Vinoditha Bathula

• Managed cross-functional teams for successful project completion and timely delivery.
• Improved customer satisfaction ratings by ensuring prompt resolution of issues and concerns.
• Streamlined operational processes by implementing efficient workflow management strategies.
• Evaluated employee performance regularly, promoting professional growth opportunities through coaching methods.

• Coordinated and oversaw periodic audits to evaluate product quality and safety and address non-conformances.
• Increased efficiency of the QMS by regularly reviewing procedures and making updates based on changing business needs or industry advancements.
• Led continuous improvement initiatives by actively seeking opportunities for process optimization and cost reduction.
• Reduced product defects by introducing advanced testing methodologies and equipment into production processes.
• Streamlined production processes by identifying areas for improvement and implementing corrective actions.

• Ensure team KPIs are clearly defined, assigned, and delivered within established timelines and accuracy benchmarks, keeping focus on quality and end results.
• Communicate proactively with clients and stakeholders to share updates, discuss quality improvement plans, and introduce process innovations for enhanced operational performance.
• Lead quality management activities, including preparation, review, and tracking of CAPA reports to address root causes and prevent repeat HCC errors.
• Drive process efficiency and cost effectiveness through strategic planning, workflow optimization, and continuous improvement initiatives.
• Supervise, guide, and delegate tasks to team members to consistently meet productivity, quality, and SLA targets.
• Maintain a positive and professional work environment, fostering employee engagement, high performance, and customer satisfaction.
• Deliver HCC‑focused training and refresher sessions on ICD‑10‑CM updates, CMS risk adjustment model changes, and audit findings.
• Monitor HCC coder productivity, quality scores, and SLA adherence, ensuring operational targets and compliance requirements are met.
• Act as the first point of escalation for HCC audit discrepancies, CMS guideline interpretations, and coder‑related queries.
• Collaborate closely with Quality, Clinical, and Provider teams to strengthen documentation integrity and improve audit readiness.
• Support senior leadership in planning and executing daily operations, contributing to strategic goals and key business objectives.

• Ensure Team KPI's are assigned and delivered with timelines & accuracy keeping the end results
• Communicate with Clients for latest updates, Quality improvement plans and new innovation for better process development
• Quality Management with CAPA Reports
• Process efficiency and cost effectiveness with strategic planning
• Supervised and delegated tasks to employees to meet key productivity targets
• Maintained positive, professional working environment to optimise staff and customer satisfaction
• Led recruitment, hiring and onboarding activities, training new joiners in operational processes and conducting probationary performance reviews
• Generated strategic weekly Key Performance Indicator (KPI) targets, motivating and incentivising staff to continually achieve and exceed expectation
• Established monthly goals, communicating priorities to staff and closely tracking progress to achieve
• Met financial goals with organised strategies focused on proper management of expenses and income
• Oversaw employee recognition programme to encourage professional development and high performance
• Achieved management objectives, consistently hitting deadlines and performance targets
• Cut labour and product costs by creatively addressing inefficiencies
• Helped senior management plan and carry out daily operations and meet key objectives

HCC CODING & RISK ADJUSTMENT EXPERTISE

• Extensive experience in HCC (Hierarchical Condition Category) coding aligned with CMS Risk Adjustment (RAF) models for Medicare Advantage and payer programs.
• Expert in ICD‑10‑CM diagnosis selection and validation to ensure accurate hierarchical condition reporting and compliant RAF score capture.
• Lead prospective, concurrent, and retrospective HCC reviews to identify missed, under‑documented, or unsupported conditions.
• Strong expertise in MEAT documentation (Monitoring, Evaluation, Assessment, Treatment) to support HCC validity and audit defensibility.
• Conduct and oversee enterprise‑level HCC quality audits, focusing on diagnosis specificity, chronic condition sustainability, and compliance.
• Drive RAF optimization initiatives through focused chart reviews, coder calibration, provider documentation feedback, and education.
• Perform HCC error trend analysis and root cause assessments, implementing Corrective and Preventive Action Plans (CAPA) to reduce repeat errors.
• Ensure CMS compliance and audit readiness, supporting internal audits, external reviews, and risk adjustment quality programs.
• Partner with providers, clinical teams, quality, and stakeholders to improve documentation integrity and long‑term risk capture accuracy.
• Mentor and guide coding and audit teams on HCC model updates, CMS guidance, and best practice

• Closely monitored team performance by conducting observations and tracking key metrics, identifying and managing underachievers appropriately
• Tactfully handled complaints from staff, management and clients using excellent problem-solving and dispute resolution skills
• Integrated process improvements to optimise overall workflow and efficiency
• Team Management and Process Management with Client goals
• Production and Quality maintained with SLA
• Quality Management
• Ambulatory Surgery and Inpatient E&M

• Led staff meetings to delegate tasks, assign workloads and communicate changing priorities
• Inspired and managed teams in operational improvements, increasing overall productivity
• Auditing the medical records and provides the feedback to the team
• Analyze the Grey areas to improve the team quality
• Implemented the focus audit for inconsistent performers
• Developed audit tools for the better quality focus

• Created and maintained thorough quality management system
• Meeting Production and Accuracy SLAs in coding
• Ensured that performance parameters were met and exceeded within company's guidelines and policies