Bommineni Sridhar
QA HIM Services
Nalgonda
Summary
To achieve an appreciable status in an organization that offers full scope for growth and where I can fulfill my aspiration of becoming a world class Medical Coding professional.
Overview
10
10
years of professional experience
6
6
years of post-secondary education
1
1
Certification
Work History
QA HIM Services
Corro Health Infotech Pvt Ltd
02.2025 - Current
- Working on ICD-10 and PCS.
- Capturing all the data from the charts and coding the information in IP - DRG Department.
- Active participant in DTR.
- Working in Coronis project.
- Maintaining the team quality and performance data.
- Furnishing the data sent by the client and providing the required information to the clients.
Lead Analyst, DRG Validation
R1 RCM PVT LTD
04.2024 - 02.2025
- Review and verify clinical documentation to ensure it supports appropriate DRG assignment for reimbursement purposes.
- Perform DRG audits on patient records to identify discrepancies and ensure compliance with healthcare regulations.
- Lead and oversee DRG validation efforts to ensure accurate assignment and proper coding practices.
- Ensure compliance with ICD-10, CMS guidelines, and payer requirements related to DRG coding.
QA HIM Services
Corro Health
02.2022 - 04.2024
- Worked on ICD-10 and PCS with external quality around 98%.
- Capturing all the data from the charts and coding the information in IP-DRG Department.
- Conducted DTR, Trained the coders in the process and understanding the navigation of the software.
- Passion in learning and working on typical scenarios.
- Analyze the patients’ records for completeness and accuracy.
- Working as an auditor and also involved in managing team under assistant manager.
Senior Medical Coder
R1 RCM PVT LTD
05.2020 - 09.2021
- Worked on ICD-10 and PCS with external quality around 98%.
- Capturing all the data from the charts and coding the information in IP - DRG Department.
- Active participant in DTR.
- Worked in Project Saint Vincent Birmingham, Penn State.
- Maintained the team quality and performance data.
- Furnishing the data sent by the client and providing the required information to the clients.
QA HIM Services
GeBBS Healthcare solutions
01.2019 - 11.2019
- Worked on ICD-10 and PCS with external quality around 98%.
- Capturing all the data from the charts and coding the information in IP-DRG Department.
- Conducted DTR, Trained the coders in the process and understanding the navigation of the software.
- Analyze the patients’ records for completeness and accuracy.
Senior Medical Coder
Eclat Health Solutions
03.2016 - 12.2018
- Worked on ICD-10 and PCS with external quality around 98%.
- Capturing all the data from the charts and coding the information in IP-DRG Department.
- Active participant in DTR.
- Worked in Project Saint Vincent Birmingham, IUH.
- Work with the Training Manager to train the ED & OP coders to IP Coding.
- Moved to different IP Projects quickly based on excellent performance.
- Worked in DRG validation project Medreview.
Medical Coder
Omega Healthcare solutions Pvt ltd
06.2015 - 02.2016
- Had the pivotal responsibility in coding for IP-DRG department for PARALLON Project on ICD 10 CM and PCS coding guidelines.
- Capturing all the data from the charts and coding the information in IP-DRG Department.
- Coding for procedures done by the physician using Volume-3.
- Supported participate in process and quality improvement initiatives.
Education
B. Pharm -
Karavali College of pharmacy
01.2005 - 01.2009
M. Pharm - undefined
Karnataka College of pharmacy
01.2010 - 01.2012
Skills
● Data Mining & Claim Selection : Use analytics to identify high risk claims
● Medical Record Request: Retrieve documentation for selected claims
● Clinical & Coding Review: Validate DRG assignment against documentation
● Determination & Notification: Issue findings and notify providers
● Appeals & Reconsideration: Handle provider responses and appeals
● Education & Feedback: Provide feedback to reduce future errors
l Extremely knowledgeable with regard to medical coding guidelines and Coding techniques (ICD10 CM, ICD 10 PCS)
Skilled in using software applications Like 3M, Meditech, ECAC, Mckesson, EPIC, Cerner, Power Chart,
Certification
CCS certified from AHIMA, 2789039
Personal Information
- Date of Birth: 07/02/87
- Gender: Male
- Nationality: Indian
- Marital Status: Married
Disclaimer
I do here by declare that all the above-mentioned information is true to the best of my knowledge.
Timeline
QA HIM Services
Corro Health Infotech Pvt Ltd
02.2025 - Current
Lead Analyst, DRG Validation
R1 RCM PVT LTD
04.2024 - 02.2025
QA HIM Services
Corro Health
02.2022 - 04.2024
Senior Medical Coder
R1 RCM PVT LTD
05.2020 - 09.2021
QA HIM Services
GeBBS Healthcare solutions
01.2019 - 11.2019
Senior Medical Coder
Eclat Health Solutions
03.2016 - 12.2018
Medical Coder
Omega Healthcare solutions Pvt ltd
06.2015 - 02.2016
M. Pharm - undefined
Karnataka College of pharmacy
01.2010 - 01.2012
B. Pharm -
Karavali College of pharmacy
01.2005 - 01.2009
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