Data Analytics Revenue Cycle

Namrata Pradhan

***** ******** **, *******, ** **148

703-***-**** (Cell) *************@*****.***

Synopsis: Over 12 years of hospital revenue cycle management experience and proven track record of delivering outstanding results. Expert in revenue integrity and medical coding data analytics, decision support and project management. Work collaboratively with team members across multiple projects to improve the quality of care and streamline processes to provide best value and outcome. EXPERIENCE:

IT Project Manager 09/2023-12/2023

Vanderbilt University Medical Center, Remote

● Worked with All of us research program, data and research center supported application team and managed their deliverables

● Facilitated daily calls and identified opportunities for next steps and diligently followed up on open activities

● Performed gap analysis to connect dots of the previous project initiatives and provided detailed project plan

● Organized data to monitor progress towards goal and released feedback to leadership Health Data Analytics Administrator 12/2019-03/2023 Inova Health System, Falls Church, VA

● Provided leadership to coding denial management including supervision of staffs, reviewing of processes, and providing recommendation

● Reviewed denial data to identify trend, overturn rates and communicate root cause of denials and provided data to implement effective corrective action

● Responsible for management and utilization of accurate, complete, and reliable tools necessary to provide the information used in strategic and new business decisions.

● Interacted with various levels of the revenue cycle management team in order to assist in the interpretation and use of data to identify opportunities for revenue integrity process improvement, barriers and design effective new workflow. Health Data Analytics Administrator 05/2013--- 11/2019 Inova Health System, Falls Church, VA

● Lead analytic support for ICD-10 transition project for entire healthcare system. Assisted with the preparation of ICD-10 budget projection, monitoring budget, financial impact and risk analysis. Coordinated monthly steering committee meetings and assisted program management office with research and preparation of executive presentations and education packages. Responsible for maintaining ICD-10 coding audit data and reports. Administrator of 3M translation tool, provided training to analyst team supporting HIM/quality/decision support/finance team.

● Designed enterprise wise medical coding reports and responsible for implementing report function in newly implemented Encompass 360 system.

● Developed analytical models enabling informed business decisions by determining data and analytical requirements; creating reports supporting hospital & professional fee coding operations, coding audit and clinical documentation improvement functions in all key aspects: revenue cycle, preparing benchmark data, quality outcomes profiling impact, compliance, job performance evaluations and productivity.

● Served as technical lead to manage the business operations, data collection and data analysis for coding Diagnosis Related Group denial challenges. Completes work assignments and supports business-specific projects by applying expertise in subject area and identify issues and provide recommendations.

● Prepared data for analytic efforts by integrating and consolidating data; ensuring data quality and accuracy; profiling data inaccuracies and recommending process improvements or system changes to enhance overall quality of the data; and cleaning and creating final data set(s) for analysis.

● Collaborated with managed care contracting, patient financial services, coding and compliance team on corrective action for coding denial management. Senior Financial Analyst 08/2010--- 04/2013

Inova Health System, Falls Church, VA

● Designed enterprise-wide reports in newly implemented 3M HIS Encompass 360.

● Lead analytic support to enterprise-wide Health Information Management functions and initiatives including revenue cycle management reporting, coding compliance, labor productivity, coder evaluation and financial impact analysis of restructured coding operations and coding audit team.

● Worked on return-on-investment analysis during implementation of Clinical Documentation Improvement Program supporting all five Inova Hospitals.

● Worked on process improvement and effective workflow of resolving coding denials. Implemented Coding Denial Database and designed reports to do root cause analysis. Financial Analyst 09/2009---08/2010

AOL, Dulles, VA

● Supported the migration process of contracts to integrate into one accounting system. Reviewed and analyzed contracts to migrate information to new software system.

● Generated monthly accounts receivable reporting, reconciled and performed variance analysis.

● Received and gathered all accounts receivable from business team and entered data in Siebel to generate invoices, acted as a liaison between accounting and sales team. Financial Analyst 03/2008 11/2008

Inova Health System, Falls Church, VA

● Generated reports from corporate decision support tool supporting hospital revenue cycle management and hospital operations. Updated and analyzed work performance of coding team supporting all hospitals.

● Developed internal audit reports for senior management review team. Supported corporate decision support team and coding audit team. Maintained, updated and generated weekly productivity reports.

Financial Analyst 09/2006—02/2008

Fannie Mae, Washington DC

● Researched, gathered, analyzed expenses and prepared analysis and reporting to senior management team. Collected and maintained monthly accrual of all restatement expenses.

● Received and tracked incoming invoices full cycle. Executed invoice reconciliation, approval and payment verification process.

● Managed ongoing maintenance and revisions to contracts to ensure correct data. Assisted with reconciliation processes, data and report archiving activities. INTERNSHIP:

Marketing & Research Intern 01/2004—05/2004

Smith Barney, Inc., Washington DC

● Structured, maintained, and updated securities model in order to track earnings, growth profitability, and valuations of equity positions.

● Modeled portfolio comparison and portfolio performance analysis using Excel.

● Maintained research coverage on several dozen-core equity holdings and updated client. EDUCATION:

01/2004--05/2006 Johns Hopkins University, Masters in Applied Economics 01/1996--12/2000 Kathmandu University, Bachelors in Electronics Engineering TECHNICAL SKILLS:

EPIC,3M- Health Data Management (HDM), Horizon Performance Manager (HPM), 3M-ENCOMPASS 360, Trendstar, SQL, STATA, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Microsoft Access, Google Doc, Jira

References available upon request

Contact this candidate