Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Debaleena Halder

Summary

A competent and experienced healthcare RCM professional with over 15 years of experience in the Medical Coding and Billing industry. Demonstrated proven skills in optimizing organizational processes, Strategic Planning, Design and implementation of measurement systems, Operations, transitions and workflow management to maximize business results. Have the ability to build strong relationships with all stakeholders and to turn processes into reality. Worked with start-ups for considerable period and demonstrated ability to build and develop a high performing stable production team.

Overview

16
16
years of professional experience

Work History

Senior Operations Manager

Think Founders Advisors Pvt. Ltd
03.2014 - 12.2021


Work areas: Process Management and People Management:


Process Management :

  • Transition and stabilization of processes.
  • Developed systems and procedures to improve operational quality and team efficiency.
  • Work on Business continuity plans to have smooth flow in the process without any adverse impact on the SLAs.


People Management:

  • Oversaw workforce management planning, volume predictions and capacity planning.
  • Provided leadership for continual management and employee training initiatives.
  • Managing Performance issues, Attrition and Career progressions.
  • Managing deliverables through performance metrics and dashboards.


Roles and Responsibilities at Think Founders

(Founder's Health):

  • Strategizing transition process with direct interaction with the clients.
  • Implementing data driven process and performance improvement ideas and workflows.
  • Responsible for creating high-performance teams, and deliver to the customer's satisfaction.
  • Handling customer escalations.
  • Monitoring & reporting on Client SLA & performance targets.
  • Responsible for client education on compliance and clinical documentation.
  • To query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
  • To communicate all process and client updates to all stakeholders within specific timelines and keep record for such updates.
  • Determine appropriate staff levels and implement strategies to ensure efficient operations by leveling and balancing workload allocations for project resources.
  • Preparation of Monthly Client Invoice.
  • Work with HR department to ensure staffing strategies are effectively executed
  • Provide inputs to IT team for modernization on new application.
  • Holding team meetings on a regular basis.
  • Conduct Performance appraisals in accordance with the organization's policies and applicable legal requirements.
  • Career Management and development of team leaders, group team leaders and associates.


Consultant Medical Coder (Remote).

AdvantEdge Healthcare Solutions India
08.2010 - 03.2014

Responsibilities:

  • Analyzing and coding reports in Radiology, Surgery, Pain clinic, on A life, as well as paper coding
  • Was working solely on special projects with onsite team.
  • Auditing coded reports.
  • Manage client SLAs (turn-around-time, quality)
  • Production planning monthly, weekly and daily queue management.
  • Goal setting, coaching and feedback.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.

Senior Medical Coder, Group Leader

C Bay Systems
12.2008 - 07.2010

Handling the Coding team at C Bay- QA, Operations & Training.

  • Preparing daily workloads for team & coordinating the daily allocation of work.
  • SPOC for client interaction.
  • Reporting, maintaining, preparing performance data.
  • Accountable for all coding projects, clinical documentation improvement, internal education, physician education programs.
  • Assist in the development of coding tools, resources, and education materials.
  • To attend client calls & addressing client queries.
  • Resolving problems.
  • Conduct Interview for new hires.
  • Preparing various process related documents & guidelines.
  • Providing trainings to new team members.

Medical Coder

Omega Healthcare Management Services Pvt. Ltd
02.2006 - 10.2008
  • Reviewing and coding reports in Radiology, IVR and other specialties (Diagnosis coding, EKG, PQRI, MRI)
  • QA in Radiology.
  • SPOC for few accounts.
  • Ensuring quality standards and adhering to the defined SLA.
  • Working on Pilot Projects for various clients for U.S healthcare with high quality output of with 98% accuracy.
  • Attending teleconferences and training with clients.
  • Preparing and Maintaining status reports.
  • On job training for new team members.

Education

Bachelor of Science - Microbiology

Bangalore University

M. Sc - Biotechnology

C.M.R Institute of Managements Studies) Bangalore University
2005

Skills

  • Strategic Planning and Leadership
  • Planning and Deployment of Operational Assets
  • Organizational Design and Development
  • Productivity and Efficiency Improvement
  • Quality Management
  • Crisis management
  • Ability to solve problems by using a logical, systematic, sequential approach
  • Expertise in Radiology, Pain clinic and OB- GYN
  • Handled teams of specialist coders in ED, E&M (OP/IP-Hospitalist, urgent care, SNF), GI, Surgery, Laboratory coding, CAC -working in EPIC, e-Clinical, Health Pac, Health fusion, Practice Fusion, A-Life etc
  • Committed to project and departmental goals, motivating others to be successful
  • Expert user of MS excel, word and PowerPoint

Additional Information


  • Established and maintained good customer relationship, and with all internal stakeholders.
  • Maintained very low % of attrition across multiple projects. Skilled at employee retention.
  • Developed training material for RCM training at Founders.
  • I was first coder for C bay India operations and hence established the coding process at C Bay.
  • Awarded as the best Support Staff at C Bay systems.
  • Appreciated by clients and the management on various occasions for continuous good work by exhibiting:

• Attention to detail,

• Good communication and Interpersonal skills.

• Critical thinking

• Excellent quality and for being pro-active.

• For increasing team's productivity

• For taking initiatives at various phases during my tenure at Omega, AdvantEdge Healthcare Solutions and recently at Think founders.


  • Being a founder member, played a significant role in stabilizing not only coding but the RCM process in the newly established Think founders Advisors Pvt. Ltd.

Timeline

Senior Operations Manager

Think Founders Advisors Pvt. Ltd
03.2014 - 12.2021

Consultant Medical Coder (Remote).

AdvantEdge Healthcare Solutions India
08.2010 - 03.2014

Senior Medical Coder, Group Leader

C Bay Systems
12.2008 - 07.2010

Medical Coder

Omega Healthcare Management Services Pvt. Ltd
02.2006 - 10.2008

Bachelor of Science - Microbiology

Bangalore University

M. Sc - Biotechnology

C.M.R Institute of Managements Studies) Bangalore University
Debaleena Halder