Balakrishna R
Bengaluru
Summary
Master at leading people, honing processes, and standards, strengthening professionalism, juggling priorities, and managing multiple large-scale, complex projects simultaneously to deliver excellent business results.
REDUCE COST
STRONGER CUSTOMER SATISFACTION
OPTIMAL PRODUCTIVITY & EFFICIENCY
VALUE-OFFERED SUMMARY PEOPLE LEADERSHIP & PROJECT MANAGEMENT.
troubleshoot faulty processes, find flaws, and implement solutions that enabled them to turnaround a troublesome situation.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Senior Manager, Coding Operations
LogixHealth Business Solutions
Bengaluru
04.2014 - Current
- Responsible for daily operations of coding division including monitoring quality and quantity of workflow to ensure completion of work assignments
- Oversee work assignments of system wide coding staff and adjusts work lists to accommodate volume and schedule changes
- Identify need for educational sessions in collaboration with audit team
- Ensuring all coders can easily access and use information needed to perform the coding function
- Assess coding workflow processes, identify innovative solutions when improvement is needed and initiate changes
- Review physician queries submitted by coders for accuracy or non-compliant language
- Transition of the new client by planning best resources
- Review the capacity and inventory often and plan resources effectively
- Lead the team to meet timelines according to project SLAs, report project metrics to leadership
- Strategically support the continued development of the medical record review process and resource tools through project team involvement and leadership
- Plan for daily and need basis audits for all coding staff to ensure quality gaps are identified and coders are educated
- Identify mitigation strategies and take proactive approach to resolve issues and address impacts to key stakeholders
- Work together with cross-functional department managers and supervisors to meet company goals and aims.
- Coordinated team activities and delegated tasks to ensure efficient completion of projects.
- Assisted with recruitment efforts by interviewing potential candidates and providing input on hiring decisions.
- Developed and implemented strategies to improve operational efficiency, reduce costs, and increase productivity.
- Analyzed data from market research surveys to identify trends and develop actionable insights for organizational growth.
- Ensured compliance with applicable laws, regulations, policies, and procedures across all business units.
Team Lead
Omega healthcare
10.2007 - 04.2014
- Accurately assigning ICD-9-CM and CPT codes and Sequencing diagnosis and procedure codes per patient medical Record
- Assure the assignment of complete, accurate, prompt and consistent by the medical coding unit
- Provide coding and documentation advice to the coding unit
- Review reports daily and provide constructive feedback to the coders
- Provide expertise to Quality control analysts in the team
- Analyze customer complaints and provide audit feedback to improve coding data accuracy
- Conduct training, In-service and education about diagnosis, procedure code assignment for compliance and data quality
- Exceeding customer expectations by implementing innovative ideas for quality improvement
- Responsible for the day-to-day supervision of the team, including work assignment, monitoring, and training the work group
- Conducting annual appraisals of the team members.
Education
Bachelor of Science - Biotechnology
SSMRV Degree College
Bengaluru06-2007
St. Lourdes Boys School
Bengaluru04-2002
Skills
- Strong Analytical
- Influencing
- Pictorial presentations
- Training & Development
- Organized and well-structured at work
- Multi-specialty coding experience covering all major specialties ie, include Evaluation & Management coding ED
- Heading the Coding division at LogixHealth
- Talent Development
- Data Analytics
- Operations Management
- Cross-functional Team Coordination
- Customer Service
- Revenue Forecasting
- Demonstrated success in transitioning of a new projects which was trending with below SLA especially in Evaluation and Management and deployment of talented workforce to meet the client expected quality
- End to end driving of the approved strategic initiatives
- Hiring - Training – OJT – Calibration – Process improvement
- Roll out the strategy for implementation of ICD 10 CM coding with implementation and measurement strategies to mitigate the impact on the existing business
- Actively involved in conducting quality assurance reviews as needed
- Attending Biweekly TC (Tele conference) with Client for project review
- Inventory Management
- PDCA Cycle
- 6σ Concepts
- Creativity & Time Management
- Teamwork
- Learning Ability
- Flexibility
- Critical Thinking
Accomplishments
- Stabilized the Medical Coding Pilot project (ortho) Project at Omega Health care within 2 months of taking the operations, where Quality and Production was too low, and the processes were being pulled back (reverse transitions) by the client.
- Appreciation from client for providing outstanding performance on the SLAs leading to new Transitions.
- Working as a Transformational leader fixing the process gaps in the processes and producing innovative procedures to improve the project Worked on Cross-functional projects.
Certification
- CCS-P Certified from AHIMA.
- Six Sigma Green Belt Certification from LogixHealth.
Languages
English
First Language
PEOPLE LEADERSHIP & PROJECT MANAGEMENT
- Result driven Process Leader with hands on experience and success in Healthcare BPO and Well versed in all major medical coding specialties. Excellent Management skills with a client focused approach that fosters trust and allegiance. Inspiring Process Leader with great focus on solution driven approach, customer relationship with experience in understanding core functions of a quality business.
PROBLEM ANALYSIS & SOLUTION DESIGN
- Developed reputation as the “go-to person” to get things done regardless of the challenges. Helped healthcare industry clients troubleshoot faulty processes, find flaws, and implement solutions that enabled them to turnaround a troublesome situation.
Timeline
Senior Manager, Coding Operations
LogixHealth Business Solutions
04.2014 - Current
Team Lead
Omega healthcare
10.2007 - 04.2014
Bachelor of Science - Biotechnology
SSMRV Degree College
St. Lourdes Boys School
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