GOPALA KRISHNAN R
Quality Auditor
Coimbatore
Summary
Seeking a challenging position in standard Healthcare organization where I can use my total technical, logical and analytical skills for growth of organization as well my carrier.
Detail-oriented healthcare professional with nearly 6 years of experience in Medical Coding, advancing from Coder to Quality Auditor.Strong background in coding accuracy, auditing, reporting, and mentoring teams. Technically skilled in Athena Network, Netro Online, Encoder Pro, iClinic Enterprise, and ECW Expert, with excellent abilities to ensure compliance and operational excellence.
Overview
9
9
years of professional experience
1
1
Certification
1
1
Language
Work History
Quality Auditor
Highlight Healthcare
03.2024 - Current
Senior coder
Omega Healthcare
11.2021 - 05.2023
Senior Process Executive
Access Healthcare Solutions Ltd.
07.2018 - 09.2021
Process Executive
Cognizant Technology solutions
10.2016 - 06.2018
Education
Master of Science - Computer science
Bharathiyar University
Coimbatore 04.2001 -
Bachelor of Science - Computer Science
Bharathiyar University
Coimbatore, India 04.2001 -
Skills
- Efficient knowledge in ICD-10 guidelines, CPT HCPCS, CMS guidelines procedures and Modifiers
- Proficiency in E/M OP specialization and Multispecialty Denial coding
- Performed well in both terms of Quality and targets set by the organization
- Analyzing the root cause for the denial in payment of patient’s chart and modifying the codes according to the MR
SKILLS
- Quality control processes
- Internal auditing
- Root-cause analysis
- Documentation management
- Teamwork and collaboration
- Adaptability and flexibility
- Reporting and analysis
- Time management
Accomplishments
- Gained recognition as Employee of the month.
- Bagged Unicorn & spotlight Award for the Team.
- Gained 8 Unicorn awards for the terms of maintaining consistency in quality.
Certification
Certified Professional Coder (CPC)
Timeline
Certified Professional Coder (CPC)
03-2025
Quality Auditor
Highlight Healthcare
03.2024 - Current
Senior coder
Omega Healthcare
11.2021 - 05.2023
Senior Process Executive
Access Healthcare Solutions Ltd.
07.2018 - 09.2021
Process Executive
Cognizant Technology solutions
10.2016 - 06.2018
Master of Science - Computer science
Bharathiyar University
04.2001 -
Bachelor of Science - Computer Science
Bharathiyar University
04.2001 -
Declaration
I, hereby Declare that the above details furnished are true to the best of my Knowledge Place: Coimbatore Date