Rekha Palasa

Medical Coding Professional with 12+ years of experience in coding quality, auditing, and revenue cycle operations. Proven experience as a Subject Matter Expert (SME) in training coders, conducting classroom and on-the-job training, and supporting transition and handover activities. Skilled in supervising team performance, ensuring coding accuracy, and maintaining compliance with CPT, ICD-10-CM, and E&M guidelines.

Quality Analyst - CorroHealth

(2024-04)

Multispecialty Denials (HIM), E&M, IP, OP

• Recognized as Subject Matter Expert by leadership for effectively scaling knowledge transfer to associates while maintaining high engagement.
• Conducted regular quality checks on medical records and claim documentation to ensure accuracy.
• Trained and supported team members on denial management best practices and compliance requirements.
• Conducted large-scale training sessions on Evaluation & Management (E&M) coding guidelines for approximately 70 healthcare coders.

Quality Analyst - Chirok Health

(2022-08 - 2024-04)

E&M OP, Edits & Denials

• Auditing charts related to Multi Specialty E&M, Procedure charts related to Dermatology, orthopedics, Family Medicine and Primary care.
• Review and abstract relevant clinical data from electronic medical records to select the appropriate CPT code for minor procedures.
• Provided training for new coders on standard operating procedure and software's to optimize coding practices.
• Identify the quality improvement opportunities and work with managers to develop recommendations.
• Able to communicate with healthcare care providers for any documentation deficiency.

Senior Quality Analyst - GeBBS Healthcare

(2021-02 - 2022-08)

E&M IP, E&M OP

• Conducted quality audits for Multi-specialty physician coding like Pulmonology, Medicine, Cardiology, Neurology, Nephrology, Endocrinology, Infectious disease, Psychiatry etc.
• Led pilot phases for new specialty projects by establishing quality benchmarks, validating coding workflows, and supporting successful project implementation.
• Served as a Subject Matter Expert (SME) during project transitions, training and mentoring quality auditors and coding teams to ensure smooth knowledge transfer and consistent quality standards across specialties.

Process Lead - PhyCARE solutions

(2013-07 - 2021-02)

E&M OP, IP, Dental Coding, Edits & Denials

• Led end-to-end coding operations for a team of 40 medical coders, ensuring achievement of quality, productivity, and turnaround time (TAT) targets across multiple client accounts.
• Managed project transitions, pilot implementations, and client onboarding by establishing coding workflows, quality benchmarks, and operational readiness.
• Provided leadership through performance management, coaching, and competency development, fostering a culture of continuous learning and operational excellence.
• Oversaw multi-specialty physician and facility coding, ensuring compliance with CPT, ICD-10-CM, payer regulations, and client-specific coding guidelines.
• Handled medical claims for multi-specialty Evaluation & Management (E&M) services and dental visits.

Masters - Pharmacy (Pharmaceutics) - Bapatla College of Pharmacy