Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Uma Ravirala

Bangalore

Summary

  • Senior Quality Assurance Lead with 11+ years of expertise in medical coding and 6+ years of adept people management
  • Experienced in ED Profee, ED Facility, and urgent care domains. Proficiently manages multispecialty projects including Inpatient coding, SDS, ED, Observation, Ancillary, E&M, and Decollation.
  • Experienced professional adept at automating the coding process by collaborating with software teams and implementing regular updates of rules and strategies. Demonstrated expertise in computer-assisted coding.
  • Results-driven professional with a strong commitment to fostering a collaborative and agile organizational environment. Known for exceptional attention to detail, multitasking abilities, and a motivated, team-oriented approach. Consistently delivers high-quality work while continuously enhancing quality.

Overview

11
11
years of professional experience

Work History

Sr. Quality Assurance Lead

GeBBS Healthcare Solutions
Mumbai
05.2021 - Current
  • Creating and sustaining an environment that fosters development
  • Coached, mentored and motivated 15-person QA team to develop competencies
  • Drive weekly and monthly discussions with stakeholders.
  • Working with the software team to automate the coding process (Computer-assisted coding) with regular updates of rules and different strategies, with the help of the team.
  • Opportunities and motivating the employee for enhancing the existing performance level
  • Driving quality metrics and driving adoption of different tools and resources.
  • Investigated variances, performed root-cause analysis, and documented corrective actions to resolve complications.
  • Evaluated interactions between associates and customers to assess personnel performance
  • Acted as key point of contact for all QA aspects of releases by providing QA services and coordinating QA resources internally and externally
  • Directed day-to-day quality assurance department activities, establishing rapport with team members to facilitate effective communication and coordination
  • Created requirements for milestones and monitored completion of tasks for the QA team.
  • Updated training database to help resolve common issues
  • Analyzed quality management system metrics to identify trends, lead improvement projects, and audits.
  • Established and updated QA processes and metrics in line with industry best practices and project goals.
  • Identified process gaps and developed corrective action plans to improve performance.
  • Worked collaboratively with members of operations department to improve processes and optimize productivity.
  • Implemented training for new hires and re-training for current employees.

Quality Assurance Lead

GeBBS Healthcare Solutions
04.2018 - 05.2021
  • Performed root cause analysis to identify underlying causes of process issues and implemented preventative measures.
  • Collaborated with managers to identify areas where additional skills are needed by staff members
  • Reviewed customer complaints and worked with team to improve process quality through corrective actions.
  • Created evaluations of training to be provided after sessions, tracking effectiveness.
  • Drive weekly and monthly discussions with stakeholders.
  • Opportunities and motivating the employee for enhancing the existing performance level
  • Acted as key point of contact for all QA aspects of releases by providing QA services and coordinating QA resources internally and externally
  • Directed day-to-day quality assurance department activities, establishing rapport with team members to facilitate effective communication and coordination
  • Coached and motivated a 15-person QA team to develop competencies.
  • Created requirements for milestones and monitored completion of tasks for the QA team.
  • Updated training database to help resolve common issues
  • Analyzed quality threshold metrics to compile QMS reports
  • Established and updated QA processes and metrics in line with industry best practices and project goals.

Quality Analyst

GeBBS Healthcare Solutions
06.2015 - 04.2018
  • Monitored and analyzed coding error trends to improve coding accuracy
  • Conducted root cause analysis to investigate the source of problems in production process.
  • Monitored progress of trainees throughout their program duration to ensure they meet requirements.
  • Provided one-on-one coaching to individual employees who are struggling with certain topics.
  • Updated existing materials used in the training program when necessary.
  • Implemented corrective actions when necessary to improve overall product quality.
  • Prepared presentations summarizing findings from various tests or experiments conducted during the course of a project.
  • Analyzed key performance indicators to identify effective strategies.
  • Created detailed reports highlighting areas of improvement or potential risk associated with certain types of claims.
  • Prepared reports summarizing coding trends or areas where additional training is needed.
  • Assisted in the development of coding guidelines and policies.
  • Identified areas where additional or refresher training is needed for employees.

Senior Medical Coder

GeBBS Healthcare Solutions
10.2014 - 06.2015
  • Trained new coders on proper use of ICD-10 codes and CPT codes.
  • Performed quality assurance checks on coded data.
  • Updated coding skills and knowledge through continuous education and training.
  • Maintained high accuracy rate on daily production of completed reviews.

Medical Coder

GeBBS Healthcare Solutions
12.2013 - 10.2014
  • Analyzed patient charts and records to extract relevant coding information and assigned accurate codes for diagnoses and procedures.
  • Attended training sessions and meetings to learn new information and develop personal skills
  • Verified accuracy of procedure codes to ensure proper reimbursement levels.
  • Maintained high accuracy rate on daily production of completed reviews.

Medical Coder Trainee

GeBBS Healthcare Solutions
06.2013 - 12.2013
  • Reviewed patient records and assigned accurate codes for diagnoses and procedures.
  • Verified accuracy of procedure codes to ensure proper reimbursement levels.
  • Interpreted medical reports to apply appropriate ICD, CPT and HCPCS codes.
  • Updated coding skills and knowledge through continuous education and training.

Education

Bachelor of Pharmacy - BPharm -

Vivekanand Education Societys College of Pharmacy
Mumbai, Maharashtra, India
04.2013

Skills

  • Six Sigma Yellow belt
  • ICD 10 Proficient
  • Data Analysis
  • Problem Solving
  • Analytical Skills
  • Task Prioritization
  • Continuous Improvement
  • Critical thinking
  • Client Relation
  • MS office
  • Excel Formula Proficiency
  • Training and mentoring
  • Stakeholder Communication
  • Teamwork and Collaboration

Languages

Telugu
First Language
English
Proficient (C2)
C2
Hindi
Proficient (C2)
C2
Marathi
Proficient (C2)
C2

Timeline

Sr. Quality Assurance Lead

GeBBS Healthcare Solutions
05.2021 - Current

Quality Assurance Lead

GeBBS Healthcare Solutions
04.2018 - 05.2021

Quality Analyst

GeBBS Healthcare Solutions
06.2015 - 04.2018

Senior Medical Coder

GeBBS Healthcare Solutions
10.2014 - 06.2015

Medical Coder

GeBBS Healthcare Solutions
12.2013 - 10.2014

Medical Coder Trainee

GeBBS Healthcare Solutions
06.2013 - 12.2013

Bachelor of Pharmacy - BPharm -

Vivekanand Education Societys College of Pharmacy

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Uma Ravirala