Gurusamy Elango

Highly skilled Multi-Specialty Medical Coding and Data reporting officer (Team Lead), professional with 10 years of coding and leadership experience. Adept at mentoring, onboarding, and auditing diverse coding teams across varied clinical settings, including [EM Out patient, ED profee, Facility and Denials] . Recognized for implementing robust quality assurance programs, streamlining workflows, and ensuring strict adherence to CMS and HIPAA regulations

Medical Claims and Data Reporting Officer (Team Leader) - Kanad hospital - Alain, United Arab Emirates

(2026)

• Assigning daily charts and coding queues to team members.
• Tracking individual and team metrics like turnaround time (TAT), daily production targets, and attendance.
• Conducting one-on-one feedback sessions to help team members improve, providing guidance on complex cases, and creating performance improvement plans (PIPs) for underperforming staff.
• Conducting regular internal quality audits of coded charts to ensure standard accuracy levels are met.
• Training new hires on facility-specific software, workflows, and coding protocols.
• Ensuring strict adherence to official coding guidelines (ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II) as well as HIPAA and healthcare privacy regulations.
• Staying current with annual coding updates.
• Compiling and presenting productivity, quality, and backlog reports to Project Managers or Operation Directors.
• Monitoring Key Performance Indicators like individual coder productivity, error rates, and overall team output.

Medical Coder - Health & Medical Service (HMS-Mirdif Pvt. Hospital) - United Arab Emirates

(2022 - 2026)

• Experienced in ED coding and EM coding, Denial management
• Knowledge of Profee and Facility coding
• Proficiency in ICD-10-CM, CPT, and HCPCS
• Strong analytical and documentation review skills
• Good understanding of compliance and coding guidelines
• Responsible for accurately addressing multi-specialty Denials which includes, EM , ED, Radiology, Surgery, Modifiers, Dx related and ensuring compliance with medical coding policies and guidelines.
• Should have a good knowledge in denial codes and able to interpret the exact denial reasons from EOB and resolve it,

Senior Executive Insurance (Medical Coder) - Aster DM Healthcare - Bangalore

(2020 - 2022)

• Managed claim submissions, resubmissions, and pre-authorization processes.
• Reviewed denied claims and ensured compliance with insurance requirements.
• Performed eligibility checks and verified prior approvals.
• Analyzed claims to improve reimbursement and reduce rejections.
• Maintained accurate documentation for billing and coding purposes.
• Coordinated with physicians for documentation clarification.
• Collaborated with clinical teams to improve coding accuracy.
• Ensured compliance with UAE insurance guidelines.

Medical Coder - Infinx Health Care Service | Episource India Private Limited - Chennai/Hyderabad

(2016 - 2020)

• Maintained expertise in E&M, ER, and Denials coding processes.
• Efficiently processed patient health care documents with precision.
• Ensured high-quality coding work by adhering to standards.
• Delivered coding files on time for various medical claims.
• Clarified coding denials and insurance queries promptly.
• Accurately sequenced diagnoses and procedures using ICD-10-CM and CPT-4 coding conventions.
• Managed reconciliation and resubmissions of claims.
• Established & maintained relationships with insurance carriers to stay updated on billing processes.

Bachelor of Pharmacy - Adhi Parasakthi College of Pharmacy, Melmaruvathur (2015)