Kala Modali
Process Lead Business Analysis at CVS Health | York, Pennsylvania, United States
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Kala Modali is a seasoned Clinical Data Validation Abstractor Analyst at CVS Health, bringing over a decade of diverse healthcare experience to the role. With a robust background in medical and pharmaceutical research, Kala specializes in data abstraction and validation, particularly in the context of clinical trials and healthcare documentation. Her expertise spans various coding systems, including ICD-10, HCC, and Risk Adjustment coding, which are crucial for ensuring accurate patient data representation and compliance with healthcare regulations.
In her current position, Kala plays a pivotal role in reviewing medical records and critical member documents that contain Protected Health Information (PHI) and Personally Identifiable Information (PII). She meticulously redacts and anonymizes data, employing both advanced tools and manual techniques to prepare datasets for AI model training. This process not only safeguards patient privacy but also enhances the quality of data used for predictive analytics and machine learning applications in healthcare.
Kala's analytical thinking and attention to detail are instrumental in her work, as she navigates complex documentation and ensures the integrity of the data being abstracted. Her familiarity with electronic medical records (EMRs), particularly in Home Health, Inpatient Rehabilitation Facilities (IRF), and Outpatient (OP) settings, further enriches her contributions to CVS Health. Additionally, her experience with ENCODER PRO and various coding methodologies underscores her commitment to excellence in clinical documentation audits.
As she seeks to expand her career, Kala is particularly interested in opportunities that involve working with EPIC systems, where she can leverage her skills in healthcare data management and contribute to innovative solutions that drive improved patient outcomes. Her unique blend of clinical knowledge and technical proficiency positions her as a valuable asset in the evolving landscape of healthcare analytics.
Process Lead Business Analysis at CVS Health in September 2024 to Present
Clinical Data Validation abstractor Analyst at CVS Health in November 2023 to September 2024
Medical Data Abstractor at PA Dept. Of Health in February 2022 to November 2023
Domain Consultant II at Symphony Health in May 2021 to September 2021
Medical Records Specialist at Encompass health home health in May 2017 to May 2021
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Peirce College, BS in HIM
York College of Pennsylvania, certificate
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Google Docs
Functional Requirements
Electronic Data Interchange (EDI)
Data Interpretation
Creative Problem Solving
Data Management
HL7 Standards
Health Insurance
Working with Physicians
Project Management
ICD-9
Information Management
Data Analysis
Auditing
Training and Development (HR)
Records Management
Attention to Detail
Medical Research
Written Communication
Teamwork
Organization Skills
Clinical Outcomes
E/M coding
Assessment
Oncology
Interpersonal Skills
Defining Requirements
Analytical Skills
Communication
Electronic Health Records (EHR)
Epic Systems
Healthcare Information Technology (HIT)
Health Information Management
Spreadsheets
HCPCS
Documentation
Medical Necessity
Document Management
Medicare
Cerner
CPT Coding
ICD-10
U.S. Health Insurance Portability and Accountability Act (HIPAA)
Abstracting
Electronic Medical Record (EMR)
Medical Office
Ambulatory Care
Physiology
HCFA
Clinical Trials
Medical Terminology
Computer Literacy
Coding Experience
ICD-10-CM
Medical Records
Medical Coding
Current Procedural Terminology (CPT)
ICD-10-PCS
Anatomy and Physiology
Coding Compliance
Coding Audit
Clinical Documentation
Medical Chart Review
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Discover more about CVS HealthWhat is Kala Modali email address?
Email Kala Modali at [email protected] and [email protected]. This email is the most updated Kala Modali's email found in 2026.
How to contact Kala Modali?
To contact Kala Modali send an email to [email protected] or [email protected]. (updated on September 03, 2024)
What company does Kala Modali work for?
Kala Modali works for CVS Health
What is Kala Modali's role at CVS Health?
Kala Modali is Process Lead Business Analysis
What is Kala Modali's Phone Number?
Kala Modali's phone (215) ***-*114
What industry does Kala Modali work in?
Kala Modali works in the Hospital & Health Care industry.
Kala Modali Email Addresses
Kala Modali Phone Numbers
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