Lakshmipriya G

Senior Process Executive

Cognizant • Tiempo completo

Jun 2023 - Dec 2024 • 1 yr 6 mos

AI Ambient Documentation Auditing: Audited AI-generated clinical notes and summaries produced via DAX Copilot, editing automated outputs against ambient data to correct contextual and clinical narrative variances. Clinical Records Accuracy & Metrics: Reviewed and finalized technical medical documents to verify that clinical language, medical terminology, and patient encounter details were accurate, structured, and consistent. Cross-Functional Discrepancy Resolution: Coordinated directly with healthcare providers and subject matter experts to clarify complex clinical details, resolve documentation gaps, and finalize accurate encounter notes. EHR Integration & System Workflows: Utilized Electronic Health Record (EHR) platforms and electronic archiving systems to manage, input, and organize digital clinical files in strict compliance with data standards. Root Cause & Process Optimization: Analysed recurring documentation issues and implemented targeted adjustments to eliminate errors, improving overall workflow efficiency and document integrity. Audit & Performance Excellence: Maintained comprehensive document organization to support internal and external audit preparation, earning the highest professional performance rating during the initial appraisal cycle.

Project Coordinator

RapidCare Group • Tiempo completo

Jul 2021 - Apr 2023 • 1 yr 9 mos

Rapid Care Transcription Pvt. Ltd., Chennai * Utilization review determinations of about 8 cases per day to determine medical necessity of the requests * Evaluated medical guidelines and benefit coverage to determine the appropriateness of services. * Performed admission reviews based for medical necessity based on specifications. * Submitted cases for criteria failures and helped facilitate resolutions and approvals. * Performed prior authorization review of services requiring notification.

Quality Auditor

Nsight • Tiempo completo

May 2016 - Jun 2021 • 5 yrs 1 mo

Nsight Solutions Pvt. Ltd., Chennai * Reviewed documentation for compliance with requirements and accuracy of information. * Reviewed patient charts for accuracy, correcting grammar and syntax errors before submission to clinic. * Documented patient medical histories, vitals and test results in electronic health records system. * Maintained compliance with legal and medical requirements, internal protocols and oversight committee standards. * Recorded information using word processing, dictation and transcription software and equipment. * Maintained 99% accuracy rate for spelling and content. * Followed all HIPAA rules and regulations regarding patient confidentiality.