Richa Kumari
Chennai
Summary
A highly skilled medical coder specializing in HCC coding, QA, medical terminology, coding guidelines, and training new coders. I ensure accurate diagnosis coding and adherence to industry standards to optimize reimbursements. Proficient in reviewing medical records, mentoring coders, and enhancing coding accuracy for improved healthcare documentation
Overview
10
10
years of professional experience
1
1
Certification
Work History
Operational Analyst
Vega Watch and Spare Parts
06.2024 - 11.2024
- Inventory Tracking & Management – Maintained and updated Excel-based inventory logs to track stock levels, monitor spare parts movement, and prevent overstocking or shortages
- Supply Chain Analysis with Excel – Used Pivot Tables, VLOOKUP, and Power Query to analyze procurement trends, supplier performance, and delivery timelines for optimizing the supply chain
- Dashboard & Reporting – Created interactive Excel dashboards with conditional formatting, charts, and slicers to provide real-time insights on stock levels, order fulfillment, and sales trends
- Process Automation with Excel Macros & VBA – Developed automated templates and reports using VBA macros, reducing manual effort in data entry and improving reporting efficiency
- Demand Forecasting & Trend Analysis – Utilized Excel formulas (FORECAST, TREND, Moving Averages) to predict demand patterns and assist in procurement planning
QA-Coding services
Corro Health-Visionary RCM
09.2020 - 02.2022
- Worked with the internal Quality Assurance (QA) team, overseeing project quality and production to ensure accurate and compliant medical coding practices in accordance with industry guidelines and regulations
- Conducted risk adjustment analysis to identify and capture Hierarchical Condition Category (HCC) codes for accurate reimbursement and coding optimization
- Demonstrated expertise in using 10+ Electronic Medical Record (EMR) applications to review medical records and accurately assign HCC codes
- Served as an HCC trainer and auditor/quality analyst in multiple HCC projects, providing training to experienced and new coders on HCC and client-specific coding guidelines
- Collaborated closely with coding team members, healthcare providers, and other stakeholders to provide feedback, guidance, and support on HCC coding practices, leading to improved coding accuracy and compliance
- Played a key role in training and mentoring coders on HCC coding and client-specific guidelines, ensuring consistent adherence to coding standards and best practices
Executive Coder
Episource India Private Limited
05.2015 - 04.2020
- HCC- HHS- CDPS- coding and auditing
- Reviewed medical records and assigned Hierarchical Condition Category (HCC) codes using ICD-9 and ICD-10 guidelines with a client Service Level Agreement (SLA) of 98% accuracy
- Demonstrated a strong grasp of fields like anatomy, physiology, and medical terminology to accurately assign appropriate codes and ensure compliance with coding guidelines
- Utilized various tools and software proficiently to efficiently complete coding assignments and meet productivity targets
- Collaborated closely with the internal Quality Assurance (QA) and training team to ensure adherence to coding standards and provide feedback to coding team members for continuous improvement
- Assigned as a ‘people representative’ for one year, serving as a point of contact between team members and management, providing support, addressing concerns, and fostering a positive work environment
- Played a key role in managing team quality and production, leading to consistently high-quality coding outputs and meeting or exceeding productivity goals
Education
Bachelor of Technology - Bioinformatics
SRM University
04.2015
Skills
- ICD 9
- ICD 10-CM
- Medical terminology
- QA Expert
- Microsoft excel
- Salesforce
- Chart navigator
- Talix
- CAO
- HCC
- Data analysis
Certification
CRC Certification, AAPC, 01665431, 10/01/19
Languages
English
Hindi
Timeline
Operational Analyst
Vega Watch and Spare Parts
06.2024 - 11.2024
QA-Coding services
Corro Health-Visionary RCM
09.2020 - 02.2022
Executive Coder
Episource India Private Limited
05.2015 - 04.2020
Bachelor of Technology - Bioinformatics
SRM University
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