Arjun Kalidasu

• Lead and manage a team of 80+ medical coders handling complex denial management operations across multiple specialties.

• Received recognition from senior leadership, including vice president and directors, for achieving operational excellence and delivering high-quality outcomes.

• Exceeded client Quality SLA benchmarks through ongoing monitoring and proactive adjustments.

• Collaborated with Quality Assurance and Training departments to enhance coder productivity and accuracy, identifying coding and process gaps, and implementing corrective actions that reduced claim rejections and improved clean claim rates.

• Successfully completed client onboarding, Played a key role in ramp-up planning and go-live execution for new projects, consistently meeting project timelines and operational targets.

• Reviewed medical records for accurate coding and compliance, ensuring adherence to regulatory standards.
• Assigned appropriate codes using ICD-10 and CPT guidelines.
• Collaborated with healthcare professionals to clarify documentation issues.
• Exceeded client Quality SLA benchmarks by implementing continuous monitoring, feedback, and performance improvement initiatives.
• Stabilized and operationalized 27+ new client projects, ensuring smooth workflow integration and process consistency. Partnered with Accounts Receivable (AR) team to conduct denial research and develop Standard Operating Procedures (SOPs) based on payer and provider guidelines, preventing recurring coding denials.

• Trained junior coders on best practices and coding software to enhance coding accuracy.
• Analyzed coding guidelines to uphold adherence to regulatory standards, and improve compliance.
• Conducted periodic audits of coded data to verify accuracy and maintain compliance with established standards.

• Managed front-end rejections, exclusions, and claim edits, ensuring accurate claim submission and compliance with payer requirements. Served as Non-Designated Quality Analyst (QA), performing quality audits and providing actionable feedback to coding teams.
• Applied payer-specific, insurance-specific, and location-specific coding guidelines to ensure compliance and reduce claim denials, contributing to improved revenue cycle management.
• Reviewed and coded medical records for accurate billing and compliance.
• Collaborated with healthcare providers to clarify documentation and coding queries.
• Trained junior coders on coding guidelines and best practices.

• Collaborated with accounts receivable team to create SOPs, reducing coding denials.
• Reduced front-end claim rejections by overseeing exclusions, minimizing delays and improving accuracy.
• Utilized EMR systems: AMD, 3M, Epic, Cerner, Citrix, Athena, NextGen.
• Applied coding tools: Encoder Pro, Find A Code, Select Coder, Q-Code, Vital Ware.
• Enhanced process efficiency by leveraging technology to streamline workflows.
• Stabilized and managed over 27 new projects, ensuring seamless integration and support.
• Conducted non-designated quality assurance tasks to maintain standards.

• Assisted in preparing samples for laboratory analysis and testing procedures.
• Supported microbiological experiments by preparing samples and maintaining lab equipment.
• Conducted routine quality control checks on laboratory instruments and supplies.
• Maintained cleanliness and organization of lab equipment and workspaces.