Seema Tonashyal

Contributed to Employer Brand Promotion by handling content writing, editing, and coordinating social media content (YouTube, Twitter, LinkedIn, Instagram, Facebook). Responsible for creating a Recruitment Marketing Platform and establishing a best employee referral program. Conducted Employee Engagement activities (R&R, town hall, CSR awareness, yoga sessions) and coordinated the Career Advancement framework. Centralized HR record creation and employee data management across India, US, and UK locations.

Managed employee relations and resolved queries pertaining to HR policies and processes. Assisted in the design and implementation of the appraisal system and drove process improvements for attrition control. Managed CSR activities and served on the events committee. Generated MIS reports (Attrition, Progression, Onboarding, Exit Survey) and maintained HR Dashboards. Handled payroll inputs, rewards & recognition, BGV/confirmation management, and contract management (MSA and NDA). Acted as SPOC for HR automation activities and POSH filing.

Worked on functional and operational requirements of Fraud, Waste and Abuse (FWA) software (ACE) to safeguard against fraudulent use of Medicaid services. Identified and converted regulations into codifiable edits/logics for software implementation to restrict claims that do not follow state regulations.

Worked on e-Clinical Work tool to bill for physician services. Coded (ICD/CPT/HCPCS) for various services (E&M, In Patient, Out Patient, etc.). Ensured timely filing and managed claim follow-up, payment posting, and patient statements. Proficient in CPT-4 coding, ICD-9 coding, HCPCS, NCCI, CMS, NDC, LCD, HIPAA, medical terminology, anatomy, and physiology.

Expertise in ICD-9, CPT, and HCPCS coding, adhering to AMA conventions. Proficient in Medicine: Surgery, Radiology, Pathology, In-Patient & Out-Patient coding. Conducted training sessions on ISO/ISM guidelines and worked on various software tools (eCW, Wellmont, rdp, rd-web). Ensured compliance with HIPAA & PHI data, and managed payer processes including Medicare, Medicaid, and third-party payers.