Summary
Overview
Work History
Education
Skills
Certification
Languages
Disclaimer
Timeline
Generic
AMRITHA A

AMRITHA A

Chennai

Summary

Results-driven Senior Quality Analyst with extensive expertise in ICD-10 coding at Clarus RCM. Proven track record of achieving 98%+ accuracy through effective quality assurance and process improvement. Strong communicator and mentor, dedicated to enhancing coder performance and compliance with industry standards while ensuring adherence to HIPAA regulations.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Senior Quality Analyst

Clarus RCM
Coimbatore
01.2025 - Current
  • Conducted detailed audits of medical coding records to ensure 98%+ accuracy and compliance with industry standards (ICD-10).
  • Analyzed coding errors, identified trends, and provided feedback to improve coder performance and quality outcomes.
  • Lead root cause analysis (RCA) on audit findings, and implement corrective action plans.
  • Developed and delivered targeted training sessions to enhance coder accuracy and understanding of latest coding updates.
  • Prepared and presented quality review reports to senior management on a weekly and monthly basis.
  • Ensured adherence to HIPAA and other regulatory standards across all coding and quality processes.
  • Monitored coding productivity and provided actionable insights to maximize efficiency without compromising accuracy.
  • Played a key role in audits, achieving consistently high compliance scores.

Medical Coder

EpiSource
Chennai
05.2018 - Current
  • Managed coding for [Specialty or Department, e.g., Orthopedics, Radiology, etc.]
  • Ensured compliance with HIPAA and CMS regulations, maintaining patient confidentiality and data security.
  • Developed and implemented standardized coding workflows to improve accuracy and efficiency.

Junior Medical Coder

EpiSource
Chennai
08.2016 - Current
  • Assisted in coding and abstracting patient medical records for various specialties under supervision.
  • Conducted data entry and maintained electronic health records (EHR) systems with a focus on accuracy.
  • Attended regular training sessions to stay updated on coding guidelines and industry trends.

Executive Coder

Optum healthcare
Chennai
04.2022 - 12.2024
  • Accurately coded and processed medical records using ICD-10, PartC and partD systems for a multi-specialty clinic, with a monthly volume of over [Number] cases.
  • Reviewed and analyzed patient records to identify relevant diagnoses and procedures for optimal reimbursement.
  • Conducted quality assurance audits, maintaining a 98% accuracy rate.
  • Provided training and mentoring to junior coders, enhancing team productivity and efficiency.

Education

B.sc - Microbiology

Asan Memorial College of Arts And Science.
Chennai
01.2016

Skills

  • Extensive knowledge of ICD-10, PartC and PartD coding systems
  • Proficient in EHR
  • Strong understanding of insurance guidelines, including Medicare and Medicaid
  • Excellent communication and problem-solving skills
  • Detail-oriented with a high level of accuracy in coding and documentation
  • Skilled in quality assurance and process improvement
  • Adept at training and mentoring team members

Certification

Medical Coder Specialist

Languages

  • Tamil
  • English

Disclaimer

I hereby declare that the information furnished above is true to the best of my knowledge.

Timeline

Senior Quality Analyst

Clarus RCM
01.2025 - Current

Executive Coder

Optum healthcare
04.2022 - 12.2024

Medical Coder

EpiSource
05.2018 - Current

Junior Medical Coder

EpiSource
08.2016 - Current

B.sc - Microbiology

Asan Memorial College of Arts And Science.

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AMRITHA A