NAVEEN T
Coimbatore
Summary
QA Analyst with extensive experience in medical coding and compliance at Optum Healthcare. Achieved a 95% coding accuracy rate while managing complex assignments. Proficient in EHR systems and team collaboration, ensuring HIPAA compliance and high-quality healthcare data delivery.
Overview
3
3
years of professional experience
1
1
Certification
Work History
QA Analyst
Clarus RCM
Coimbatore
11.2024 - 05.2025
- Conducted medical coding for patient records, following industry standards.
- Ensured compliance with coding regulations, insurance requirements, and accuracy checks.
- Assisted in audits, and maintained coding efficiency.
Senior Medical Coder
Optum Healthcare
Coimbatore
01.2022 - 10.2024
- Handling the client queues and inflow/outflow data.
- Generating reports based on the errors and quality data.
- Analyzing the patient's healthcare data and delivering it with the expected quality on a daily basis.
- Worked on several special projects to achieve the client's expectations.
- Ensured compliance with established coding guidelines, third-party reimbursement policies, regulations, and accreditation guidelines.
- Worked a flexible 8-hour shift schedule, including overtime and weekends.
- Managed a variety of complex and technical assignments related to medical coding.
- Resolved discrepancies for coding-related issues.
- Participated in coding audits, and maintained a coding accuracy rate of 95%.
- Utilized Electronic Health Record (EHR) systems to extract and analyze patient data for coding purposes.
Education
Some College (No Degree) - Biotechnology
SNMV College of Arts And Science
CoimbatoreSkills
- Medical coding and terminology
- Data entry and auditing
- Medicaid and Medicare knowledge
- EMR systems familiarity
- Team collaboration
- HIPAA regulations understanding
- CMS compliance expertise
- Speed typing proficiency
- Time management skills
- Quality assurance
Certification
- AHIMA
- Medical coding, ICD
- MS Excel
- CPC
Projects
Aetna MRA, Aetna CRA, Wellcare ACA, Wellcare MA, Lookback
Personal Information
- Date of birth: 10/20/98
- Gender: Male
- Marital status: single
Achievements And Awards
Maintained 97% accuracy per 150 daily claims when assigning ICD and CPT codes to patient records
Languages
Tamil
First Language
English
Intermediate (B1)
B1
Timeline
QA Analyst
Clarus RCM
11.2024 - 05.2025
Senior Medical Coder
Optum Healthcare
01.2022 - 10.2024
Some College (No Degree) - Biotechnology
SNMV College of Arts And Science