Detail-oriented Medical Coding Professional with 12+ years in IP DRG auditing, documentation review, and error-trend analysis. Committed to enhancing coding accuracy and DRG integrity while supporting team development through training and effective physician query management. Proficient in 3M CAC, EPIC, Cerner, and PBAR, focused on driving operational quality and compliance.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Quality Analyst (IPDRG)
CorroHealth Infotech India Pvt Ltd
02.2025 - Current
Quality Analyst (IPDRG)
KPC TechnoVision
02.2024 - 02.2025
Senior Medical Coding Analyst (IPDRG)
Optum Global Solutions Pvt Ltd
12.2022 - 01.2024
Senior Medical Coder (IPDRG)
CorroHealth Infotech India Pvt Ltd
05.2022 - 12.2022
Senior Medical Coder (IPDRG)
GeBBS Healthcare Solutions Pvt. Ltd
08.2019 - 05.2022
Senior Medical Coder
Pi international Global Solutions Pvt. Ltd
03.2011 - 06.2017
Education
Bachelor of Science - Bio Tech
Osmania University
01.2010
Intermediate -
Board of Intermediate Education, A.P.
01.2007
Secondary Education -
Board of Secondary Education, A.P.
01.2005
Skills
Inpatient Coding IPDRG
HCC Coding
ICD-10-CM
ICD-10-PCS
Raising physician queries
Interpreting medical records
Quality assurance
Process improvement
Quality control
Attention to detail
Critical thinking
Structured query language mastery
Mastery of QA methodologies
Roles And Responsibilities
Conduct comprehensive audits for IP/DRG medical coding to ensure accuracy, completeness, and adherence to client and regulatory guidelines.
Analyze error trends and develop targeted action plans to address recurring issues across coding teams.
Provide detailed audit feedback and performance insights to coders, quality teams, and operations.
Lead and participate in internal calibrations (QA-Operations calibrations) to ensure alignment in audit standards and coding quality expectations.
Identify top coding errors and conduct calibration/training sessions to drive accuracy and reduce repeat errors.
Deliver Training & Improvement (T&I) sessions and share T&I points with the training team for skill enhancement of coders.
Develop competency-based training materials, scenarios, and case-based examples for coder education.
Prepare and deliver monthly PKT (Process Knowledge Test) questions and coordinate assessments twice a month.
Review and analyze external quality reports shared by the client and drive corrective actions.
Clarify coder queries related to guidelines, DRG logic, documentation interpretation, and coding scenarios.
Raise queries to physicians or the appropriate point-of-contact to resolve documentation gaps impacting code/DRG assignment.
Collaborate with cross-functional teams (Quality, Training, Operations) to improve coding accuracy and process performance.