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.
