Healthcare Documentation specialist — Aspiring Claims & Insurance Professional

Thane, Maharashtra

Navi Mumbai, Maharashtra, India

Mumbai, Maharashtra, India

Postgraduate Degree, Master of Public Health
Chulalongkorn University

Bachelor's degree, Homeopathic Medicine/Homeopathy
Maharashtra University of Health Sciences (MUHS), Nashik
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Detail-oriented healthcare professional with 3+ years of experience in healthcare data analysis, clinical docu- mentation review, and compliance. Skilled in analyzing medical records, ensuring accuracy, and maintaining regulatory standards. Strong ability to evaluate information, detect discrepancies, and support decision-making processes. Keen interest in health insurance claims management, with a focus on fraud detection, compliance with regulatory guidelines, and efficient claim processing. MPH graduate with a strong analytical mindset and ability to adapt quickly to new systems and processes.
Mumbai
Full-time parenting at Career Break, Aug 2024 - Present · 1 yr 10 mos, Thane, Maharashtra, Took a planned maternity break after completing Master of Public Health in 2024. During this period, completed certification in AI in Healthcare and continued professional development in clinical documentation and healthcare quality.
Clinical Documentation Specialist (Quality & Compliance) at INVENTURUS KNOWLEDGE SOLUTIONS PRIVATE LIMITED, Dec 2022 - Jun 2023 · 7 mos, Navi Mumbai, Maharashtra, India, - Reviewed 10–15 physician encounters per shift, maintaining 95%+ documentation quality scores - Improved clinical documentation accuracy by 20–30% through structured review of HPI, ROS, exams, and plans - Ensured audit-ready documentation aligned with US healthcare standards - Reduced documentation rework by 15% through proactive quality checks - Supported billing and downstream workflows by improving data completeness by 25%
Assistant Medical Officer – Public Health (Quality & Surveillance) at Municipal Corporation Of Greater Mumbai (Mcgm), May 2020 - Nov 2022 · 2 yrs 7 mos, Mumbai, Maharashtra, India, - Managed COVID-19 surveillance and contact tracing for 2,000+ cases, improving follow-up efficiency by 30% - Led immunization programs (COVID-19, Polio) achieving 95%+ coverage compliance - Conducted NCD screening and public health field surveys for 1,200+ individuals - Prepared and validated 50+ public health reports, reducing data discrepancies by 20%
Postgraduate Degree, Master of Public Health, Chulalongkorn University
Bachelor's degree, Homeopathic Medicine/Homeopathy, Maharashtra University of Health Sciences (MUHS), Nashik