Tripti Ghosh

I am a healthcare professional and CCS certified specializing in Clinical Documentation Integration, medical coding, and clinical investigation. With expertise in ICD10/CPT coding, EHR integration, and regulatory standards, I ensure accurate documentation, compliance, and data integrity. My background in clinical research and workflow analysis supports evidence-based practices and improved patient care outcomes.

Sr. Associate CDI - OnPoint Healthcare Partners

(2025-03)

• Led CDI initiatives to improve documentation accuracy and coding compliance.
• Collaborated with physicians, nurses, and coders to ensure complete and precise documentation.
• Integrated clinical documentation workflows into EHR systems.
• Conducted audits and provided feedback and educate provider to improve documentation quality.

Sr. Clinical Investigator - Optum Global Solutions (India) Private Ltd.

(2023-03 - 2025-03)

• Led team huddles, conducted training sessions, and mentored team members to resolve inquiries efficiently.
• Supervised daily team operations, motivating staff to ensure smooth workflow and task completion.
• Maintained high service standards in productivity and quality in line with defined SLAs.
• Coordinated team activities and liaised with onshore partners to support effective collaboration.
• Performed precision audits of claim records within operational workflows.
• Investigated and reviewed medical records to streamline claims processing.
• Identified discrepancies between medical documentation and billed services, including complex and high-value claims.

Clinical Investigator - Optum Global Solutions (India) Private Ltd.

(2020-11 - 2023-03)

• Approve or deny claims by identifying patterns of potential provider misconduct.
• Prevent fraudulent or exploitative payments to protect financial integrity. Utilize multiple systems (IDRS, CPW, PICTS, SharePoint, NICE, Doc 360) to complete tasks accurately.
• Review medical documentation to ensure compliance with CMC guidelines and member policies

Consultant Physiotherapist - Institute of Neurosciences, Kolkata

(2017-10 - 2018-08)

• Diagnosed and treated patients with neurological, musculoskeletal, cardiovascular, and respiratory conditions, including orthopedic and pediatric rehabilitation.
• Applied advanced physiotherapy techniques such as therapeutic exercise, manual therapy, hydrotherapy, breathing exercises, kinesiology taping, Myofascial release, dry needling, and relaxation methods to support recovery and holistic care.

Physiotherapist - Physiotherapist/North Bengal Handicapped Rehabilitation Society

(2014-02 - 2017-06)

• Served as a part-time Physiotherapy lecturer specializing in intellectual disability under the NBHRS framework.
• Delivered multidisciplinary instruction in Physiotherapy, Occupational Therapy, and Yoga Therapy to D.Ed students, promoting holistic rehabilitation practices.

Physiotherapist - Gold's Gym, Siliguri

(2016-07 - 2017-06)

• Assessed patients with musculoskeletal conditions and sports injuries to develop targeted treatment plans.
• Applied electrotherapy and therapeutic taping techniques to deliver effective treatment and accelerate recovery.

Paediatrics Physiotherapist - Uttarayan Mentally Handicapped School (Associated with NBHRS)

(2011-04 - 2015-10)

• Provided specialized pediatric physiotherapy care for children with Cerebral Palsy, focusing on improving functional abilities and quality of life.
• Designed and implemented individualized treatment plans using electrotherapy and therapeutic exercises to support optimal recovery and progress.

Clinical Physiotherapist - Rheumatology, Rehabilitation Clinic & Physiotherapy Centre, Siliguri

(2010-08 - 2011-08)

• Assessed and treated patients with orthopedic, musculoskeletal, sports injury, and pediatric rehabilitation needs to restore function and support recovery.
• Developed individualized exercise programs and applied electrotherapy based on patient-specific conditions to enhance rehabilitation outcomes.

Bachelor - Physiotherapy - Kurukshetra University (2005 - 2010)

Internship - Kolkata National Medical College & Hospital (2010-02 - 2010-07)