Raine Zane

Certified Professional Coder (AAPC-CPC) with over 4 years of experience in the healthcare industry across medical coding, Home Health coding, quality assurance, health information management, healthcare operations, and business development. Proficient in ICD-10-CM, CPT, and HCPCS coding guidelines, with hands-on experience in OASIS data review, clinical documentation improvement, and medical coding. Strong knowledge of medical terminology, anatomy, and physiology, with the ability to accurately interpret medical records and ensure coding accuracy.

Demonstrated expertise in maintaining NABH and HIPAA compliance while managing large-scale medical records, conducting quality audits, and delivering staff training. Additional experience in inventory control, workflow optimization, and patient-centered operations, consistently driving regulatory compliance, operational efficiency, and organizational growth.

Medical Coding (Intern) - Gravita Oasis Review Solutions Pvt Ltd.

(2026-04 - 2026-06)

• Performed Home Health medical coding by reviewing OASIS assessments, Plan of Care (POC) documentation, and assigning accurate ICD-10-CM diagnosis codes in accordance with coding guidelines.
• Reviewed clinical documentation to support accurate code assignment while ensuring compliance with CMS and Medicare Home Health coding regulations.
• Supported clinical review and coding processes to improve documentation quality, coding accuracy, and operational efficiency.

Business Development Executive - Hejje (A Unit of M S Ramaiah Health Pvt Ltd)

(2024-08 - 2025-08)

• Built a strong referral network through extensive field visits to 300+ doctors and healthcare professionals, driving consistent patient inflow.
• Achieved 100+ high-value admissions by managing the complete sales and admission cycle, from inquiry to enrolment.
• Established partnerships with medical tourism agencies and guided patient attendants through complex rehabilitation packages.
• Ensured smooth operations by managing medical procurement, inventory audits, cash disbursements, and audit-ready financial records.
• Maintained high-quality patient care by coordinating staff rosters, streamlining inpatient admissions, and resolving service issues through regular facility rounds and patient feedback.

Quality Executive - Teleradiology Solutions LLP

(2022-09 - 2024-04)

• Oversaw and enhanced quality processes by implementing new procedures aligned with organizational goals and quality benchmarks.
• Ensured 100% compliance with regulatory standards including HIPAA and Joint Commission International (JCI) accreditation to protect patient confidentiality.
• Designed and delivered regular training presentations and quality performance reports, compliance, and workflow trainings for teams including Medical Transcriptionists, Technologists, Radiologists and interns, driving quality and continuous improvement initiatives.
• Collaborated with physicians and radiologists, conducting daily reviews to resolve QA issues and achieve over 95% patient satisfaction.
• Reviewed and reported quality issues, delivering client-facing insights that reduced quality-related complaints by 10%.

Assistant Medical Record Officer - Father Muller Medical College Hospital

(2020-09 - 2022-03)

• Managed OPD and IPD operations, resolving daily queries for patients while ensuring 100% compliance with hospital policies and local regulations.
• Oversaw end-to-end medical records management, including legal documents, affidavits, court letters, and statutory reports with 99.9% accuracy.
• Analyzed and processed medico-legal documents (wound certificates, court letters, affidavits, correction letters), ensuring 100% regulatory and hospital policy compliance.
• Managed a 60-member team and departmental workflows, handling patient legal report requests and verifying interdepartmental reports.
• Coded inpatient charts and trained staff on accurate medical coding and documentation practices.
• Oversaw medical records lifecycle management, including disposal of physical and electronic records, audits, and compliance with retention and archival policies.
• Coordinated public health and compliance reporting, including notifiable disease notifications, COVID-19 duty rosters, mortality meetings, statutory submissions, and 100% accurate narcotics stock management.

Master of Public Health - Epidemiology - Prasanna School of Public Health, MAHE, Manipal (2020)

Master of Science - Health Information Management - School of Allied Health Sciences, MAHE, Manipal (2018)

Bachelor of Science - Health Information Administration - School of Allied Health Sciences, MAHE, Manipal (2016)