Reshma Susan Thomas

Senior Process Executive Data at Cognizant - India

• India - Chennai
• My current job since December 2021

• Verified and confirmed that diagnosis codes were accurate, comprehensive, and specific, based on the services provided and reviewed medical records to identify correct coding according to CMS HCC categories.
• Filled out required forms, documentation, and computer entries for claim and encounter information, and demonstrated the capability to identify and resolve issues related to obtaining and validating accurate HCC information.
• Maintain 98% Quality (both External and Internal) and 100% Production in all the months.
• Attended ongoing training and education, assisted in auditing, took personal responsibility for self-improvement, learning new skills and acquiring knowledge, communicated effectively, and set goals and worked towards achieving them.
• Worked with Multiple projects based on ICD 10, HCC, Rxcc, received multiple rewards based on the performance.
• Worked as an Auditor in Retrospective coding.
• Demonstrated attention to detail and precision in work by meeting productivity standards, efficiency targets, and objectives and maintaining a company standard of accuracy.
• Processed a specified number of transactions with a high level of accuracy as agreed upon by the client and provided excellent customer service.
• Followed business controls as required, identified medical flags in the client system and provided reports and other data requests specified by the client.
• Met all Statistical, Financial, and TAT metrics while processing charts, followed transaction processing timelines and adhered to audit compliance for all Healthcare processes as outlined by Cognizant/the client.
• Followed security practices set by the organization, maintained confidentiality of all information, policies, and procedures as required by HIPAA protocols.
• Stayed updated with the process knowledge and participated in project and organization initiatives led by the Delivery leadership