Reshma susan Thomas

Operations Associate

Kochi, Kerala, India5 yrs 2 mos experience

Key Highlights

  • Over 5.5 years of experience in medical coding.
  • Achieved 98% quality and 100% production at Cognizant.
  • Recognized for attention to detail and coding integrity.
Stackforce AI infers this person is a Healthcare Coding Specialist with expertise in risk adjustment and compliance.

Contact

Skills

Core Skills

Icd-10 CodingHcc Coding

Other Skills

AnatomyCMS HCCCurrent Procedural Terminology (CPT)HCPCSHIPAA protocolsHealthcareHospitality ManagementMRAMicrosoft OfficePhysiologyRecords ManagementRisk Adjustmentauditingcustomer servicedata management

About

Certified Medical Coder | HCC Coding Specialist | Medical Coding | AAPC Certified Professional Coder (CPC) | Ensuring Accurate Risk Adjustment | Healthcare Compliance & Audit Specialist. I am an accomplished Certified Medical Coder with over 5.5+ years of professional experience specializing in HCC/Risk Adjustment coding and ICD-10 coding. Throughout my career, I have honed my skills in analyzing medical records, ensuring the accuracy and completeness of documentation, and adhering to CMS HCC categories. I have a proven track record of delivering exceptional results in both coding quality and productivity. At Cognizant, I worked as a Senior Process Executive, where I consistently maintained 98% quality and 100% production, demonstrating my commitment to accuracy and efficiency. I’ve successfully managed multiple projects involving ICD-10, HCC, and RxCC, and have also taken on auditing roles for retrospective coding. My attention to detail and passion for maintaining coding integrity have earned me recognition and awards throughout my career. My key competencies include: 1. Strong expertise in ICD-10 coding and comprehensive knowledge of CPT coding and medical terminology. 2. Thorough understanding of HIPAA protocols, ensuring all processes adhere to privacy and security standards. 3. Excellent communication and customer service skills, which enable me to resolve coding issues and maintain positive client relationships. 4. Proficient in MS Office applications and efficient data management, ensuring smooth and organized workflows. 5. Time management and multitasking capabilities, allowing me to meet stringent deadlines without compromising quality. I am committed to continuous learning, having participated in ongoing training to stay updated on industry standards and coding practices. My ability to lead projects, deliver results, and uphold compliance has made me a trusted professional in the healthcare coding field.

Experience

Cognizant

Senior Process Executive Data

Dec 2021Aug 2024 · 2 yrs 8 mos · Chennai, Tamil Nadu, India · Remote

  • Verified and confirmed that diagnosis codes were accurate, comprehensive, and specific, based on the services provided and reviewed medical records to identify correct coding according to CMS HCC categories.
  • Filled out required forms, documentation, and computer entries for claim and encounter information, and demonstrated the capability to identify and resolve issues related to obtaining and validating accurate HCC information.
  • Attended ongoing training and education, assisted in auditing, took personal responsibility for self-improvement
  • learning new skills and acquiring knowledge, communicated effectively, and set goals and worked towards achieving them.
  • Demonstrated attention to detail and precision in work by meeting productivity standards, efficiency targets, and objectives and maintaining a company standard of accuracy.
  • Met all Statistical, Financial, and TAT metrics while processing charts, followed transaction processing timelines and adhered to audit compliance for all Healthcare processes as outlined by Cognizant/the client.
  • Followed security practices set by the organization, maintained confidentiality of all information, policies, and procedures as required by HIPAA protocols.
  • Stayed updated with the process knowledge, and participated in project and organization initiatives led by the Delivery leadership.
ICD-10 codingHCC codingauditingdata managementHIPAA protocolsmedical terminology+1

Episource llc

Medical Coder

May 2019Nov 2021 · 2 yrs 6 mos · Chennai, Tamil Nadu, India · On-site

  • Analysed medical records for accuracy and completeness of documentation, coding according to CMS HCC categories.
  • Ensured the process guidelines were followed and met as documented.
  • Maintained acceptable levels of performance in attendance, adherence to protocols, customer service, and all other productivity and efficiency targets and objectives
  • Maintained confidentiality of all information, policies, and procedures as required by HIPAA protocols
  • Understood, adhered to the Company’s policies and procedures, and provided excellent customer service.
  • Projects Involved – Aetna MRA, Harvard Pilgrim, Molina Marketplace
  • Participated in continued education and training
ICD-10 codingHCC codingauditingmedical records analysisHIPAA protocolscustomer service

Education

Devi Ahilya Vishwavidyalaya

Bachelor of Science - BS — Registered Nursing/Registered Nurse

Jul 2013Sep 2017

Cigma Medical Coding Academy

CPC Certification — Medical Insurance Coding Specialist/Coder

Jan 2019Mar 2019

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