Shalini Garg

Experience

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  E4e Healthcare Business Services

  Dec 2012 - Dec 2013

  Medical records retrival
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  EXL

  Jan 2014 - Mar 2015

  Underwriting Assistant
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  Cognizant

  Jan 2015 - Jan 2017

  Coder

  Resourcefully used various coding books, procedure manuals and on-line encoders.Accurately selected proper descriptive code when more than one anatomical location was indicated.Thoroughly, reviews all documentation in the medical record and assigns codes for all diagnoses, treatments, and procedures according to the appropriate classification system for encounters. Provide CPT and ICD to General Surgery i.e Debridement, I&D, Excision, Repair, Cholecystectomy, Appendectomy, Colonoscopy, EGD Etc. Show less

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  R Systems

  Oct 2017 - Jul 2018

  Sr Data Analyst

  Experienced in data manipulation and analysis: accessing raw data in varied formats, analysing and translating into business requirements.Experience in building self-service reporting solutions using business intelligence software, Tableau.Building, publishing customized interactive reports and dashboards, report scheduling using Tableau server.Worked with Business Analyst and the Business users to understand the user requirements, layout, and look and feel of the application to be developed. Data blending implemented on databases and generated interactive dashboards.Generated Dashboards with Quick filters, Parameters and sets to handle views more efficiently.Published Workbooks by creating user filters so that only appropriate teams can view it.Analysed the source data and handled efficiently by modifying the data types. Used excel sheet, flat files, CSV files to generated Tableau adhoc reports.Generated context filters and used performance actions while handling huge volume of data. Show less

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  EXL

  Nov 2018 - now

  Senior Analyst

  Experience in using various packages in Python-like Jupiter and Matplotlib.Conducted independent statistical analysis, descriptive analysis and logistic regressions.Using machine learning techniques like decision tree, clustering and support vector machines to develop the models. Extensive experience in generating data visualizations using Python(matplotlib) and creating dashboards using tools like Tableau.Extensive experience in generating data visualizations using Python and creating dashboards using tools like Tableau.Ability to write custom SQL to support reporting and visualization.Experience in Aginity database using SQL queries. Created action filters, parameters and calculated sets for preparing dashboards and worksheets in Tableau.Develop new medical record review and hold analytics for large commercial clients based on data analysis and policy review.Utilize data mining techniques (Excel, SQL, Tableau) to track billing trends and prioritize new work based on business needs, client requests, and cost savings opportunities.Collaborated with the client to identify optimal solutions – presenting detailed data analysis findings and clearly explaining complex concepts.Try to detect and prevent Healthcare Fraud & Abuse as Providers may upcode claims in order to maximize their claims reimbursement so try to detect and prevent fraud with the help of Common clinical documentation and coding issues include billing for the Services that were not rendered, Medically unnecessary procedures, Services performed by an improperly supervised or unqualified employee, Separate services already included in a global fee, such as an evaluation and management (E&M) code service the day after surgery.Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding.Perform quality assessment of records, including verification of medical record documentation (electronic). Show less