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Hemamalini pHP
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Hemamalini p

@hemamalinip

Certified Professional Coder specializing in denial coding, ICD-10-CM/CPT/HCPCS, and accurate claims for revenue integrity.

India
Message

What I'm looking for

I’m looking for a role where I can own denial coding and claim scrubbing, apply ICD-10-CM/CPT/HCPCS precisely, and help reduce denials through strong documentation review, compliance with HIPAA/payer policies, and audit-ready work.

I’m a Certified Professional Coder (CPC) with 1.5 years of experience in denial coding, backed by a B.Sc in Cardiac Care Technology and a hospital internship. I focus on reviewing clinical documentation and translating it into compliant ICD-10-CM diagnosis codes, CPT procedures, and HCPCS coding.

In my denial-coding role, I coded and reworked denied claims for the Athena project, identifying root causes and applying accurate code assignment to reduce future denials. I also analyzed denial trends to support process improvement and minimize repeat rejections.

I consistently maintained 98% coding quality accuracy while processing 250 claims weekly, with strict adherence to HIPAA and payer guidelines. I perform EHR review and claim scrubbing, applying relevant CID coding guidelines to strengthen revenue cycle integrity and audit readiness.

My clinical foundation from cardiac care helps me interpret cardiovascular terminology and complex cardiology diagnostics with attention to detail. I bring a methodical, compliance-first mindset to every chart, ensuring accurate, defensible coding for complaint billing.

Experience

Work history, roles, and key accomplishments

OM

Denial Coder (CPC)

OmegaHealthcare

Mar 2025 - Apr 2026 (1 year 1 month)

Coded and reworked denied claims for the Athena project, identifying root causes and ensuring compliant ICD-10-CM, CPT, and HCPCS coding to reduce repeat denials. Maintained 98% coding accuracy while processing 250 claims weekly and performed EHR documentation reviews to validate diagnoses and procedures.

Education

Degrees, certifications, and relevant coursework

AH

ACS Medical College and Hospital / SRI LALITHAMBIGAI Hospital

Clinical Internship, Cardiology (Clinical Support Internship)

2023 - 2024

Activities and societies: Patient assessments; cardiology diagnostics support (ECG, echocardiography, stress test); vital signs and test results documentation; assisted in data recording for diagnosis support.

Completed a hospital internship (Oct 2023–Sep 2024) providing patient assessments across departments and supporting cardiology diagnostics. Assisted with ECG, echocardiograms, and stress test procedures while recording vital signs and test results.

AH

ACS Medical College and Hospital

Bachelor of Science, Cardiac Care Technology

2020 - 2024

Earned a B.Sc in Cardiac Care Technology at ACS Medical College and Hospital. Completed a hospital internship during the program to support cardiology-focused clinical training.

Tech stack

Software and tools used professionally

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