Ajay Pathepuram

• Managed client communication and addressed inquiries to enhance client relationships.
• Managing QA processes with standardized sampling plans and multiple audits (pre-bill, post-bill, and ATA audits)
• Directed quality assurance initiatives to optimize operational processes and guarantee compliance with industry standards.
• Analyzed data trends to drive decision-making and improve overall service delivery outcomes.
• Facilitated root cause analysis sessions to address quality issues and implement a sustainable plan of action.
• Streamlined reporting processes to improve visibility of quality metrics across departments.
• Facilitated teamwork and collaboration within Quality team to improve overall productivity and job satisfaction.
• Developed and implemented training programs for staff on quality control procedures and best practices.
• Conducted regular audits of workflows to identify areas for improvement and reduce error rates.
• Collaborated with cross-functional teams to establish quality benchmarks and performance metrics.

• Conducted training sessions for staff on quality management systems and best practices in healthcare operations.
• Analyzed performance metrics to identify trends and areas for process improvement within quality processes.
• Mentored junior team members, providing guidance on quality standards and continuous improvement methodologies.
• OJT sessions for the newly recruited users and cross-functional team.
• Performance monitoring for on-ramp users.
• Implementing TNI sessions.
• Conducting Assessments across the team inclusing calibration tests, Daily Quiz and sharing Knowledge bytes

Worked on and stabilized a pilot project in CVIR specialty with an accuracy of 98% continuously for a year.

Additionally, I worked as the SPOC for the same-day surgery specialty, with process trainer activities.

Performed RCA and action plan reviews on a weekly basis with bottom performers across CVIR and same-day surgery specialties.

• Reviewed medical records to ensure accurate coding and adherence to regulatory standards in same-day surgery specialty.

Analyzed medical documentation to ensure accurate coding and compliance with industry standards.