
Michael Jenci Amalanathan
Medical Records Specialist with 8+ years in medical document review and E/M coding
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About
Medical Records Specialist with 8+ years in medical document review, legal chronology preparation, and Evaluation & Management (E/M) coding for denial claims. M.Sc in Biomedical Instrumentation and MBA in Hospital Management. Known for reducing chart review turnaround time by 30% while maintaining 99% documentation accuracy across 500+ cases/month. Experienced in HIPAA compliance and payer-specific coding guidelines.
Experience
Senior Executive – Medical Record Reviewer and Medical Coder at EXL Services (2021-11 – 2025-09)
- Prepare detailed medical chronologies for 150+ medico-legal cases/month, identifying critical data gaps that supported case resolution
- Performed E/M coding audits for denial claims over 1.5 years; validated codes against payer guidelines to overturn 22% of denied claims
- Index and organize 400+ pages of medical records per case including labs, operative reports, discharge summaries, and radiology reports
- Cross-trained 6 junior reviewers on indexing and analysis protocols, reducing team onboarding time by 40%
- Flagged inconsistencies and missing records during post-indexing analysis to ensure defensible case summaries
Senior Associate – Medical Record Reviewer at eNoah iSolutions India Private Limited (2020-03 – 2021-11)
- Reviewed and summarized medical records for plaintiff cases, building time-sequenced chronologies for legal teams
- Analyzed case reports to identify focus areas, ensuring all relevant clinical encounters were captured
- Maintained 100% HIPAA compliance while handling sensitive patient data across multiple EHR systems
Medical Document Reviewer/Summarizer at Trivent Systems Private Limited (2013-06 – 2014-05)
- Indexed and organized complex medical records by document type to streamline attorney review process
- Conducted post-indexing analysis to detect ambiguous data, inconsistencies, and missing information within stipulated TAT
- Delivered concise summaries highlighting key clinical facts for 50+ cases
Quality Analyst at First Source Solutions Limited (2008-07 – 2010-08)
- Auditing the United Nations Standard Products and Services Code (UNSPSC) description of the medical products that are classified by the transaction processors
- Preparing and releasing the daily quality report
- Analyzing the defects using QC tool such as P-Chart, Trend Chart, Control Chart and Pareto
- Providing training and feedback to the transaction processors
- Acting as Subject Matter Expert of the project and handle queries and clarifications that arises on the floor
Education
B.Sc. in Biochemistry – Mohamed Sathak College of Arts and Science (University of Madras) (2006-04)
M.Sc. in Biomedical Instrumentation Science – Loyola College (Affiliated by Madras University) (2008-04)
MBA in Hospital Management – Bharathiar University (2010-12)