Karthika Subramaniam

US Healthcare Revenue Cycle Management (RCM) professional with 6+ years of progressive experience specializing in Subject Matter Expertise (SME), Quality Assurance, Defect-Based Training, and Performance Coaching. Experienced in conducting structured quality, call, and AR audits, performing Root Cause Analysis (RCA), and analyzing error trends to design targeted training interventions. Adept at bridging Quality, Operations, and Training functions to eliminate recurring process gaps and elevate overall team accuracy.

SME - Quality and Training - Digiclarity Global Solutions

(2023-01 - 2026-12)

Transitioned into the Quality & SME function to drive quality assurance, performance coaching, and error-rate-driven training across RCM workflows.

• Performed structured quality, call, and AR audits to pinpoint process gaps, compliance issues, and recurring error trends.
• Conducted Root Cause Analysis (RCA) on Initial Coding Rejections and operational defects to formulate corrective action plans.
• Designed and delivered targeted, defect-based training modules addressing knowledge gaps identified through audit findings.
• Analyzed quality metrics to identify below-quartile analysts, providing individualized coaching and actionable feedback to elevate performance.
• Collaborated closely with Operations and Training teams to translate audit trends into updated process documentation and training interventions.
• Handled client and operational quality escalations using structured problem-solving and deep domain expertise.

Team Leadership - Digiclarity Global Solutions

(2017-01 - 2023-12)

Led and mentored a 10-member team, driving daily operational support, coaching, and performance monitoring.

Senior AR Analyst / AR Analyst - Miramed Ajuba Global Services, AGS Healthcare, Global Healthcare

(2017-01 - 2023-12)

Bachelor of Commerce - B.Com - Justice Basheer Ahmed Sayeed College for Women, University of Madras (2019-12)