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
References
References available upon request.
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
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