jolly hepsibha

I am a dedicated and detail-oriented healthcare professional with cross-functional expertise in clinical investigation, physiotherapy, medical coding, and patient care.

As a Clinical Investigator at Optum, I audited Medicare & Retirement claims and medical records to identify fraud, overpayments, and billing errors, ensuring compliance with CPT, HCPCS, CCI edits, and CMS guidelines. I processed 750+ claims monthly and contributed to USD 4,800+ monthly savings by correcting coding errors and supporting provider education.

I developed SAS and Excel skills during a Clinical Analyst internship, using PROC SORT, PROC FORMAT, PROC MEANS, PROC FREQ, and PROC TRANSPOSE to integrate hospital data, prepare reports, and support clinical data analysis. My physiotherapy roles strengthened my patient assessment, rehabilitation planning, and clinical documentation abilities.

I was recognized with Star and Venus Awards at Optum for performance and leadership, and I am actively seeking roles in Medical Coding, Insurance Billing, Auditing, Health Administration, or Patent Relations where I can apply RCM, coding accuracy, and data-driven audit practices to improve revenue integrity.