Sep 2023 – Present · 2 yrs 8 mos · United Arab Emirates · On-site

• Sole coder responsible for end-to-end coding operations across two Medcare clinics, managing the full cycle from clinical documentation review through clean claim submission for multi-specialty outpatient and inpatient encounters.
• Key Achievements & Responsibilities:
• Process 200+ insurance claims weekly with a consistent 98% first-pass coding accuracy rate, directly supporting revenue cycle performance and clean claim submission
• Reduced claim denial rates by 15–20% through proactive collaboration with physicians, insurance teams, and TPAs — identifying documentation gaps before claim submission
• Assign accurate ICD-10-CM and CPT codes for complex multi-specialty encounters, ensuring full compliance with DHA (Dubai Health Authority) and DOH (Department of Health – Abu Dhabi) regulatory standards
• Conduct regular EMR documentation reviews and SOAP note audits, identifying coding inaccuracies, compliance gaps, and revenue leakage risks across both facilities
• Manage TPA pre-authorization workflows and insurance coordination across multiple payers including Daman, Thiqa, NAS, and Nextcare — ensuring timely approvals and reimbursement
• Drive coding quality improvement initiatives that have strengthened documentation standards and reduced rework across the coding and billing teams
• Apply Six Sigma (Green Belt) methodology to identify workflow inefficiencies in the claims process, recommending corrective actions that improved turnaround times
• Leverage AI-assisted coding tools and technology to enhance coding speed and accuracy, staying ahead of industry automation trends

Apr 2023 – Jul 2023 · 3 mos · Dubai, United Arab Emirates · On-site

• (Concurrent with UnitedHealth Group — UAE transition period)
• Provided coding and claims processing for a multi-provider Dubai-based medical billing operation, gaining direct hands-on experience with UAE insurance payer ecosystems and TPA workflows.
• Performed denial root-cause analysis on rejected claims and developed corrective documentation strategies that reduced rejection recurrence across client facilities
• Conducted EMR documentation audits identifying recurring coding errors and compliance gaps, and prepared weekly audit reports on rejection trends and revenue leakage patterns for management review
• Coordinated with TPAs and insurance providers to resolve claim discrepancies, manage pre-authorization workflows, and ensure DHA regulatory compliance during a period of regulatory updates

Apr 2022 – Jul 2023 · 1 yr 3 mos · Bengaluru

• Performed high-volume HCC risk adjustment coding under CMS-HCC guidelines for Medicare Advantage populations, reviewing complex patient records for chronic condition capture and risk score optimization.
• Reviewed and coded 160+ patient charts daily while maintaining 98% coding accuracy — consistently meeting both productivity and quality benchmarks in a high-volume production environment
• Identified under-coded chronic conditions (diabetes, CKD, heart failure, COPD) through retrospective and concurrent chart reviews, improving risk score completeness and RAF accuracy
• Conducted internal compliance audits for HCC capture, code sequencing, and HIPAA adherence — contributing error trend analysis that informed team-wide training and process updates

Jun 2021 – Jul 2022 · 1 yr 1 mo · Bangalore Urban · On-site

• Process Coordinator — Kochi Office Launch Lead (Promoted from Trainee Coder in 6 months)
• Began as a trainee coder in Bengaluru; promoted to Process Coordinator within 10 months. Entrusted with launching AdvantEdge's new Kochi office — building a 30+ member team from scratch while maintaining dual-site coding and auditing production.
• Office Launch & Team Building:
• Led end-to-end setup of the Kochi office — a greenfield operation requiring recruitment, onboarding, workflow design, infrastructure coordination, and cross-site alignment with Bengaluru HQ
• Recruited, trained, and supervised 30+ new trainees, building a fully operational coding team from zero to production-ready within aggressive timelines
• Designed and delivered pathology team training programs covering specialty-specific ICD-10-CM guidelines, documentation interpretation, and payer-specific requirements
• Coding & Auditing Production:
• Personally coded 75 charts/day across multiple client accounts while managing office operations — maintaining accuracy benchmarks despite dual responsibilities
• Audited 150+ charts daily across all client portfolios, identifying coding errors, documentation gaps, and compliance risks — serving as the final quality gate for Kochi office output
• Combined daily volume of 225+ charts (coding + auditing) positioned Kochi as a high-output site within months of launch
• Cross-Site Operations:
• Primary coordination bridge between Kochi and Bengaluru offices — aligning workflows, quality standards, SOPs, and production targets across both sites
• Tracked and reported KPIs including turnaround time, error rates, audit findings, and trainee progression to senior management
• Identified workflow gaps and compliance risks across both offices, driving corrective actions that reduced claim denials and revenue leakage

Dec 2017 – Dec 2018 · 1 yr

• Completed a clinical residency in general dentistry, gaining hands-on experience in patient assessment, treatment planning, clinical documentation, and multidisciplinary healthcare team collaboration.
• Managed patient consultations, diagnoses, and treatment procedures across general, restorative, and preventive dentistry — developing strong clinical documentation and medical terminology skills
• Maintained detailed, accurate patient records in compliance with hospital documentation standards — building the foundation for the clinical-to-coding career transition
• Collaborated with specialists, nursing staff, and hospital administration on patient care coordination, developing cross-functional communication skills directly applicable to healthcare coding and RCM roles
• This clinical background provides a unique advantage in medical coding — enabling me to understand provider documentation from the clinician's perspective and identify documentation gaps that purely administrative coders often miss.