UNDEELA NAVYA SREE

862-***-****

ad0fsi@r.postjobfree.com

Summary:

●Healthcare Informaticist, with 4 years of experience in accurately assigning medical codes and ensuring compliance with industry standards.

●Ability to manipulate and transform data using tools like SQL (Structured Query Language), Tableau.

●Strong data visualization skills in presenting data in a visually appealing and understandable manner. This includes using tools like Tableau, Python to create meaningful charts, graphs, and dashboards.

●Strong problem-solving skills in data analytics to define problems, develop analytical approaches, and apply appropriate techniques to extract insights and provide data-driven solutions.

●Proficient in ICD-10-CM, CPT, and HCPCS coding systems for both outpatient and inpatient settings.

●Adept at conducting thorough documentation reviews, resolving coding discrepancies, and collaborating with healthcare providers on clarifying coding queries.

●Working knowledge and expertise with multi-specialty surgery coding and denial management of E/M, Multi-specialty surgery, Radiology, Pathology and Medicine sections.

●Proven track record in leading and mentoring coding teams, implementing quality control measures, and optimizing coding accuracy and productivity.

●Expertise with MIPS audits.

●Strong analytical skills, attention to detail, and ability to work under pressure.

●Excellent communication and interpersonal abilities. Dedicated to maintaining the highest level of professionalism, confidentiality, and ethical standards in all aspects of work.

Professional Experience:

Sacred Heart University, Fairfield, CT Jan 2023 – March 2023

Class Learning Assistant

Assisted Professor Ojo, Oluwatobi for the course Electronic Medical Records (EHR).

Expertise in providing clear and concise explanations of concepts, theories, and topics to help students understand better.

Assisted through assignments and projects, helping students understand the requirements, brainstorm ideas, organize their work, and provide feedback to improve the quality of submissions.

Offered effective study techniques and strategies that can enhance students learning and retention. This includes tips on time management, note-taking, exam preparation, and other methods to optimize studying process.

Encouraged and participated in discussions related to the subject matter, fostering an interactive learning environment. Provided additional insights, encouraged critical thinking, and helped to analyze different perspectives.

Recommended supplementary learning materials such as textbooks, online resources, articles, videos, or interactive platforms that may further support understanding of the subject.

Assisted Professor with attendance tracking of students.

Expertise in reviewing and updating (if required) the course content or documents prior to class presentation.

R1RCM, Hyderabad, India May 2020 – Dec 2021

Sr Medical Coding Analyst

Specialized professional in the healthcare industry who is responsible for analyzing and assigning appropriate medical codes to patient records, procedures, diagnoses, and treatments.

Ensured accurate coding and adherence to coding guidelines and standards.

Expertise in reviewing and analyzing medical records, physician documentation, and other relevant information to accurately assign appropriate codes based on the ICD and CPT coding systems.

Ensured compliance with coding guidelines, regulations, and industry standards such as those set forth by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.

Performed quality checks and audits to ensure accurate and consistent coding practices, identify coding errors or discrepancies, and implement corrective measures as needed.

Expertise in denial management coding of multi-specialty surgery departments along with all E/M settings.

Worked with Profee Coding sub-clients such as CSM, Alabama, Gulf Coast, and Florida.

Collaborated with on-site physicians, coding team, and other healthcare professionals to improve documentation practices, clarify ambiguous or incomplete information, and ensure accurate code assignment.

Proven track in providing guidance, training, and education to coding staff, healthcare providers, and other stakeholders to promote accurate and compliant coding practices, stayed updated with coding changes, and address any coding-related queries or concerns.

Responsible about current coding guidelines, regulations, and industry updates to ensure compliance and incorporate changes into coding processes. Conducted research and analysis to identify coding trends, potential areas for improvement, and implement best practices.

Worked closely with various departments, including billing and reimbursement teams, healthcare providers, compliance officers, and other stakeholders, to ensure accurate and timely coding processes and resolve coding-related issues.

Continuous learning of developments in medical coding practices, attend seminars, workshops, and training sessions, and maintain relevant certifications to enhance knowledge and skills in the field of medical coding.

NTT DATA, Chennai, TN - India July 2017 – March 2020

Medical Records Coding Associate

Played a crucial role in healthcare facilities, ensuring accurate and organized coding of medical records.

Responsible to assign appropriate codes to medical diagnoses, procedures, and services based on the information available in the patient's medical record.

Conducted careful examination of patient medical records, including physician notes, lab results, radiology reports, and other relevant documentation to assign codes essential for billing, reimbursement, and data analysis purposes.

Expertise in assigning diagnostic codes (ICD-10-CM) and procedural codes (CPT) to accurately represent the patient's diagnoses, treatments, and services provided.

Expertise in working with multiple clients at a same time.

Ensuring compliance with coding guidelines, regulations, and documentation requirements set forth by regulatory bodies.

Proven track in Multi-specialty surgery coding, and denial management coding of E/M and surgery sections to maximize reimbursement for healthcare services by assigning appropriate codes and modifiers, and identifying missed revenue opportunities.

Keeping up-to-date with changes in coding guidelines, regulations, and industry best practices to ensure accurate coding and compliance.

Holds certification in CPC, effective from Sep, 2018.

Conducted MIPS audits for a period of 3 months.

Expertise in assigning various departments coding including Anesthesia, Radiology, Pathology and Medicine sections.

Extracted coded data from medical records to generate reports, analyze trends, and contribute to clinical research, quality improvement initiatives, and healthcare decision-making processes.

Experienced in utilizing electronic health record (EHR) systems and coding software proficiently to perform coding tasks efficiently and accurately.

Working knowledge and expertise with multiple EHR systems such as Athena, Cerner, Epic, Physical therapy software.

Effective in delegating tasks appropriately, taking into account the strengths and weaknesses of team members. Fostered their professional growth, and trained them to focus on higher-level responsibilities.

Certifications:

CPC-A, effective 2018.

Education:

Masters of Healthcare Informatics - Sacred Heart University, Fairfield, CT.

Bachelors in Pharmacy - Sri Padmavathi Mahila Visvavidyalayam, Tirupati, AP, INDIA.

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