Indira Gopalsamy

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Quality Controller Medical coding
Location: Qatar

Indira G (COC)

PERSONAL SUMMARY
A highly motivated and ambitious individual able to give timely and accurate advice, guidance,
support and training to team members and individuals with more than 12+ years of experience in Process
management, Process Validation and Quality. Possessing excellent management skills and having the
ability to work with the minimum of supervision whilst leading a team. Having a proven ability to lead by
example, consistently hit targets, improves best practices, and organizes time efficiently.
Currently looking forward to make a significant contribution as a team player with a company
that offers a genuine opportunity for progression.
PROFESSIONAL EXPERIENCE
 Scribe EMR Systems Private Limited, Coimbatore, India.
 Quality Controller – Medical Coding -From April 2022 till date.
 Auditing Charts of different specialties before moving the charts to
Clearing House.
 Audit on multiple coding platforms (i.e., eCW, intergy, IMS, Kareo,
Medent.).
 Have a check on all processed charts which results in minimal denial and
high reimbursement ratio.
 Executed daily/monthly audits to track repetitive issues requiring training
follow-up.
 Proactively searched for opportunities to improve quality assurance
methodologies and processes.
 Trained and assist new teammates on policies, procedures, and audit map
interpretation, as set forth by leadership committees.
 Facilitated and recorded QA meetings to discuss the overall
improvement of the QA process and standard audits.
 Utilized problem solving and analytical skills daily for the accurate
interpretation of audit subject matter, and appropriately determine.
 Senior Medical Coder – From September 2021 till March 2022
 Worked on multiple coding platforms (i.e., eCW, intergy, IMS, Kareo,
Medent.).
 Provided Medical coding Training (CPT, ICD, HCPCS) for Junior
medical coders.
 Experience on Pain management Coding, Primary care ,Family
Medicine, Urgent Care E&M.
Nueved Business Services Pvt Ltd, Coimbatore, INDIA. (E & M – Outpatient and
Inpatient)
 Team Lead-Medical coding/Billing- From January 2017 to
September 2021.
 Leading a successful team which performs coding/Billing (Charge entry),
auditing, chart building, coding related denials, and client interaction.
 Coding/Billing and Auditing Inpatient and outpatient E&M charts with CPT,
ICD10 and HCPCS codes ( Hospital stay, Office visit, Nursing facility, SNF,
Assisted Living Facility, Home Health Certification) etc..,
 Worked on coding related denials from insurance companies and rejections
from clearing house and submitting corrected claims.
 Maintaining TAT for timely filing of claims.
 Maintaining 98% quality on submitted claims.
 Interacting with clients for any clarification on client specific guidelines.
 Hands on experience in Encoder Pro and books for selecting codes.
 Worked on All Scripts PM, Epic and Health fusion-NextGen,
AdvancedMD software, LABDAQ, Lab nexus.
 Ability to handle all coding and billing software.
 Generating Monthly CBRs (Comparative Billing Report) and analysis of
CBR for proper coding and billing of charts.
 Velan Info Services India Pvt Ltd, Coimbatore, INDIA
 Senior Medical Coder – March 2016 to January 2017
 Coding/Billing and Auditing Inpatient and outpatient E&M charts with CPT,
ICD10 and HCPCS codes ( Hospital stay, Office visit, Nursing facility, SNF,
Assisted Living Facility, Home Health Certification) etc..,
 Solving coding related denials (Denial management) and rejections.
 Maintaining TAT for timely filing of claims.
 Maintaining 98% quality on submitted claims.
 Interacting with clients for any clarification on client specific guidelines.
 Hands on experience in Encoder Pro and books for selecting codes.
 Worked on All Scripts PM, Epic and Health fusion, NextGen, AdvancedMD
software.
 Ability to handle all coding and billing software.
➔ XL Health Corporation India Pvt Ltd (Currently Optum)
Bangalore, INDIA. (October 2009 till July 2015)
o Team Leader-Medical coding- March 2014 till July 2015
✓ Managing a team of more than 12 people.
✓ Mentoring and training up juniors.
✓ Monitoring and reporting on standards and performance targets.
✓ Preparing daily workloads for the team and coordinating the daily allocation
of work.
✓ Motivating the team to achieve high standards.
✓ Dealing with and resolving problems and issues which arise.
✓ Implementing new initiatives.
✓ Praise team members and creates a positive working environment.
✓ Providing prompt and accurate information on individual performance.
✓ Keeping the team informed about the individual and team target,
achievements, and progression.
o Senior Medical Coder – March 2012 to March 2014
✓ QC of more than 35 charts per day. Done up to 100 charts during sweep
period/day.
✓ Mentored more than 5 individuals in the above mentioned time period.
✓ Doubt clarification, addressing QC concerns, distributing works accordingly
to the team members.
✓ Mentoring the team in the absence of Team leader.
✓ Managing a team of more than 12 for past one year.
o Medical Coder- October 2009 to March 2012
✓ Coded more than 35 charts per day as per HCC coding guidelines.
✓ Worked in all Retrospective, Hospital and House call chart sources.
✓ Maintained a quality of 98% consistently.
✓ QC of retrospective and hospital charts for more than a year.
➔ OMEGA HEALTH CARE PVT LTD
BANGALORE, INDIA.

o Medical Coder-January 2009 to October 2009
➢ Emergency ROOM coding (E/D):
✓ Responsible for coding outpatient for the medical center.
✓ Responsible for handling different types of medical claims which
includes surgery, Physical therapy, ER Diagnostics etc.
✓ Utilized ICD-9 CM and CPT for the coding.
✓ Maintained 97 percentages of accuracy and productive quality.
KEY SKILLS AND COMPETENCIES
 Proven ability to manage through others.
 Strong decision making and problem-solving skills.
 Able to motivate and lead others in a team environment.
 Good communication skills, both written and verbal.
 An ability to build rapport and trust quickly with work colleagues.
 Able to prioritize tasks and workloads in order of importance.
 Track record of delivering results with deadlines.
 Ability to handle all medical coding and billing software.
 Ability to provide consistent results.
ACADEMIC QUALIFICATIONS
Standard School/College Year of passing Percentage Scored
M.Sc., Immunology &
Microbiology
The American College,
Madurai
2008 74%
B.Sc., Animal Science &
Bio technology
PSG College of Arts &
Science, Coimbatore
2006 87.32%
HSC Seventh Day Adventist
Matric. Hr. Sec. School,
Madurai
2003 88.08%
SSLC Seventh Day Adventist
Matric. Hr. Sec. School,
Madurai
2001 85.63%
HEALTHCARE CERTIFICATION
➢ CPC-H (current COC) WITH 83%
RESEARCH PROJECT COMPLETED
M.Sc.: Serum Zinc and Iron status & Prevalence of Oral Candidiasis and its Therapeutic Management
in Cancer patients.
SEMINARS ATTENDED
➢ Participated in the UGC sponsored State Level Seminar on Animal Biotech-A new wave in
Biology.
➢ Participated and presented a scientific paper on “study on prevalence of ocular pathogens and
to evaluate the activity of antibiotics and herbal extracts against ocular pathogen among
leprosy patients”, in MICROCON 2007(XXXI National Congress of Indian Association of
Medical Microbiologist) held in Mangalore.
DECLARATION
I hereby solemnly declare that the information furnished above is true to the best of my
knowledge.
Place: Coimbatore YOURS TRULY
Date: (INDIRA.G)

  • Healthcare/Medical
  • Updated 4 months ago

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