI X12 837 and 835 Transaction sets for claims processing
  • Written and executed test cases for ICD 9 codes and ICD 10 codes and charges validation
  • Followed waterfall Methodology to emphasize on real time communication over written documentation.
  • Prepared Test Plans and Test Cases based on the functional requirements and HIPAA regulations like 834, 837, etc.
  • Performed “UAT” for 5010 and ICD 10 codes.
  • Executed Configuration Testing to check if the application was compatible in different environment for each module of the application.
  • Conducted Back-End Testing manually for the purpose of Database Integrity.
  • Developed test scripts to check the data integrity from the databases
  • Conducted result analysis and interacted with developers to resolve bugs.
  • Bug Reporting and Tracking using JIRA
  • Performed User Acceptance Testing (UAT)
  • Generated defect reports using JIRA and presented using MS Office tools
  • Performed Usability Testing