Hepsy V sabu

Results-driven Dedicated and detail-oriented Senior Quality Associate with Access Healthcare, skilled in quality improvement and audit processes. Leveraged expertise in ICD-10 , CPT and HCPCS coding to enhance accuracy in medical billing, significantly improving project completion rates. Trained in medical Terminology and Healthcare compliance .Committed to continuous improvement and delivering actionable insights for senior management to drive process enhancements .Hardworking and passionate job seeker with strong organizational skills eager to secure medical insurance coordinator position.

Ready to help team achieve company goals.

Quality Analyst - Access Healthcare - Chennai, India

(2025-05)

• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
• Increased on-time project completion rates with meticulous tracking and monitoring of progress.
• currently works on Apixio tool with various clients like Centene ,Kaiser ,Cigna

Medical Coder - Corrohealth Private Limited - Kochi, India

(2024-12 - 2025-05)

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Verified signatures and checked medical charts for accuracy and completion.
• previously worked on cititix tool with centene and elevence clients

Medical Coder - Optum - Bangalore

(2022-03 - 2024-12)

• Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
• Correctly coded and billed medical claims based on HCC coding.
• Promoted teamwork within the department through effective communication and collaboration on complex cases.
• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• previosly worked in optum MRM tool for LCDO ,Centene and optum clients

CPC Certification Course - Medical Coding - Cigma Medical Coding (2021-11)

Bachelor of Science - Zoology - Kuriakose Elias College (2020-03)

High School Diploma - Medial College Higher Secondary School (2017-03)