Devika Singh
New Delhi
Summary
Healthcare and Life Sciences Digital Consultant with over 7 years of experience in US healthcare operations, medical coding, quality auditing, and clinical research. Expertise in utilizing emerging technologies to enhance healthcare workflows, ensure compliance, and improve revenue cycle management. Focused on driving digital transformation in Life Sciences and Pharma sectors through AI-driven automation and predictive analytics. Committed to integrating healthcare knowledge with technology to achieve operational efficiency and strategic growth.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Quality Auditor
CorroHealth Pvt Ltd
NCR
03.2024 - Current
- Conducted audits on claims to ensure compliance with CMS and client guidelines.
- Identified fraud and abuse through thorough discrepancy analysis.
- Trained junior adjudicators on quality assurance and compliance standards.
- Resolved disputes and appeals related to claim investigations.
Technical Officer
All India Institute of Ayurveda, Ministry of AYUSH
New Delhi
01.2023 - 01.2024
- Executed LMS implementation project by defining scope, timelines, and resource allocation.
- Led cross-functional teams to monitor project progress effectively.
- Assigned codes (ICD-10-CM, CPT, HCPCS) for integration into LMS platform.
- Ensured adherence to quality control and user experience standards throughout project lifecycle.
Clinical Investigator
United Health Group (Optum)
NCR
02.2017 - 10.2019
- Demonstrated expertise in ICD-10, CPT, HCPCS coding and US healthcare system.
- Conducted medical billing reviews across Radiology, EnM, Cardiology, Oncology, Ophthalmology, Anesthesia, Same Day Surgery, and Dermatology.
- Assisted with internal and external audits to ensure compliance with coding guidelines.
- Identified areas for improvement and resolved discrepancies in coding practices.
- Applied NCCI policy manual and CPT Assistant to verify unbundling and upcoding.
- Supported continuous education on coding best practices within the organization.
Research Officer
Fortis Memorial Research Institute
NCR
04.2015 - 10.2016
- Demonstrated expertise in ICH GCP and SCHEDULE-Y compliance.
- Monitored adverse events and adverse drug reactions, ensuring timely reporting.
- Conducted patient screening and enrollment according to protocol-defined criteria.
Resident Medical Officer
Global Hospital
New Delhi
10.2013 - 06.2014
- Deliver patient education and counseling on health status, test results, disease processes, and discharge planning.
Ayurveda Consultant
Rajkiya Ayurvedic Chikitsalaya
NCR
11.2010 - 04.2011
- Deliver diet management and treatment consultations to patients based on Ayurveda principles.
Education
M.D. - Ayurvedic Medicine
University of Delhi
11-2019
Master of Science - Clinical Research
ICRI
09-2014
B.A.M.S. - Ayurvedic Medicine
University of Delhi
01-2010
Senior Secondary Examination
CBSE
01-2004
Higher Secondary Examination
CBSE
01-2004
Skills
- Regulatory compliance
- Quality assurance
- Project management
- Cross-functional collaboration
- US Healthcare
- Fraud detection
- Medical coding and auditing
- ICD-10, CPT, HCPCS
- HIPAA and CMS compliance
- Analytical and organizational skills
- Communication and team coordination
- Ayurveda
Certification
- CPC – Certified Professional Coder, AAPC (2023)
- Certification in AI for Healthcare professionals (IIT Delhi)
- Business Analysis Foundations
- Project Management Foundations
- AI in Medical billing and Coding, AAPC
Languages
Hindi
First Language
English
Proficient (C2)
C2
Timeline
Quality Auditor
CorroHealth Pvt Ltd
03.2024 - Current
Technical Officer
All India Institute of Ayurveda, Ministry of AYUSH
01.2023 - 01.2024
Clinical Investigator
United Health Group (Optum)
02.2017 - 10.2019
Research Officer
Fortis Memorial Research Institute
04.2015 - 10.2016
Resident Medical Officer
Global Hospital
10.2013 - 06.2014
Ayurveda Consultant
Rajkiya Ayurvedic Chikitsalaya
11.2010 - 04.2011
M.D. - Ayurvedic Medicine
University of Delhi
Master of Science - Clinical Research
ICRI
B.A.M.S. - Ayurvedic Medicine
University of Delhi
Senior Secondary Examination
CBSE
Higher Secondary Examination
CBSE
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