Summary
Overview
Work History
Education
Skills
Certification
Interests
Accomplishments
ADDITIONAL SKILLS
Timeline
Generic
UMAMAHESH KOPPULA

UMAMAHESH KOPPULA

Medical coding Quality auditor
KHAMMAM

Summary

As a medical coding auditor, my responsibilities will be to ensure the accuracy of medical coding and documentation of medical records for healthcare providers. I have experience with reviewing and analyzing medical records to identify errors and inconsistencies in coding and documentation. The role also requires utilizing knowledge of coding systems and regulations to identify potential compliance issues and recommending corrective action. As a medical coder, I will be responsible for translating medical records into standardized codes. My knowledge of coding software and medical terminology will ensure accurate and efficient coding, enabling healthcare providers to bill insurance companies and government agencies accurately. In this role, I will also have a responsibility to stay up-to-date with the latest coding guidelines and regulations to ensure compliance with industry standards.

Overview

12
12
years of professional experience
1
1
Certification
4
4
Languages

Work History

SENIOR OFFICER MEDICAL CODING

CORONIS AJUBA SOLUTIONS PVT LTD
02.2023 - Current

Successfully performed medical coding and auditing tasks with a consistent 99% quality score, reflecting strong accuracy, compliance with ICD-10-CM, CPT, and HCPCS coding standards, and attention to detail. Ensured documentation integrity and supported optimal reimbursement through thorough review and adherence to client and regulatory guidelines.

Quality Analyst

PENA4TECH SOLUTIONS INDIA PRIVATE LIMITED
01.2022 - 02.2023
  • Performed end-to-end quality audits of medical coding to ensure compliance with ICD-10-CM, CPT, and HCPCS guidelines.
  • Identified documentation gaps and provided corrective feedback to coders to reduce error rates.

SENIOR MEDICAL CODING QUALITY AUDITOR

AGS HEALTH PRIVATE LIMITED
04.2021 - 01.2022
  • Audited an average of 60 charts daily to maintain high-quality benchmarks and meet client expectations.
  • Performed regular audits and supported junior staff by reviewing their work, identifying mistakes, and offering constructive coaching.

SENIOR MEDICAL CODER

PENA4TECH SOLUTIONS IND PVT LTD
12.2013 - 03.2021
  • I have 4 years of experience in Clinical Documentation Improvement (CDI), with a focus on auditing medical records, ensuring compliance, and supporting junior colleagues in correcting documentation errors.
  • Initiated career in medical coding as a Junior Coder, recognized for maintaining 99% quality and accuracy in assigned tasks.
  • Achieved promotion from Junior Coder to Quality Analyst in a short span, demonstrating expertise in coding quality and audit excellence.


Education

Master of Science - BIO-TECHNOLOGY

DONBOSCO INSTITUTE OF BIO-SCIENCES
Bangalore
01.2010

Bachelor of Science - BSC- BIOTECHNOLOGY

GOWTHAM DEGREE COLLEGE
Khammam
01.2008

Intermediate - LIFE SCIENCES

BOARD OF INTERMEDIATE EDUCATION
Khammam
01.2005

Skills

Having experience in various specialties like CDI (clinical documentation improvement), SDS, ED facility, Radiology, ancillary

Specially having 4 years of experience in Clinical Documentation Improvement Specialist – Medical Coding

Reviewed outpatient records to identify documentation gaps and provided feedback to improve clarity and specificity

Ensured alignment between clinical documentation and ICD-10-CM, CPT, and HCPCS coding guidelines Maintained 99% accuracy in coding audits and contributed to achieving organizational compliance benchmarks

Trained and supported coding staff in best practices for CDI, improving documentation quality and coder efficiency

Handling audit for the junior Coders and educating on errors

Played a key role in reducing claim denials and improving case mix index (CMI) through proactive documentation review and physician education

Attending Weekly client calls and weekly client quality work session calls

Assigning codes by using ICD10-CM, CPT-4 &HCPCS

Do coding through encoder, quantum & 3M software's

Auditing 57 charts per daily while maintaining 98% accuracy and achieving productivity goals as per client requirement

Conducting weekly QA-feedback sessions & updating client updates and feed backs

Educate juniors on health care topics, client feedbacks and clarifying their coding doubts etc

Able to understand written documents

Knowledge in all kind of ED procedure codes like laceration repairs fracture reduction and infusions procedures etc

Taking monthly education and coding clinic tests

Self-motivated, hardworking, and goal-oriented with a high degree of flexibility, creativity, resourcefulness, commitment, and optimism

Certification

CPC- Certified Professional Coder from AAPC (Membership ID - 01354504).

Interests

Reading books of your choice, Spending time with family and friends, Taking a walk or going for a hike, Learning a new skills, Listening to podcasts especially devotional

Accomplishments

    "Awarded Best Employee of Quarter 4 2025 for outstanding performance and contributions to team success."

    "Received two times appreciation from client to maintaining of Good Quality auditing in Rewards and recognition programme."

    "Consistently maintained 99% quality scores in monthly MQRs during client audits, demonstrating high attention to detail and adherence to quality standards."

ADDITIONAL SKILLS

To perform my duties as a medical coder, I will use various Microsoft tools such as Excel, Word, and Outlook. I will use Excel for data analysis and manipulation, tracking medical codes, and managing spreadsheets. I will utilize Word to create reports, presentations, and other written documentation. Additionally, I will use Outlook to manage emails and communicate with healthcare providers and insurance companies. Furthermore, I will leverage Microsoft Teams to collaborate with my team members, share information, and discuss coding challenges to ensure accurate and efficient coding processes. By using these Microsoft tools, I will streamline my work and ensure accurate and timely documentation.

Timeline

SENIOR OFFICER MEDICAL CODING

CORONIS AJUBA SOLUTIONS PVT LTD
02.2023 - Current

Quality Analyst

PENA4TECH SOLUTIONS INDIA PRIVATE LIMITED
01.2022 - 02.2023

SENIOR MEDICAL CODING QUALITY AUDITOR

AGS HEALTH PRIVATE LIMITED
04.2021 - 01.2022

SENIOR MEDICAL CODER

PENA4TECH SOLUTIONS IND PVT LTD
12.2013 - 03.2021

Master of Science - BIO-TECHNOLOGY

DONBOSCO INSTITUTE OF BIO-SCIENCES

Bachelor of Science - BSC- BIOTECHNOLOGY

GOWTHAM DEGREE COLLEGE

Intermediate - LIFE SCIENCES

BOARD OF INTERMEDIATE EDUCATION
UMAMAHESH KOPPULAMedical coding Quality auditor