Lanka Bhargav
Bangalore
Summary
Accomplished Senior Executive at EXL Service India Pvt Ltd, adept in medical coding and compliance. Proven track record in enhancing team quality scores and optimizing workflows. A rapid learner with strong leadership skills, I excel in employee training and quality assurance, consistently exceeding performance targets while fostering collaboration and effective communication.
Overview
12
12
years of professional experience
Work History
Senior Executive - Coding Auditor
EXL Service India Pvt Ltd
01.2023 - Current
- Setting up expectations with the team to improve the coding/audit efficiency & quality.
- Identified training needs and conducted training sessions to elevate team skills.
- Coordinated with managers to enhance team quality scores.
- Performed weekly assessments based on the client's updated guidelines.
- Work allocation strategy & ensure that we meet client SLA.
- Prepared weekly reports for client calls, ensuring alignment on project status.
- Processing claims for payments for an US based Health Insurance Company
Senior Medical Coding Executive
Corrohealth Solutions (Formerly VRCM)
01.2020 - 01.2023
- Reviewing medical records and providing ICD, CPT based on the documentation.
- Coding experience in E&M (OP), Oncology, Orthosurgery, and ER Facility
- Coding experience in SDS and Wound Care
- Worked with quality assurance to enhance quality scores and ensure compliance with standards.
- Set performance expectations with team leader to improve transaction efficiency and uphold quality.
- Managed client feedback and inquiries to foster positive relationships and ensure customer satisfaction.
Quality Analyst
Gebbs Healthcare Solutions
06.2018 - 04.2019
- Generated daily, weekly, and monthly quality reports to track performance and identify trends.
- Developed training materials and led weekly sessions to ensure team proficiency.
- Participated in client calls, created process MOMs, and updated SOPs.
- Collaborated with the audit team to reduce internal errors and execute retro audits.
- Conducted feedback sessions with coding team to address quality issues and resolve team member queries.
- Developed coded charts to fulfill client requirements in accordance with SLA.
Jr. Medical Coding Executive
Miramed Ajuba Healthcare Solutions Pvt Ltd
12.2016 - 06.2018
- Executed coding activities, consistently meeting targets established for coders.
- Surpassed targets for productivity and quality in coding activities.
- Organized client information into knowledge documents, enhancing clarity for future reference.
Medical Coding Associate
Nthrive (Formerly E4E Healthcare Services)
05.2014 - 03.2016
- Reviewed and coded claims for regulatory compliance, ensuring accurate processing.
- Processed and adjudicated claims daily, contributing to timely resolution and payment.
- Analyzed healthcare coding data for accuracy and compliance with regulations.
- Collaborated with clinical teams to resolve coding discrepancies and improve documentation.
- Reviewed patient records to assign appropriate medical codes for billing purposes.
Education
Master's degree - Biochemistry
Acharya Nagarjuna University
Guntur01.2012
Skills
- Medical coding
- Quality assurance
- Claims processing
- Data analysis
- Performance measurement
- Workflow optimization
- Stakeholder engagement
- Team leadership
- Attention to detail
- Problem solving
- Employee training
- Adaptability to change
Accomplishments
- Awarded the Big Impact Award in EXL for the year 2023.
- Received appreciation in E4E from the client and CEO for outperforming individually as a coder, as well as for streamlining and stabilizing the process.
- Received appreciation from supervisors in Corrohealth for streamlining the project.
Personal Information
- Title: COC
- Date of Birth: 01/06/87
Objective And Profile
To give the best of myself to the organization while working, learning & experiencing. Goal oriented professional with a strong corporate culture. Committed to staying current on innovations in technology and domain.
Additional Competencies
- Strong analytical skills and reasoning ability.
- Ability to grasp and learn new concepts quickly.
- Good communication skills.
- Ability to work in a demanding rigorous, and exhilarating team environment.
- Good interpersonal skills.
- Ability to work under tight schedule.
- Ability to work in a team or individually.
Timeline
Senior Executive - Coding Auditor
EXL Service India Pvt Ltd
01.2023 - Current
Senior Medical Coding Executive
Corrohealth Solutions (Formerly VRCM)
01.2020 - 01.2023
Quality Analyst
Gebbs Healthcare Solutions
06.2018 - 04.2019
Jr. Medical Coding Executive
Miramed Ajuba Healthcare Solutions Pvt Ltd
12.2016 - 06.2018
Medical Coding Associate
Nthrive (Formerly E4E Healthcare Services)
05.2014 - 03.2016
Master's degree - Biochemistry
Acharya Nagarjuna University