Akanksha SAHAY

• Elicit project relevant requirements and business rules using various techniques (interviews, workshops, brainstorming, questionnaires) from product and technology teams.
• Lead sessions with business stakeholders to understand and document business and functional requirements.
• Organize and document requirements in accordance with industry standards (vision, business requirements document, use case, wireframe,product backlog, user story, epic).
• Execute comprehensive analysis for optimal sprint planning and perform backlog grooming.
• Well verse in agile methodology and waterfall methodology.
• Manage the review and approval of business requirements document.
• Hands on experience in project management tools like Jira, AHA and Azure Dev Ops.
• Skilled in microsoft 360 office.
• Led a team of business analyst. Guide and mentor business analyst and other team members.
• Provided detailed training sessions and demo calls after every UAT release facilitated between end users and developers for issue resolution.
• Support Dev and QA Cross functional teams for smooth co-ordination for feature releases.
• Prepare Figma mockups to create user interface prototype designs. Figma Certified.
• SQL Certified.
• Conduct daily standup's for dev and qa team and act as proxy scrum master along with task allocation to Dev and QA resources.
• Led cross-functional teams to successful project completion within budget and timeline constraints.
• Created dashboards on azure to monitor and track key performance indicators.
• Strong knowledge of US Healthcare, medical coding & medical billing.

Project Milestones:

• Over looked initiative of third party integration with API of CMS-ICD 10 website with in-house software to boost productivity of end users to directly use the web page within the desktop app. Resulted in boost of 42% productivity of end users
• Conducted technical initiatives like Stored Procedure optimizations, search result optimizations for performance improvements of several web pages quarterly. Resulted in quicker time frame execution benefitting the urgent client based reporting.
• Successful release of over all 50+Enhancements, 15+ new features with positive feedback from clients.
• Created 10+ statistical based reports for ease tracking of data flow within systems and provided handover to clients.
• Revamp of desktop application with new workflows, AI assisted technology & Natural Processing language. Boosted in overall productivity of end users by 55%.
• Collaboration with tech team for .NET Core, .NET , Java supported technology requirements.
• Intensive knowledge about jobs, micro services, dev extreme.

• Managed backlog prioritization, ensuring alignment with business goals and stakeholder expectations. Conducted bi-weekly meetings to address and review stakeholder expectations.
• Implemented Agile methodologies to increase team productivity and enhance overall project outcomes.
• Collaborated with cross-functional teams to develop high-quality products that met customer needs.
• Developed comprehensive roadmaps outlining the product vision, goals, and milestones for successful execution.
• Created 300 pages User Manual for desktop application and web applications.
• Owned and prioritized product backlog.
• Managed implementation of new features by outlining plans and specifications such as how, where, and when each component would work.
• Cultivated strong relationships with key stakeholders by maintaining open lines of communication and addressing concerns promptly.
• Own 2 in-house desktop applications , 3 desktop utilities & 2 website applications under medical coding module.
• Involved in extensive Sprint planning as per the sprint cycle.
• Created business requirements documents to outline the requirements.
• Conducted data-driven analysis to measure product success metrics, informing future enhancements or adjustments.

Project Initiatives:

1. Introduction of Natural Language Processing & its successful Integration with desktop and web application by planning its phase wise release based on the MOSCOW rule.

2. Established a system based validation feedback loop process to eliminate medical coding guideline errors to improve over all project accuracy.

3. Streamlined several cross functional teams by developing a real time dashboard to update and track the mico level processes.

4. Translated data into customized reports of processed data for final client delivery.

5. Planned several enhancements and new features to boost productivity of end users.

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes as per CMS Guidelines.
• Accounts for CPT Coding and abstracting patient encounters using E&M,HCPC.
• Provided CPT Training to new joiners.

• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Review and analyze patient medical records to assign appropriate ICD 10 Codes.
• Map diagnoses to Hierarchical conditional categories to facilitate accurate risk adjustment.
• Ensurance to industry standards and regulatory requirements.

• Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
• Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
• Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Verified signatures and checked medical charts for accuracy and completion.
• Promoted teamwork within the department through effective communication and collaboration on complex cases.
• Reviewed patient charts to better understand health histories, diagnoses, and treatments.
• Specialized training in HCC based projects, HHS-HCC risk based projects too
• Specialized training in ICD Coding.
• Reviewed and carried out HEDIS measures.