Summary
Overview
Work History
Education
Skills
Certification
Timeline
Hobbies
Generic

Nikhita Thallamudi

Senior Quality Auditor, Department :Clinical Quality ,Sub Department :Medical Coding Specialist
Hanamkonda

Summary

To obtain a challenging position in a leading edge organization, by utilizing the skills and abilities obtained through my experience and education, with the opportunity for professional growth.

Methodical and detail-oriented Quality Auditor skilled in checking production lines, workers and materials to maintain strict standards. Approaches each stage with systematic and analytical mindset, breaking down processes to identify and correct costly deficiencies. Proven skills in driving important change in [Type] production environments.

Quality assurance specialist with keen eye for detail, ensuring compliance with standards and regulations. Adept at identifying areas for improvement and implementing effective solutions. Strong focus on team collaboration and achieving results, with flexible approach to changing needs. Proven skills in data analysis, process optimization, and report generation. Reliable and adaptable, consistently driving quality and efficiency in every project.

Results-driven [Job Title] with solid background directly inspecting products such as [Type] for conformance with specifications. Assigns grades and removes defective items to meet quality targets. Reports on findings and helps coordinate corrective actions at all production stages.

Experienced Quality Auditor with well-honed analytical skills with regulatory compliance auditing experience for [Number] years. Solution-focused professional highly-regarded among peers and supervisors in [Type] industry. Skilled auditor who works diligently with all levels of peers, management and external authorities.

Experienced with quality auditing principles and practices. Utilizes problem-solving skills to identify and address non-compliance issues. Track record of maintaining high standards through meticulous documentation and process improvement initiatives.

Quality assurance professional prepared to enhance operational efficiency and maintain compliance. Proven ability to identify areas of improvement and implement corrective actions in collaboration with cross-functional teams. Known for reliability and adaptability, with focus on ensuring product and process quality.

Detail-oriented Quality Assurance Auditor adept at developing and maintaining strong [Industry] compliance programs. Hardworking and organized professional with in-depth understanding of evaluation processes and audit procedures. Pursuing new professional challenges with an expanding operation.

Diligent [Desired Position] with robust background in quality control and auditing processes. Successfully identified and rectified key operational discrepancies, ensuring compliance with industry standards. Proven ability to enhance team performance and uphold quality standards through effective problem-solving and keen attention to detail.

Quality assurance professional with strong background in auditing and compliance. Known for improving operational efficiency and ensuring adherence to quality standards. Highly collaborative, adaptable to changing requirements, and focused on delivering reliable results. Key skills include audit planning, risk assessment, and process improvement.

High-performing professional with extensive experience in industry. Skilled in testing, sorting and sampling products with working knowledge of safety codes. Reliable and efficient with equipment and software programs.

Methodical Quality Assurance Auditor successful at standardizing compliance review and correction across all business areas. Efficient and accurate team player with demonstrated success in working in [Type] environments over [Number]-year career.

Experienced with auditing processes and compliance standards. Utilizes keen analytical skills to identify and resolve quality issues effectively. Track record of enhancing operational efficiency and maintaining high standards through comprehensive quality assessments.

Quality Assurance professional with strong background in process evaluation, compliance auditing, and risk management. Adept at identifying inefficiencies and implementing effective solutions. Demonstrates unwavering reliability and adaptability, thriving in collaborative environments to drive continuous improvement. Skilled in regulatory standards, root cause analysis, and corrective action planning.

Overview

1
1
Certificate
12
12
years of professional experience

Work History

Senior Quality Auditor, Department :Medical Coding

Primera Medical Technology
01.2018 - Current
  • Working as a Medical coding Specialist in Primera Medical Technology, Hyderabad From Jan,2018 Through current date.
  • Reviewed and analyzed medical records to ensure accurate coding and compliance with regulations.
  • Collaborated with healthcare providers to clarify documentation for precise coding and billing.
  • Implemented coding best practices that improved accuracy and reduced claim denials.
  • Trained and mentored junior staff on coding standards and software utilization to enhance team efficiency.
  • Utilized advanced coding software to streamline workflows and minimize turnaround times for claims processing.
  • Maintained up-to-date knowledge of coding regulations and guidelines to support compliance initiatives.
  • Assisted in developing coding policies that align with industry standards and improve operational efficiency.
  • Promoted a collaborative work environment through effective communication and teamwork among fellow Medical Coding Specialists.
  • Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
  • Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
  • Developed comprehensive internal reference materials to facilitate quick access to relevant information for all team members, boosting productivity levels.
  • Conducted thorough audits of coded data to identify areas for improvement and implement corrective actions, leading to higher quality results.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Contributed to efficient workflow management by promptly addressing any discrepancies or issues within the medical coding department.
  • Generated reports to identify coding trends and discrepancies.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Followed up with medical staff regarding missing information in patient records.
  • Researched and resolved medical record discrepancies.
  • Assisted in preparation of medical reports for external parties.
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes.
  • Scanned and uploaded medical records into electronic medical records system.

Medical coding Specialist

Primera Medical Technology
01.2018 - Current
  • Working as a Medical coding Specialist in Primera Medical Technology, Hyderabad From Jan, 2018 Through current date.
  • Conducted regular audits of coded data to maintain high standards of accuracy and completeness.
  • Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.

Medical Coder

Pi International
06.2014 - 04.2017
  • Worked as a Medical Coder in Pi International from June 2014 through April 2017.
  • Reviewed and classified medical records, ensuring coding accuracy for optimal reimbursement.
  • Collaborated with healthcare providers to resolve coding discrepancies and improve documentation quality.

Education

Masters In Pharmacy -

Kakatiya University
Warangal

Bachelor of Pharmacy - undefined

Kakatiya University
Warangal

Intermediate - undefined

Board of Intermediate Education
AP

SSC - undefined

Board of Secondary Education
AP

Skills

Medical coding

ICD 10-CM & CPT

Emergency department coding

HCPCS

Diagnostic coding

Injection coding specialist

Radiology

Healthcare documentation

Coding compliance

Coding audits

Claim denials reduction

Coding guidelines adherence

Documentation clarification

Patient chart review

Medical record review

Electronic medical records

Documentation management

Quality control processes

Internal auditing

Coding policy development

Discrepancy resolution

Internal reference materials

Quality management systems

Data analysis

Report analysis

Workflow optimization

Workflow planning

Process implementation

Performance improvement

Compliance requirements

Compliance standards

Audit coordination

Audit management

Document review

Policy modification

Training programs

Training and coaching

MS Office proficiency

Critical thinking

Decision-making

Quality control

Anatomy & Physiology

Medical Terminology

Medical Abbreviations

Coding software expertise

Quality control

Documentation assessments

Reporting analysis

Certification

Certified Outpatient Coder from AAPC in the year 2015.

Timeline

Senior Quality Auditor, Department :Medical Coding

Primera Medical Technology
01.2018 - Current

Medical coding Specialist

Primera Medical Technology
01.2018 - Current

Medical Coder

Pi International
06.2014 - 04.2017

Bachelor of Pharmacy - undefined

Kakatiya University

Intermediate - undefined

Board of Intermediate Education

SSC - undefined

Board of Secondary Education

Masters In Pharmacy -

Kakatiya University

Hobbies

Listening Music, Cooking, watching movies, Playing shuttle, outdoor game

Nikhita ThallamudiSenior Quality Auditor, Department :Clinical Quality ,Sub Department :Medical Coding Specialist