Summary
Overview
Work History
Education
Skills
Additional Information
Personal Information
References
Affiliations
Languages
Certification
Timeline
Generic
K. SWAPNA RAO

K. SWAPNA RAO

Secunderabad

Summary

Strong understanding of HIPAA regulations and medical records management. Spearhead the management and secure release of medical records in compliance with federal and state regulations, leveraging extensive knowledge of EMR/EHR systems and HL7 standards to ensure seamless data exchange and interoperability between healthcare platforms.

Overview

19
19
years of professional experience
1
1
Certification

Work History

HIM ASSOCIATE

TECH MAHINDRA
Hyderabad
04.2023 - Current
  • Serve as a key liaison for the transmission of electronic health records via HL7 interfaces, guaranteeing accurate and efficient communication of patient information across various healthcare systems and providers.
  • Process and respond to diverse ROI requests from patients, healthcare providers, insurance companies, legal representatives, and research institutions, ensuring timely access to medical records while maintaining patient confidentiality and data integrity.
  • Implement and oversee strict protocols for verifying requester authorization, utilizing in-depth understanding of HIPAA and other privacy laws to safeguard sensitive patient information.
  • Facilitate urgent requests for medical information in critical care scenarios, coordinating with clinical teams and external entities to support immediate patient care needs and decision-making processes.
  • Conduct regular audits of EMR/EHR data access and release records to identify potential compliance issues or breaches, recommending and implementing improvements to security measures and ROI procedures.
  • Train and mentor new staff on EMR/EHR systems, HL7 integration, and best practices for handling and releasing patient information, enhancing team proficiency and operational efficiency.
  • Collaborate with IT and healthcare informatics professionals to troubleshoot and resolve EMR/EHR system issues, ensuring uninterrupted access to critical patient data for healthcare delivery.
  • Participate in the evaluation and selection of EMR/EHR technologies and HL7 tools, contributing insights on user requirements and data management needs to optimize healthcare operations and patient care.

Medical Underwriter

ICICI LOMBARD
Hyderabad
06.2023 - 01.2024
  • Conducting and documenting telephonic conversations in a professional and IRDAI compliant manner for the purpose of clarifying and declaration health history of insured persons
  • Reviewed and responded to verbal and written appeals on underwriting decisions
  • Working closed with agents, regional managers, and customer service representatives and insureds through phone, emails, and written mails to issue and approve health insurance policies
  • Completed all the tasks above while meeting or exceeding all expectation of the underwriter roles in regard to quality, production, and time service
  • Interpreted and documented previous claims experience along with prior underwriting actions
  • Duties included the evaluation and selection of new case and late applicant risks, approval of plan changes to existing business, daily.

Dietitian

Magna Code – Centre for Obesity, Diabetes & Endocrinology
06.2018 - 02.2020
  • Explaining diet (Nutrition & food issues) to Type 1 and Type 2 diabetic, gestational diabetes, IRS, and thyroid patients
  • Advised patients and their families on nutritional principles, dietary plans, as well as modifications and additional food selection & preparation for specifically Adolescent boys and girls
  • Profound knowledge of nutrition and therapeutic diets for PCODs
  • Assisting individuals suffering from metabolic diseases like Diabetes, hypertension and obesity by providing an insight to lifestyle habits and adopt healthy eating habits
  • Counseling and guiding the parents about their pre-school and school-going children on well-child camps regarding healthy eating habits.

Dietitian

Lifespan Diabetes Wellness Pvt. Ltd.
10.2015 - 10.2016
  • Explaining diet (Nutrition & food issues) to diabetic and cardiometabolic patients
  • Preparing 5-day meal plan for diabetic patients and following them up through calls
  • Counseling patients about the role of diet in diabetic management
  • Calculating nutrient requirement based on condition of patient (OHA & Insulin therapy)
  • Explaining diet to the patients by measuring the body composition with Karada scan
  • Attended Awareness Activities in malls and IT company.

Medical Transcriptionist

RX-SCRIBE/MModal Global Services
Hyderabad
01.2005 - 01.2011
  • Documented reliable medical reports via both speech recognition editing and straight transcription on Fluency platform.
  • Worked on a wide range of different job types.
  • Maintained an excellent relationship with my immediate supervisor and workflow coordinators.
  • Received the designation of "credentialed" transcriptionist for outstanding quality, which allowed me to bypass the typical quality control step for reports exceeding the allowed blanks.
  • Reviewed reports daily to stay aware of any errors, which I then would take immediate steps to correct.
  • Also researched errors to ensure that the reviewing process was correct and challenged errors as appropriate.
  • Utilized an extensive knowledge of medical terminology and terms, grammar, word usage and style guidelines as outlined by the clients and general rules of style set forth.

Education

P.G. Diploma in Clinical Nutrition & Dietetics -

Medvarsity, Apollo Health Initiative
01.2015

B.Sc., Clinical Nutrition & Dietetics -

KVR Govt. Women’s College, Kurnool
01.2002

Skills

  • Microsoft Word, Medical Terminology, Medical Documentation, HIPAA, Fluency, EPIC, CERNER, MEDITECH
  • Excellent Attention to Detail, Strong Critical Thinking, Extensive Grammatical, Organized, Excellent Typing
  • Computer proficient in MS-Office, Windows, Internet

Additional Information

A self-motivated, well-presented, and confident dietitian in assessing patients about their nutritional needs and helping them to achieve their goals through developing and implementing nutrition programs for them.

Personal Information

  • Date of Birth: 04/16/82
  • Marital Status: Married

References

References available on request.

Affiliations

  • In my leisure time, I find solace in the tranquility of gardening, where I cultivate not just plants but also patience and perseverance. The symphony of nature that resonates in the rustling leaves and blooming flowers is a source of constant inspiration for me.
  • Complementing this, my love for music provides a harmonious soundtrack to my life, helping me unwind and rejuvenate.
  • But above all, nothing compares to the joy of spending quality time with my family. These shared moments of laughter, stories, and love are the threads that weave the fabric of our strong family bond. These hobbies not only enrich my personal life but also enhance my understanding of life, relationships, and the world around me.

Languages

Telugu
First Language
English
Advanced (C1)
C1
Hindi
Intermediate (B1)
B1

Certification

  • Holding Indian Dietetic Association life membership from Telangana Chapter.
  • P.G. Diploma in Clinical Nutrition & Dietetics, 2015, Medvarsity, Apollo Health Initiative.

Timeline

Medical Underwriter

ICICI LOMBARD
06.2023 - 01.2024

HIM ASSOCIATE

TECH MAHINDRA
04.2023 - Current

Dietitian

Magna Code – Centre for Obesity, Diabetes & Endocrinology
06.2018 - 02.2020

Dietitian

Lifespan Diabetes Wellness Pvt. Ltd.
10.2015 - 10.2016

Medical Transcriptionist

RX-SCRIBE/MModal Global Services
01.2005 - 01.2011

P.G. Diploma in Clinical Nutrition & Dietetics -

Medvarsity, Apollo Health Initiative

B.Sc., Clinical Nutrition & Dietetics -

KVR Govt. Women’s College, Kurnool

Similar Profiles

CREATE PROFILE
K. SWAPNA RAO