Rashedha Banu
Medical coding professional with 10+ years of experience in E&M Outpatient and HCC coding
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About
Medical coding professional with 10+ years of experience in E&M Outpatient and HCC coding, auditing, and quality analysis. CPC certified with a Lean Six Sigma Green Belt. Currently a Senior Quality Analyst functioning in a team lead capacity for a 15 member coding team, overseeing audits, mentoring coders, and managing client communications while delivering up to 99% coding accuracy.
Seeking a full time Team lead role to apply proven leadership, auditing, and operational expertise toward improving team performance and coding quality.
Experience
HCC & E/M OP - Senior Quality Analyst - Access Healthcare
(2022-06)
- Lead a 15 member coding team auditing 2,000–2,500 charts per week.
- Promoted from Auditor to Senior Quality Analyst based on performance.
- Manage daily team operations and client communications, including escalation resolution, while implementing structured QA reviews and compliance focused training programs.
- Improved team coding accuracy from 95% to 98%, onboarded and trained 25 new coders, and maintained workflow continuity through leadership transitions.
E/M OP - Auditor - Acp Billing Services
(2020-03 - 2022-06)
- Audited 550 E&M outpatient charts per week with consistent accuracy and turnaround. Promoted to Auditor based on quality metrics and performance.
- Applied CMS and payer specific coding guidelines to perform detailed chart level audits, identifying documentation gaps and coding discrepancies across various cases.
- Achieved 98% audit accuracy, strengthening team alignment with regulatory and organizational standards.
E/M OP - Coder - Coronis Ajuba (formerly MiraMed Ajuba)
(2019-03 - 2020-02)
- Coded E&M Outpatient charts across multiple payers, building core expertise in coding guidelines and payer compliance standards.
- Sustained 99% coding accuracy while adapting to evolving CMS and payer guideline updates.
- Collaborated with QA and Senior coders to resolve complex documentation queries, laying the groundwork for progression into audit and quality roles.
HCC - Auditor - CorroHealth (formerly Visionary RCM)
(2014-10 - 2019-02)
- Reviewed 650–700 HCC Risk adjustment charts per week, strengthening coding accuracy, audit ready documentation.
- Identified coding gaps during chart audits that impacted risk adjustment accuracy, supporting quality improvement initiatives while consistently meeting audit turnaround timelines.
- Improved risk adjustment accuracy by 4–5%, reaching 98% accuracy on final audit review.
Education
Bachelor of Business Administration - BBA - Saisha Institute of Management Studies (2018-08 - 2021-11)
Diploma - Medical Lab Technician - Arignar Anna Institute (2004-07 - 2005-06)