Medical Coder Certified

Srinivasa Reddy Enaganuri

**************@*****.*** 315-***-****

linkedin-https://www.linkedin.com/in/srinivas-reddy-enaganuri/ Syracuse, NY Summary

Dedicated and competent HIM professional and certified medical coder with experience in optimizing healthcare information systems and ensuring compliance with HIPAA regulations. Skilled in data analysis, electronic health record (EHR) management, and process improvement to enhance clinical efficiency and patient care quality. Seeking to leverage technical expertise and problem-solving abilities in a dynamic healthcare environment to support effective decision-making and innovation in health information. Passionate about integrating technology with healthcare to drive impactful solutions and improve patient outcomes. Skills

• CPC Certified

• ICD&CPT&HCPCS Coding

• Microsoft Excel

• Encoder pro (Optum360)

• EPIC,3M

• CCI Edits

• eCAC

• OSHPD

EXPERIENCE

Omega Healthcare Management Services Private Limited 18/11/2021-17/8/2023 CPC certified Medical Coder and senior medical coder

• Worked under Optum, Monarch, MMM-AHA, Utah, and Athena EPIC projects.

• Worked on HCC, Specialty, E/M, Hospital inpatient and outpatient coding and Surgical coding with 4 years of experience.

• Expert in reviewing the patient report completely and converting them into ICD-10 codes.

• Reviews EMR/EHR reports to identify all appropriate coding based on CMS, ICD-10-CM, modifiers, and HCPCS/CPT categories.

• Knowledge of HIPAA requirements, CMS rules and regulations, ABS holds, AMA, and AHIMA guidelines.

• Experienced in entering data into electronic medical records (EMR), EcW, DRG, and NextGen. Infinx Service Private Limited 01/06/2020-7/31/2019

• Ensured compliance with HIPAA regulations and other data security protocols.

• Responsible for maintenance and security of patient health records, ensuring compliance with regulatory standards.

• Utilized EPIC reporting tools to extract and analyze health data for quality improvement initiatives.

• Analyzed healthcare data to identify trends and opportunities for improvement. Prepared reports on healthcare quality metrics for internal and external stakeholders.

• Streamlined clinical and administrative workflows through EPIC system customization Wipro Private Limited. 09/18/2018-06/16/2019

Developed coding strategies to improve overall coding accuracy and optimize reimbursement rates, ensuring financial health for healthcare organizations.

Assigned accurate ICD-10, CPT, and HCPCS codes to diagnoses and procedures for both inpatient and outpatient claims.

Ensured compliance with HIPAA regulations, protecting patient privacy and securing sensitive information.

Managed insurance claim processing, identifying and correcting coding discrepancies to minimize denials and delays.

Performed regular coding audits to ensure adherence to CMS and payer guidelines for proper reimbursement.

Provided training and guidance to new coding team members, enhancing overall team performance and coding precision.

Skilled in using EHR Software such as Epic, Cerner, and Optum360 for efficient coding and billing processes.

Addressed coding-related questions and concerns, facilitating smooth communication between healthcare providers, insurers, and patients.

Consistently met deadlines and maintained productivity targets while managing a high volume of coding tasks.

Stayed current with coding updates from CMS, AMA, and other authoritative bodies, ensuring adherence to the latest regulations and guidelines.

Education

Master's in Biomedical and Healthinformatics at SUNY Oswego University 05-17-2025 Bachelor's in Pharmacy, Acharya Nagarjuna University 2014 -2018 Certification

CPC Certified Member ID (01874823)

Contact this candidate