Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
PERSONAL PROFILE
Disclaimer
Timeline
Generic

Swathi Venugopal

Chennai,Tamilnadu

Summary

Certified Medical Coder with five years of specialized experience in HCC coding, demonstrating a robust understanding of ICD-10 guidelines alongside foundational expertise in charge entry and E&M coding. Proficient in navigating CMS-HCC and HHS-HCC models, contributing to effective patient record management and compliance. Highly skilled in reviewing and summarizing medical records, ensuring accuracy in coding and documentation. Committed to enhancing healthcare outcomes through meticulous attention to detail and a thorough understanding of medical coding practices.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Senior Client Partner

Accesshealthcare
12.2024 - Current


  • Collaborated with cross-functional teams to deliver comprehensive solutions for clients'' needs.
  • Implemented effective client retention strategies for sustained revenue generation.

Senior Medical Coder

SHAI
Chennai, Tamilnadu
06.2023 - 10.2024
  • Reviewing medical records, abstracting and assigning proper CMS-HCC Risk Adjustment diagnosis codes, accessing EMR remotely.
  • Coding and quality assurance reviews performed on standard HCC projects.
  • Maintained at least 98% accuracy

Medical Coder

Corro health
06.2021 - 04.2023
  • Worked as QA in Atena project, Cetene project
  • Various projects like Aetna, Optum, Apixio, Centene, Cigna, Cotiviti with HCC-risk adjustment coding guidelines.
  • Verified signatures and checked medical charts for accuracy and completion
  • Maintained good performance and quality above 98%.
  • Worked according to the rules and regulations of CMS, HIPAA, and Medicare & Medicaid Services.

Education

MBA - Hospital Management

University of Madras
01.2023

B. sc - Adv zoology & bio technology

Ethiraj college for womens
01.2018

HSC - undefined

C. Kalyanam higher secondary school for girls
01.2015

SSLC - undefined

C. Kalyanam higher secondary school for girls
01.2013

Skills

  • Management and Administrative skills
  • Process Improvement
  • HIPAA
  • Data Entry, Typing skills
  • Clinical data and medical record
  • EMR, EHR etc
  • Medical documentation, quality check, QA, Medical Terminology
  • Working Platform - Windows (all version)
  • Application Software - MS Office, Touchworks EHR, All Scripts, Aetna MRA, Ciox, Talix, Change Healthcare, ECW
  • Customer satisfaction
  • Forecasting accuracy
  • Creative solutions

Accomplishments

  • Received a star performer award for a month of May 2025.
  • Received a best performer award for a month during my time at SHAI.
  • Received awards for achieving best production and Quality during my time at Corrohealth.
  • Promoted to auditor within one year of my career at Corrohealth.

Certification

  • Certified Risk adjustment Coder (CRC) through the AAPC. Certified in June 2021.
  • Member ID: 01902827
  • Name as per AAPC: Swathi Venugopal
  • Certified AI Medical Coder from AAPC
  • Username : Code. 01902827

PERSONAL PROFILE

Linguistic Ability: English, Tamil (Read, speak and write)

Disclaimer

I hereby declare that the above-mentioned information is true to my knowledge, and I bear the responsibility for the correctness of the above-mentioned particulars.

Timeline

Senior Client Partner

Accesshealthcare
12.2024 - Current

Senior Medical Coder

SHAI
06.2023 - 10.2024

Medical Coder

Corro health
06.2021 - 04.2023

B. sc - Adv zoology & bio technology

Ethiraj college for womens

HSC - undefined

C. Kalyanam higher secondary school for girls

SSLC - undefined

C. Kalyanam higher secondary school for girls

MBA - Hospital Management

University of Madras

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