Summary
Overview
Work History
Education
Skills
Affiliations
Languages
Certification
Timeline
Generic

Satyarekha Vishwakarma

Pune

Summary

Subject Matter Expert in compliance and quality assurance for healthcare coding. Led audits and training initiatives that enhanced documentation accuracy and operational efficiency. Proficient in project management and team leadership, with a track record of implementing process improvements and automation to optimize service delivery. Experienced in managing diverse specialties, including EM-Outpatient, Radiology, and Anesthesia, while ensuring high-quality standards and client satisfaction.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Subject Matter Expert

OMEGA HEALTHCARE SOLUTION
Pune
07.2014 - Current
  • Provided expert guidance on coding practices for E/M, outpatient, inpatient, and dental surgery services in compliance with CMS, AMA, ADA, and payer-specific guidelines.
  • Reviewed clinical documentation to ensure accurate CPT, ICD-10-CM, and CDT code assignments across various specialties.
  • Led coding quality assurance audits for E/M services; identified documentation deficiencies and facilitated provider education.
  • Trained coding teams on annual updates for CPT and ICD codes, E/M level selection, medical necessity, and procedure sequencing.
  • Collaborated with CDI specialists to develop compliant physician queries for incomplete or unclear documentation.
  • Monitored payer updates and coding edits to ensure alignment with current regulations and reimbursement trends.
  • Reviewed dental surgery documentation to advise on appropriate CDT/CPT coding for medically necessary procedures.
  • Supported appeals for claim denials by preparing coding justification letters and documentation crosswalks.

Senior Team Leader

GEBBS HEALTHCARE SOLUTION
MUMBAI
06.2014 - 06.2021
  • Demonstrated expertise in radiology, anesthesia, and ENM-OP processes.
  • Conducted risk analysis and reporting to enhance process stability per client guidelines.
  • Developed knowledge transfer plans and drafted proposals based on team discussions.
  • Created comprehensive documentation, including data collection plans and communication strategies.
  • Facilitated training documentation supporting project objectives.
  • Generated status dashboards for quality metrics daily, weekly, and monthly.
  • Participated in weekly client calls to discuss updates and resolve operational issues.
  • Tracked quality metrics and service level agreements by reviewing deliverables between client and organization.

Education

MBA - Health-care

WELINGKAR INSTITUTE OF MANAGEMENT
Mumbai
06.2017

B. Pharma -

BHARATI VIDYAPEETH COLLEGE OF PHARMACY
Navi Mumbai
01.2014

Skills

  • Certified CPC and lead
  • Anesthesia and EM outpatient care
  • Radiology expertise
  • Surgical procedures
  • Quality assurance
  • Process improvement
  • Team collaboration
  • Coding compliance
  • Customer focus
  • CPT coding proficiency
  • Training development and mentoring

Affiliations

  • Implementing and spearheading several process improvement initiatives in the form of automation
  • Setting out in-house quality standards for various operational areas and ensuring a high-quality customer experience while adhering to the SLAs for services
  • Providing a quick resolution of all the queries and issues of the client, and maintaining healthy relations with them
  • Creating and sustaining a dynamic environment that fosters development opportunities, imparting training programs after identifying the need for the smooth running of processes and operations
  • Tracking financial, headcount, attrition, and quality metrics

Languages

Languages Known: English, Hindi & Marathi

Certification

  • Lead certified
  • CPC Certified

Timeline

Subject Matter Expert

OMEGA HEALTHCARE SOLUTION
07.2014 - Current

Senior Team Leader

GEBBS HEALTHCARE SOLUTION
06.2014 - 06.2021

MBA - Health-care

WELINGKAR INSTITUTE OF MANAGEMENT

B. Pharma -

BHARATI VIDYAPEETH COLLEGE OF PHARMACY
Satyarekha Vishwakarma