Team Lead- Medical Coding at Starmark Software Pvt. Ltd. (2022-03 – 2026-03)
Led a team of 15+ coders across multiple specialties, ensuring 100% SLA compliance and exceeding performance targets. Implemented comprehensive audit programs, developed training sessions, and maintained 95% client satisfaction rating.
- Led a team of 15+ coders across multiple specialties, ensuring 100% SLA compliance and exceeding performance targets.
- Implemented a comprehensive audit program that improved coding accuracy and reduced denial rates.
- Developed and delivered ICD-10/CPT refresher training sessions, resulting in a improvement in coding proficiency among team members.
- Collaborated with QA and AR teams to identify root causes of denials, leading to a increase in clean claim rates.
- Managed client communication, conducted performance reviews, and provided process updates, maintaining a 95% client satisfaction rating.
- Created and maintained dashboards and MIS reports to track coding performance, providing insights for data-driven decision-making.
- Improved overall coding accuracy by implementing enhanced auditing procedures and providing targeted training.
Group Lead at Equalize RCM (2021-01 – 2021-11)
Managed E/M and Superbill coding projects for clients concurrently, ensuring consistent quality and on-time delivery. Supervised daily operations, maintained 98% accuracy rate while meeting production targets.
- Managed E/M and Superbill coding projects for clients concurrently, ensuring consistent quality and on-time delivery.
- Supervised daily operations for E/M and Superbill coding teams, ensuring efficient workflow and adherence to coding guidelines.
- Assigned CPT, ICD-10, and modifiers based on documentation and payer policies, maintaining compliance with government and industry standards.
- Managed daily operations, monitored workflow quality and quantity, and ensured timely completion of assignments.
- Assisted in interviewing, hiring, and training new coding staff, contributing to team growth and expertise.
- Proactively communicated coding updates and guidelines to providers, ensuring accurate documentation and coding practices.
- Provided feedback and education to healthcare providers on clinical documentation practices based on review findings.
- Maintained a 98% accuracy rate while consistently meeting daily production targets and managing multiple responsibilities.
Coding Specialist at Equalize RCM (2019-01 – 2019-12)
Managed HCC and HEDIS coding projects, collaborating with clients to understand their needs and deliver high-quality results. Maintained 98% accuracy rate while consistently meeting daily production targets.
- Managed HCC and HEDIS coding projects, collaborating with clients to understand their needs and deliver high-quality results.
- Performed medical coding for HCC and HEDIS projects according to standard operating procedures, consistently meeting or exceeding client expectations.
- Maintained strong client relationships and ensured client confidence through accurate and timely coding services.
- Supported the team lead in providing value-added services such as Physician Education for Clinical Documentation Improvement (CDI).
- Delivered training sessions on HCC and HEDIS coding to both groups and individuals, enhancing coding knowledge and skills.
- Maintained a 98% accuracy rate while consistently meeting daily production targets.
Senior Coding Executive at Equalize RCM (2018-01 – 2018-12)
Conducted extensive quality reviews of coding work, identifying areas for improvement and ensuring adherence to coding guidelines. Served as internal Coding Quality Reviewer with 98% accuracy rate.
- Conducted extensive quality reviews of coding work, identifying areas for improvement and ensuring adherence to coding guidelines.
- Served as an internal Coding Quality Reviewer due to consistently high quality work, ensuring accuracy and compliance.
- Audited medical record documentation to identify under-coded and up-coded services, ensuring compliance with client and official coding guidelines.
- Communicated audit findings to coding staff, providing constructive feedback and guidance for improvement.
- Maintained a 98% accuracy rate while consistently meeting daily production targets.
- Provided guidance and training on accurate coding practices, addressing queries and promoting continuous learning.
- Continuously sought opportunities to improve coding processes, contributing to increased efficiency and accuracy.
- Reported findings and progress to senior managers, providing valuable insights and recommendations.
- Actively participated in team meetings, contributing to collaborative problem-solving and knowledge sharing.
Coding Executive at Equalize RCM (2015-09 – 2017-12)
Utilized extensive knowledge of ICD-10, CPT, and HCPCS coding to accurately assign codes based on medical record documentation. Worked on diverse specialties including Radiology, Diagnostic coding, HCC, and HEDIS with 98% accuracy rate.
- Utilized extensive knowledge of ICD-10, CPT, and HCPCS coding to accurately assign codes based on medical record documentation.
- Demonstrated expertise in assigning ICD-10-CM codes to the highest specificity, ensuring accurate reflection of patient diagnoses.
- Worked on diverse specialties including Radiology, Diagnostic coding, HCC, and HEDIS, demonstrating versatility and adaptability.
- Maintained a 98% accuracy rate while consistently meeting daily production targets across various projects.
- Identified ICD-10-CM codes with HCC or RxHCC value, contributing to accurate risk adjustment and reimbursement.
- Assigned CPT, ICD-10, and modifiers based on documentation, government teaching physician documentation requirements, and LCD/NCD/NCCI policies.
Quality Controller and Chemist at Group Pharmaceuticals Pvt Ltd (2014-08 – 2015-08)
Engaged in the production and distribution phase of oral health products. Conducted manufacturing process checks to ensure product quality and compliance. Oversaw the final release or rejection of each batch of oral health products.
- Engaged in the production and distribution phase of oral health products.
- Conducted manufacturing process checks to ensure product quality and compliance.
- Oversaw the final release or rejection of each batch of oral health products for distribution and sale.
- Performed stability testing and evaluated the shelf-life of oral health products.
