Summary
Overview
Work History
Education
Skills
Career Objective
Certification
Academic Projects
Timeline
Generic

Tejasree G

Summary

• Eight-plus years of experience in the healthcare sector, with more than five years specializing in Medical Coding.

• Experience as a Senior Medical Coder at Optum, contributing to accurate coding of diagnoses using ICD-10-CM guidelines.

• Proficient in medical terminology, anatomy, and physiology, ensuring precise coding.

• Certified as a Professional Coder (CPC) by the American Academy of Professional Coders (AAPC).

• Proven expertise in ICD-10-CM, CPT coding systems, with a strong emphasis on accuracy and compliance.

• Skilled in data analysis and data management, including the use of analytical tools such as Power BI, Tableau, Excel, and MySQL.

• Experienced in clinical data management tasks, protocol review, and data validation.

• Proficiency in clinical data documentation and protocol review.

• Strong analytical and problem-solving skills.

• Adherence to coding standards, regulations, and confidentiality policies.

• Successful mentoring and training of new coders.

• Consistently achieved high accuracy rates in QA audits and productivity.

• Extensive experience in quality control analysis for raw and packaging materials in the pharmaceutical industry.

• Strong attention to detail and ability to identify and resolve quality issues.

• Education background includes a Master's in Healthcare Informatics and a Bachelor of Pharmacy.

• Capstone project on the impact of Clinical Decision Support Systems (CDSs) in breast cancer care, highlighting the role of CDSs in improving treatment quality and patient outcomes.

• Telestroke project experience involving real-time data collection, project management, and coordination with a multidisciplinary team.

Overview

12
12
years of professional experience
1
1
Certification

Work History

data management

PVR Technologies
05.2023 - Current
  • Oversee clinical, tasks for studies, ensuring compliance with FDA requirements for high-quality database submissions
  • Managed in-house clinical data management activities, including protocol review, development of Case Report Forms (CRFs), database setup, data validation (including manual review), Serious Adverse Events (SAE) reconciliation, and coordination with local and external labs
  • Served as the point person for data management on clinical teams, coordinating with other functions and Clinical Research Organizations (CROs) to meet data management goals
  • Collaborated with the Programming team to support data review and safety updates, including generating data review listings and retrieving data for analysis using the Study Data Tabulation Model (SDTM)
  • Coordinated data validation activities with CROs, including data transfer specifications, reconciliation, query generation, and resolution
  • Conducted user acceptance testing of the database using Inform and design electronic Case Report Forms (eCRFs) for study startups
  • Participate in developing and implementing departmental standards and documents, as well as other data management activities as required
  • Responsibe for addressing data issues raised by clinical, SDTM, and Biostatistical teams.

Advanced
01.2023 - 03.2023
  • Collaborated with team members to collect, clean, and validate a vast array of Health care data, ensuring the integrity and consistency of the dataset
  • Prepared customer data for analysis using data-cleaning techniques in MySQL and Microsoft Excel
  • Developed and maintained interactive Tableau dashboards and reports, offering real-time insights into the client's and aiding in data-driven decision-making
  • Knowledge of Text Analytics, generating data visualizations, creating dashboards using tools such as Tableau, Power BI, and MS Excel
  • Created & validated informative data characteristics using different statistical and data visualization techniques
  • Communicated the outcomes of data analysis effectively to stakeholders, underscoring the benefits of data-driven decision- making in enhancing operational efficiency and profitability.

Icon Clinical Research PVT.LTD
09.2022 - 03.2023
  • Worked as an intern with Clinical research team
  • Collaborated with the Lead Study Coordinator to contribute to the development and finalization of Informed Consent Forms (ICFs), study protocols, patient visit schedules, and the delegation of authority log for clinical drug trials
  • Successfully recruited and enrolled eligible patients into various drug studies by meticulously pre-screening patient records, confirming eligibility criteria, and actively participating in the Informed Consent process, ensuring compliance with Good Laboratory Practice (GLP) and Good Clinical Practice (GCP) standards
  • Demonstrated strong clinical skills by independently conducting vital sign assessments, performing centrifuge operations, conducting urinalysis, and effectively packaging and shipping laboratory samples to ensure the integrity of study data
  • Provided valuable support in regulatory affairs, actively participating in meetings and contributing to approval decisions within NYU's multiple Institutional Review Boards (IRB), Data and Safety Monitoring Boards (DSMB), and Quality Assurance adjudications
  • Gained proficiency in patient communication, drug accountability procedures, and site inspection readiness for various study phases, including Activation, Initiation, and Closeout visits.

Senior Medical Coder

Optum, Xl Health Corporation Pvt Ltd
01.2019 - 01.2021
  • To assign accurate and specific Alpha numerical codes to medical diagnoses and procedures for billing, reimbursement, and tracking purposes
  • Reviewed medical records and documentation to identify and assign codes for diagnoses using ICD 10 CM guidelines
  • Responsibilities:
  • Reviewed and coded medical records for inpatient and outpatient services
  • Conducts a thorough examination of the record to ensure the inclusion of essential components, including patient and record identification, necessary signatures and dates, and all relevant data
  • Verified the accuracy of diagnosis codes and procedure codes before submitting claims
  • Communicated with physicians and other healthcare professionals to resolve coding discrepancies
  • Stay informed of changes in coding regulations and updates to medical coding systems
  • Verify codes for accuracy, completeness, and compliance with regulations
  • Mentored and trained new coders
  • Contributed to the achievement of a 99% accuracy rate in coding and billing.

Medical Coder

Data Marshall Pvt Ltd
01.2018 - 01.2019
  • To assign accurate and specific Alpha numerical codes to medical diagnoses and procedures for billing, reimbursement, and tracking purposes
  • Reviewed medical records and documentation to identify and assign codes for diagnoses using ICD 10 CM guidelines
  • To ensure the document is complete and accurate
  • Responsibilities:
  • Reviewed and coded medical records for inpatient and outpatient services
  • Managed HCC and CDI clients effectively and always maintained client deliverables within stipulated TAT
  • Conducts a thorough examination of the record to ensure the inclusion of essential components, including patient and record identification, necessary signatures and dates, and all relevant data
  • Collaborated in conducting medical record audits to detect coding and reimbursement issues such as edits, denials
  • Verified the accuracy of diagnosis codes and procedure codes before submitting claims
  • Follow up with the provider on any documentation that is insufficient or unclear
  • Assisted in the training and mentoring of new coders
  • Stay informed of changes in coding regulations and updates to medical coding systems
  • Contributed to the achievement of a 98% accuracy rate in coding and billing.

Medical Coder

Episource India Pvt Ltd
01.2016 - 01.2018
  • To assign accurate and specific Alpha numerical codes to medical diagnoses and procedures for billing, reimbursement, and tracking purposes
  • Reviewed medical records and documentation to identify and assign codes for diagnoses using ICD 10 CM and ICD 9 CM guidelines
  • Responsibilities:
  • Reviewed and coded medical records according to ICD-10-CM coding systems
  • Verified the accuracy and completeness of medical records before submitting claims for reimbursement
  • Communicated with physicians and other healthcare professionals to resolve coding discrepancies
  • Assisted in the training and mentoring of new coders
  • Stay informed of changes in coding regulations and updates to medical coding systems
  • Contributed to the achievement of a 98% accuracy rate in coding.

Quality control analyst

Natco Pharmaceutical Pvt Ltd
01.2012 - 01.2015
  • Experienced Quality Control Analyst with over 3years of experience in the raw and packaging materials industry
  • Skilled in performing inspections, testing, and analysis to ensure compliance with industry standards and regulations
  • Strong attention to detail and ability to identify and resolve quality issues
  • Responsibilities:
  • Perform inspections and testing of raw materials and packaging materials to ensure compliance with industry standards and regulations
  • Analyze test results and identify trends to improve overall quality of products
  • Collaborate with production, warehouse, and engineering teams to implement corrective actions and preventative measures to address quality issues.

Education

Master’s - healthcare informatics

Sacred Heart University
Fairfield, Connecticut

Bachelor of Pharmacy -

Maheshwara institute of Pharmacy, JNTU University

Skills

  • ICH
  • Skills:
  • Medical coding
  • Medical terminology, anatomy, and physiology
  • ICD-10-CM, CPT coding systems
  • Analytical and problem-solving skills
  • Attention to detail
  • Fast-paced work environment
  • Clinical data Documentation
  • Protocol review
  • MS excel
  • Data management

Career Objective

As a recent recipient of a master's degree in healthcare, I possess a solid foundation in the field, coupled with extensive practical experience. My skill set encompasses a wide range of competencies, including data analysis, research coordination, and medical coding. My driving passion is to leverage this expertise to effect meaningful change within the healthcare industry. I bring to the table a diverse skill set, which includes proficiency in various analytical tools such as Power BI, Tableau, Excel, and MySQL, further complemented by my CPC (Certified Professional Coder) certification. My career objective is to secure a challenging and dynamic position that provides me with the opportunity to apply my analytical acumen, adept data management skills, and medical coding proficiency. I aspire to play a pivotal role in enhancing patient outcomes and contributing to the advancement of Healthcare Sector.

Certification

  • Certified as Professional Coder (CPC) from American Academy of Professional Coders (AAPC).
  • Good Clinical Practice Certified.
  • Introduction to Clinical Data.
  • ICH

Academic Projects

  

Capstone project: (Research paper and poster presentation)

Conducted a comprehensive research-based capstone project assessing the impact of Clinical Decision Support Systems (CDSs) on breast cancer care. Findings indicate that CDSs positively influence treatment quality by offering evidence-based recommendations, enhancing adherence to guidelines, and identifying patient symptoms and quality of life concerns. Leveraging decision-making and machine learning models, this project suggests that CDSs can potentially predict outcomes and optimize treatment choices, ultimately contributing to improved patient care in breast cancer management.


Telestroke project:

Under the guidance of Professor Christine Cooper, I successfully completed a Telestroke project as part of an academic examination, collaborating with a team of three members. This project involved obtaining real-time data from Griffin Hospital, and it encompassed a wide range of essential components, including project initiation, scope management, risk assessment and mitigation, strategic communication planning, assembly of a project team, meticulous timeline and budget development, thorough requirement analysis, efficient supply chain coordination, and the utilization of MS Project for creating detailed timelines. Moreover, I was responsible for defining project entities, structuring the work breakdown, establishing activity sequences, and implementing stringent project monitoring and control measures. The project was concluded with a meticulous project closure process, serving as a testament to my proficiency in comprehensive end-to-end project management.

Timeline

data management

PVR Technologies
05.2023 - Current

Advanced
01.2023 - 03.2023

Icon Clinical Research PVT.LTD
09.2022 - 03.2023

Senior Medical Coder

Optum, Xl Health Corporation Pvt Ltd
01.2019 - 01.2021

Medical Coder

Data Marshall Pvt Ltd
01.2018 - 01.2019

Medical Coder

Episource India Pvt Ltd
01.2016 - 01.2018

Quality control analyst

Natco Pharmaceutical Pvt Ltd
01.2012 - 01.2015

Master’s - healthcare informatics

Sacred Heart University

Bachelor of Pharmacy -

Maheshwara institute of Pharmacy, JNTU University
Tejasree G