Naveen Kumar Keerthi, *** S Metcalf Street, Lima, Ohio 45801 Phone: +1-419-***-****

Email: ac6bhn@r.postjobfree.com

PROFESSIONAL SKILLS

Experienced Health informatics professional with the responsibility to support both external clients and internal management. Broad understanding of healthcare data claims, clinical data, quality metrics and health outcomes. Capable of analyzing problems and designing recommendations including overall Project Management, workflow processes and procedures.

Strong Knowledge of EHRs, meaningful use, health information exchange concepts through Master of Science in Health informatics.

In depth knowledge of Human Anatomy & Physiology and Pharmacology.

Knowledge on DRG and RADV with hands on experience.

Hands of experience on MS Access, MS Excel, MS Word, MS Outlook, MS PowerPoint, Adobe Acrobat

Knowledge on HL7 interface with hands on experience with Infor cloverleaf application.

Exceptional written and oral communication

EDUCATION

The University of Findlay, Ohio Dec 2017

Master of Science in Health informatics

RVS college of Pharmaceutical sciences, India Aug 2011

Bachelor of Pharmacy

LICENSURES / CERTIFICATIONS

CPC (Certified Professional coder) from AAPC, Membership ID- 01287440

HL7 Organization Member

ICD-10 from AAPC

EHR using Spring Charts 2011

WORK EXPERIENCE

Gebbs Healthcare

Remote HCC Auditor Oct 2017-Present

Review risk adjustment HCC charts and Audit accordingly.

Strictly followed all federal and state guidelines for the release of information.

Examining diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Working remotely with minimal supervision.

Ensure diagnosis codes for each chronic or major medical condition have been captured and supported by documentation guidelines for coding and reporting to CMS

Working on RADV HHS projects.

Handling and Analyzing claims data

Educate and provide feedback to coders.

OS2HCS, USA Sept 2017-Present

HCC coder-Remote

Proficient in using coding software 3M Encoder Pro

Coding HCC charts using ICD-10(remotely).

Attending team meetings to discuss client updates

Blanchard Valley Health System, Findlay OH Aug 2017- Dec 2017

Medical coder and Application Analyst I Intern

Experience working with Cerner application

Delve in to Health care data across all the departments to discover discrepancies and patterns

Create Ad-hoc query reports as required.

Coded all ER encounters including OB-GYN, Trauma, transfer cases.

Coded IP DRG charts using ICD-10 and PCS guidelines

Understand technical and clinical processes required to effectively support and collaborate with internal team and physicians.

Analyzing and reporting both Healthcare data and administrative data.

Advantmed, India Aug 2014 – Nov 2015

Process Owner and Quality auditor

Collaborated Client and the company for preparation of the Project guidelines.

Arranged and actively participated in the team meetings for any updates in project guidelines

Worked as a Process owner, trainer and Point of contact for the US-India teams for the project details.

Trained coders for CRC certification.

Disseminated information to the clinical team regarding any vital updates in the project

Audited Risk adjustment coding charts.

Experience working on HEDIS star measures.

Proficient in using coding software 3M and Encoder Pro

XI Health Corporation (Optum), India July 2012 – July 2014

Medical coder

Risk adjustment coding HCC using ICD-9 CM on In-patient and Out-patient medical records

Coding ER, clinic and diagnostic charts.

Adding modifiers as appropriate, coded narrative diagnosis and verified diagnosis.

Worked on IP DRG charts using ICD 9 and volume 3 codes.

Worked as a Quality check for the given chart source including Inpatient records

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