Medical Operations & Clinical Workflow Specialist

MITTAL GOHIL

Medical Operations Coordinator Healthcare & Clinical Workflow Specialist

Munich, Germany *****************@*****.*** +49-172-******* LinkedIn: Mittal Gohil

Chancenkarte (German Opportunity Card) — legally authorized to work in Germany. No sponsorship required. PROFESSIONAL SUMMARY

Healthcare operations professional with 8 years of experience supporting clinical workflows, medical documentation, and cross-functional team coordination in fast-paced healthcare environments. Proven track record in clinician onboarding, process optimization, stakeholder communication, and GDPR-compliant data management. Experienced in working directly with physicians, insurers, and healthcare administrators to resolve documentation and billing discrepancies — bringing real-world clinical environment knowledge that translates directly into supporting digital health adoption. Actively upskilling in German healthcare systems (G-DRG, OPS, DKR) and digital health compliance standards. Fluent in English. Based in Munich, DACH region, available immediately. CORE SKILLS — MATCHED TO ROLE

Clinical Operations: Healthcare workflow support · Clinician onboarding & training · Day-to-day clinical support Medical Documentation: ICD-9/ICD-10/CPT coding · Diagnosis classification · Medical record review & accuracy Implementation & Rollout: Process implementation · Customer-facing onboarding · Workflow integration support Stakeholder Engagement: Physician liaison · Insurer coordination · Cross-functional collaboration (ops, product, commercial) Compliance & Safety: GDPR · EU digital health compliance · Clinical documentation standards · Incident logging Continuous Improvement: Feedback collection · Process gap analysis · KPI tracking · Workflow optimization Digital Health Tools: CRM / ticketing tools (Intercom-type) · MS Office · Digital records management · ERP systems Languages: English — Fluent German — A1 (actively improving, targeting B1) PROFESSIONAL EXPERIENCE

Medical Coding & Clinical Operations Coordinator Aug 2020 – Apr 2024 Revesolv LLC. — Ahmedabad, India (Remote/Hybrid)

• Clinician & Stakeholder Onboarding: Guided physicians, attorneys, and insurance adjusters through medical documentation workflows, ensuring accurate clinical information capture and smooth integration into billing and claims processes — directly analogous to onboarding clinicians onto new digital platforms.

• Clinical Workflow Support: Provided day-to-day support to healthcare providers, resolving documentation gaps, coding discrepancies, and process issues in real time — functioning as the operational bridge between clinical staff and administrative systems.

• Medical Documentation & ICD Coding: Reviewed clinical documentation and assigned accurate ICD-10 and CPT diagnosis codes for New Jersey PIP accident claims, maintaining high accuracy rates across a high-volume, fast-moving environment.

• Incident & Denial Management: Logged, tracked, and resolved complex billing discrepancies and claim denials, coordinating with insurers and healthcare partners to close issues efficiently — building strong incident management and escalation skills.

• Continuous Improvement & Feedback Loops: Conducted regular audits to identify process gaps, gathered feedback from clinical and administrative stakeholders, and implemented workflow improvements that reduced denial rates and accelerated reimbursement cycles.

• GDPR & Regulatory Compliance: Maintained strict compliance with data privacy laws including GDPR across all patient documentation and digital records — directly applicable to EU digital health compliance standards.

• Team Leadership & Performance: Led and mentored a billing team; managed onboarding of new hires into clinical workflows; tracked KPIs including processing time, denial rates, and reimbursement cycle performance. Medical Claims & Operations Support Specialist Nov 2016 – Mar 2020 Start Billing Solutions Pvt. Ltd. — Ahmedabad, India

• Clinical Operations Support: Processed and validated medical claims across multiple healthcare clients, ensuring documentation accuracy and compliance with coding standards — working directly within clinical data workflows alongside healthcare teams.

• Onboarding & Workflow Integration: Supported onboarding of new healthcare clients into billing workflows, coordinating between internal teams and external stakeholders to ensure smooth process integration and fast time-to- value.

• Stakeholder Communication: Served as the operational point of contact for physicians, insurers, and practice managers, resolving claim issues and documentation gaps through clear, professional communication.

• Process Optimisation: Identified recurring workflow bottlenecks, proposed process improvements, and contributed to implementation of solutions that increased submission accuracy and reduced rework.

• Reporting & Quality Assurance: Generated performance reports for clients and senior stakeholders, providing transparency on claim status, denial trends, and improvement outcomes — building strong data-driven reporting habits. EDUCATION

B.Com. — Advanced Accounting & Auditing Apr 2014

Gujarat University, Ahmedabad, India

Relevant: Medical billing & coding (on-the-job), healthcare documentation, ICD/CPT application, US claims processing CURRENTLY LEARNING

• German Healthcare Systems: G-DRG, OPS procedure codes, DKR (Deutsche Kodierrichtlinien) — self-study targeting clinical coding proficiency for DACH healthcare settings.

• Digital Health Compliance: EU digital health regulations, German SGB (Social Security Code), and clinical safety standards relevant to health-tech platforms operating in the DACH region.

• German Language: Currently A1, enrolled in structured course targeting B1. Committed to professional fluency for full DACH market effectiveness.

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