Aliphia Pereira

Certified Medical Coder with 3+ years of experience in ICD-10-CM, CPT, HCPCS, and HCC coding. Specialized in Gamma-level audits, compliance monitoring, and quality assurance. Maintained 98%+ coding accuracy while consistently meeting productivity benchmarks. Experienced in reducing claim denials and supporting revenue cycle optimization initiatives.

Medical Coder II / Gamma Auditor - Bangalore

(2025-01)

• Conduct Gamma-level audits to ensure coding accuracy and compliance with ICD-10-CM, CPT, and HCPCS guidelines.
• Maintain 98%+ coding accuracy and meet assigned productivity benchmarks.
• Ensure adherence to payer-specific guidelines and CMS regulations.
• Audit complex inpatient and outpatient medical records.
• Identify coding discrepancies and provide corrective feedback to coders
• Support quality assurance initiatives and process improvements.
• Served as Interim SME (Subject Matter Expert)
• Promoted to Medical Coder I based on performance and quality metrics

Clinical Admin Coordinator - Bangalore

(2023-01 - 2024-12)

• Assisted in accurate documentation and claim submission processes
• Maintained quality standards to minimize claim denials
• Achieved assigned productivity and quality targets consistently

Master of Science - Chemistry - St. Aloysius College, Mangalore (2020-01 - 2022-12)

Bachelor of Science - Botany, Zoology & Chemistry - St. Philomena College, Puttur (2017-01 - 2020-12)