Deepanshu Choudhary
Meerut
Summary
Dynamic healthcare professional with extensive experience at Rsystems International, specializing in HIPAA compliance and medical documentation. Proven track record in enhancing data integrity and optimizing workflows. Skilled in training teams and managing complex projects, while effectively communicating decisions and fostering collaboration across departments. Committed to driving continuous improvement in healthcare processes.
Overview
6
6
years of professional experience
Work History
Subject Matter Expert (SME)
Rsystems International
Noida
06.2021 - Current
- Currently, I am working on the HIM Project and also handling the ROI additional project.
- My job responsibilities include conducting quality audits, allocating work, weekly QC hurdles, training new employees, and attending weekly client calls to give an update to the client about the work process.
- Analyze and interpret healthcare data, ensuring accuracy, integrity, and compliance with industry regulations, such as HIPAA and ICD coding standards.
- Collaborate with cross-functional teams, including IT, operations, and quality assurance, to enhance healthcare documentation and data management processes.
- Conduct training sessions and knowledge-sharing workshops for teams on HIM-related topics.
- Assist in process improvements, workflow optimization, and the implementation of healthcare information systems.
- Provide support in resolving complex HIM-related issues and escalations.
- Stay updated with industry trends, regulatory changes, and advancements in health informatics to drive continuous improvement.
- Managed multiple projects simultaneously while adhering to tight deadlines.
- Worked closely with human resources to support employee management and organizational planning.
- Utilized document management system to organize company files, keeping up-to-date and easily accessible data.
- Offered one-on-one support for team members and managers to drive continuous improvement.
- Created detailed reports on project progress, metrics, and results for stakeholders' review.
Medical Record Reviewer
Genpact India
Noida
01.2021 - 06.2021
- To check patient eligibility, all the exceptions were approved, and we reimbursed the patient's medical claim as per the guidelines
- Observed confidentiality and safeguarded all patient-related information.
- Safeguarded medical records to maintain patient confidentiality.
- Ensured compliance with HIPAA regulations regarding patient privacy, security, and confidentiality of healthcare information.
- Evaluated clinical documentation for accuracy and completeness prior to submitting it for reimbursement purposes.
Clinical Reviewer
Exl services
Noida
11.2018 - 12.2020
- To review the patient's medical record and make a decision on the patient's prior authorization request for approval by following CPB guidelines.
- Transmitted information or documents to customers through email, mailings or facsimile machine.
- Interpreted medical literature relevant to the clinical review process.
- Adhered to all HIPAA regulations when handling confidential patient information.
- Reviewed utilization management decisions made by payers or other entities.
- Evaluated provider performance against established criteria for quality assurance purposes.
- Performed audits of medical records according to established protocols.
Education
Bachelor of Pharmacy -
Kalka institute for research and advanced studies
Meerut01.2015
Senior Secondary Examination -
MSS inter college
Meerut01.2011
Higher Secondary Examination -
Presidency public school
01.2009
Skills
- HIPAA compliance
- Medical documentation
- ICD codes
- CPT procedure codes
- Medical record review
- Summary note preparation
- Decision communication
- Prior authorization evaluation
- Healthcare regulations
- Healthcare compliance
Father's Name
Mr. Kanwar Pal Singh
Personal Information
- Date of Birth: 02/09/94
- Gender: Male
- Nationality: Indian
- Marital Status: Unmarried
Languages
- Hindi
- English
Hobbies and Interests
- Playing badminton
- Listening to podcasts
- Weight training
Projects
AETNA – Prior Authorization Project
HUMANA – Prior Authorization Project
NEWLIFE – Medical Summarization
AON – Review Medical Claims
SEAMAR – Patient Chart Indexing
SEAMAR – Request for Information
Academic Projects And Research Work
- Roles and responsibility of USFDA in pharmaceutical industry
- Beneficial surpass effect of 3 herbal plant combination on acetaminophen induced hepatotoxicity
Specialty
US Healthcare Projects with proficiency in prior authorization requests and medical summarization.
Languages
Hindi
First Language
English
Upper Intermediate (B2)
B2
Timeline
Subject Matter Expert (SME)
Rsystems International
06.2021 - Current
Medical Record Reviewer
Genpact India
01.2021 - 06.2021
Clinical Reviewer
Exl services
11.2018 - 12.2020
Bachelor of Pharmacy -
Kalka institute for research and advanced studies
Senior Secondary Examination -
MSS inter college
Higher Secondary Examination -
Presidency public school
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