Radha PS

• Reviewed and summarized patient medical records, physician notes, laboratory reports, and diagnostic findings.

• Extracted key clinical information from healthcare documents and medical records.

• Prepared accurate and concise medical summaries to support efficient record management.

• Ensured accuracy, completeness, and confidentiality of patient information in compliance with HIPAA regulations.

• Organized and maintained clinical data for efficient retrieval and analysis.

• Managed healthcare operations processes, including case reviews, documentation, and medical records management.

• Processed insurance claims efficiently to support timely resolution and accurate adjudication.

• Coordinated communication between customers and healthcare providers to ensure clarity and compliance with decisions.

• Performed SLA and DLA audits as a Quality Auditor to maintain service quality standards.

• Facilitated calibration sessions with team members to establish and reinforce quality standards.

• Conducted weekly error review discussions with teams to identify improvement opportunities and reduce defects.

• Maintained and updated Root Cause Analysis (RCA) reports to track quality trends and corrective actions.

• Demonstrated knowledge of the Health Insurance Portability and Accountability Act (HIPAA) and healthcare compliance requirements.

• Prepared and submitted end-of-day quality reports to team leads and management.

• Provided direct patient care, including wound dressing, medication administration, and IV therapy to support recovery.
• Administered medications and treatments following established protocols.
• Monitored patient vital signs, reporting changes to medical team promptly.
• Assisted in patient assessments, contributing to collaborative care plan development.
• Educated patients and families on health management and discharge instructions.
• Maintained accurate patient records in compliance with hospital policies.
• Participated in infection control measures to enhance patient safety.
• Collaborated with interdisciplinary teams to improve patient care strategies.