Shashi Kala

Detail-oriented healthcare professional with over 6 years of experience in medical coding, medical billing, claims processing, healthcare documentation, and administrative support. AAPC Certified Professional Coder (CPC-A) with strong knowledge of medical terminology, EMR/EHR systems, insurance verification, patient records management, and healthcare compliance. Proficient in Microsoft Office Suite and skilled at maintaining accuracy in fast-paced healthcare environments.

Demonstrated ability to maintain confidentiality, ensure compliance with healthcare standards, and manage high-volume administrative tasks efficiently. Seeking opportunities as a Medical Office Assistant, Medical Billing Clerk, Healthcare Administrative Assistant, or Clinic Receptionist.

Medical Coder & Auditor at XL Health Corporation India Pvt. Ltd (2017-03 – 2021-04)

• Reviewed outpatient medical records, physician documentation, and clinical reports to ensure accurate coding and compliance.
• Performed coding audits and identified documentation deficiencies, coding discrepancies, and compliance issues.
• Identified patterns of under coding, over coding, and documentation gaps, improving overall coding accuracy and confidentiality
• Prepared audit reports and provided recommendations to improve coding accuracy and workflow efficiency.
• Conducted internal education and feedback sessions regarding coding guidelines and documentation requirements.
• Prepared comprehensive audit reports highlighting trends, root causes, and corrective recommendations to support quality improvement initiatives

Process Executive – Medical Billing at AdvantEdge Healthcare Solutions (now part of Health Prime International) (2015-02 – 2016-10)

• Verified and updated patient demographics and insurance information to ensure clean claim submission.
• Maintained and updated EMR/EHR systems, ensuring data accuracy and completeness.
• Processed medical billing transactions and maintained billing records.
• Maintained accuracy while handling high-volume healthcare documentation.

Trainee Financial Transaction Executive at Global Revenue Cycle Management Pvt. Ltd (now ACN Healthcare RCM Services Pvt. Ltd) (2013-06 – 2014-06)

• Assisted revenue cycle team in charge of entry, claims processing, and payment posting for US healthcare clients.
• Performed healthcare data entry and record verification.
• Maintained accurate documentation and workflow records.

Secondary School Certificate in SSLC – Karnataka Secondary Education Examination Board (2003-03)