SREELAKSHMI H. A.
Bengaluru
Summary
Results-driven Healthcare Operations and Medical Coding Leader with nearly 19 years of extensive experience in Healthcare KPOs handling both Provider and Payer clients. Proven expertise in managing large-scale coding operations, client delivery, revenue cycle optimization, transition management, process excellence, and automation initiatives. Demonstrated success in leading teams of 300+ coders across multiple specialties including Emergency Department (ED), E/M, Radiology, Anesthesia, HCC, Surgery, Dermatology, Pathology, Hospitalist, Urgent Care, and Same-Day Surgery coding, Prior Authorization. Adept at driving operational efficiency, improving quality metrics, ensuring SLA adherence, and strengthening client relationships. Recognized for strategic leadership, process transformation, AI-driven coding automation initiatives, and building high-performing teams aligned with business objectives.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Associate Director – Coding
Optimizercm
06.2024 - Current
- Leading end-to-end coding operations for ED, Radiology, IVR, Hospitalist, and Urgent Care projects.
- Clinical Documentation Improvement (CDI) -Monthly meetings with the Physicians on Documentation improvement to reflect patients’ condition, care and ensure correct coding/billing.
- Verified payer policies and ensured medical necessity for treatments, facilitating appropriate billing for patient care.
- Managed operational delivery, quality metrics, and client SLAs to enhance service reliability and outcomes.
- Collaborating with cross-functional teams to ensure seamless client delivery and retention.
- Enhanced customer satisfaction through process optimization and commitment to operational excellence.
- Managing revenue targets, workforce planning, and resource allocation.
- Monitoring operational KPIs and implementing corrective and preventive actions.
Senior Manager – Coding Operations
Tharworx RCM Pvt Ltd
08.2020 - 06.2024
- Managed coding operations across ED, Anesthesia, Multispecialty, Dermatology, Urgent Care, Radiology, Neurology, Psychology, and HCC projects, ensuring compliance and accuracy.
- Led multiple teams to achieve consistent productivity and quality benchmarks, enhancing overall operational performance.
- Consulted on coding operations for revenue cycle management projects.
- Played a major role in developing AI-based coding automation applications, including 'CURIE CODE'. Created the coding tools like Codify/Optum to aid coders.
- Contributed to software development initiatives by providing domain expertise for coding tools.
- Supported technology adoption and process automation initiatives, resulting in streamlined operations and increased efficiency.
Manager – Medical Coding Operations
ACN Healthcare
01.2014 - 01.2020
- Oversaw large-scale coding operations across ED, Anesthesia, Multispecialty, Urgent Care, Radiology, and Inpatient DRG coding projects to ensure compliance and accuracy.
- Led and managed teams with a span of 200+ coders.
- Directed productivity, quality assurance, staffing, and performance management initiatives to enhance operational effectiveness.
- Conducted capacity planning and ensured optimal resource utilization.
- Worked closely with HR on recruitment, retention, and employee engagement strategies.
- Resolved client escalations promptly, ensuring operational issues were addressed and client satisfaction maintained.
Team Coach / Team Lead / Team Manager
Global Health Care
09.2011 - 01.2014
- Led team of 70+ coders on ED coding projects, ensuring high-quality deliverables.
- Improved team productivity and quality metrics through continuous monitoring and coaching.
- Developed and facilitated training sessions and mentoring programs for new and existing coders, enhancing team skillsets.
- Monitored and enforced adherence to client-specific coding guidelines and compliance standards, maintaining project integrity.
Senior Medical Coder / Auditor / SME
Apollo Health Street
12.2009 - 11.2011
- Executed coding audits and quality reviews, ensuring adherence to coding standards.
- Supported maintenance of coding accuracy and compliance standards, enhancing overall coding integrity.
- Provided process training and SME support to coding teams.
- Advanced from Senior Medical Coder to Auditor and SME roles, demonstrating capability and expertise.
Medical Coder
Omega Healthcare
03.2008 - 11.2009
- Cultivated expertise in medical coding processes and tailored client-specific requirements, ensuring alignment with industry standards.
- Trained teams in medical coding for emergency department projects, enhancing compliance and accuracy.
- Achieved quality and productivity targets, contributing to overall departmental efficiency.
Education
Master’s - Biotechnology
Bangalore University – Garden City College
BengaluruSkills
- Revenue Cycle Management (RCM)
- Denial management
- Compliance management
- Coding operations
- Coding Technology Integration
- Process improvement
- Transition management
- Productivity management
- Resource utilization
- Financial Oversight
- Client and Stakeholder Management
- Team leadership
- Performance coaching
Certification
- CPC (Certified Professional Coder)
- CHONC (Certified Oncology Coder)
- Lean Six Sigma
Key Leadership Responsibilities
- Managed end-to-end operational delivery and client SLAs.
- Led teams of 300+ coders across multiple specialties.
- Handled revenue targets, operational planning, and process governance.
- Conducted performance appraisals and employee development initiatives.
- Managed client communication, escalations, and retention strategies.
- Ensured adherence to HIPAA, QMS, and ISMS standards.
- Led transition management and process migration activities.
- Improved operational efficiency through AI and automation initiatives.
Languages
- Kannada
- Telugu
- Tamil
- Hindi
- English
Personal Information
Date of Birth: 10/20/84
Specialty Expertise
- Emergency Department (ED) Coding
- E/M Coding
- Multispecialty Coding
- Anesthesia Coding
- Radiology & IVR Coding
- Dermatology Coding
- Surgery Coding
- Pathology Coding
- Hospitalist Coding
- Same-Day Surgery (SDS)
- Urgent Care Coding
- HCC Coding
- DRG Coding
- Denials Management
Professional Highlights
- Nearly 19 years of healthcare coding and operations leadership experience.
- Expertise in both Provider and Payer domains.
- Successfully managed teams of 300+ coders.
- Strong experience in operations, delivery, quality, and client management.
- Contributed to AI-based coding automation solutions.
- Extensive multi-specialty coding expertise.
- Strong stakeholder management and leadership skills.
Timeline
Associate Director – Coding
Optimizercm
06.2024 - Current
Senior Manager – Coding Operations
Tharworx RCM Pvt Ltd
08.2020 - 06.2024
Manager – Medical Coding Operations
ACN Healthcare
01.2014 - 01.2020
Team Coach / Team Lead / Team Manager
Global Health Care
09.2011 - 01.2014
Senior Medical Coder / Auditor / SME
Apollo Health Street
12.2009 - 11.2011
Medical Coder
Omega Healthcare
03.2008 - 11.2009
Master’s - Biotechnology
Bangalore University – Garden City College