Dr Ritesh Kumar Srivastava

• Develop and Implement Departmental policies and procedure to ensure efficiency and quality
• Proven Track record of project managements in fast paced environment.
• Leading Large Payer Group successfully and providers are increasing in good number on yearly basis.
• Managed allocation of resources, ensuring optimal utilization
• HEDIS Measures Data Dictionary Finalization with clients on yearly basis
• Manage team which work on coding of EHR terms where code or Code system are not present for better Measure calculation performance.
• Worked on Automation, machine learning NLP and Now working on GEN AI POC
• We successfully automated 90% of our data and manage large practice onboarding without hiring any resource
• Develop Rule engine for result value where all Lab value and procedure performed can be fetched, so that performed and not performed results can be separated to avoid any error in DAV certification. This rule engine help organization to cover more data with help of automation
• Onboard new practice with PSV (Primary source Verification for initial data.
• Publish RFT Dashboard (Right First Time)) and Changelog review report of All QPP, QCDR AND eCQM measures.
• Active participation in DAV (Data Aggregator Validation) Audit which ensures accuracy and data standard. We successfully certified for 3 consecutive years including this year.

• Manage a Team of 2-5 members to lead the Clinical Registry Project
  Ø Major Responsibilities
  ● Work on MIPS QPP, and eCQM measure, and based on the Specification create the Human Readable and Element for computation of that measure for better performance at the Dashboard.
  handle the Weekly client calls and various internal calls.
  ● Create annual data dictionary updates and obtain reviews from registry coordinators prior to publishing
  ● Coordinate with Head of Clinical Registry Business Analysis Department and other groups within FIGMD
  ● Mentor/Assist the junior member in problem-solving and communication
  ● Handle the Weekly client calls and various internal calls.
• Skills: Auditing · Project Management · Team Management · HEDIS · MIPS · ICD-10 · SNOMED · CPT · HCPCS · RXNORM

1. Quality Audit of the medicolegally compliant, clinically sound high quality outpatient visit documentation for some of the best US Hospitals across multiple specialties
2. Review and compare the AI generated clinical note with the patient physician interaction transcript to develop an impression about the clinical condition, plan of action and document the same basis the EHR details.
3. Listen and comprehend the patient physician interactions (as per the requirement) using the clinical acumen to improvise the AI generated note and form a clinically accurate concise note as per the desired TAT.
4. Populate the summarized data in the electronic health record.(EHR)
5. Maintain clinical note quality using documentation norms and physician preferences Review edits made by the provider and implement the changes in future work
6.Share the best practices and help create a knowledge repository
Meet the productivity expectations as per the Budget/target.
7. Understand and maintain desired level of clinical knowledge required for this role
8. Support the new joiners in being successful by helping in formulating account/provider specific training for the team.
Ensure that you complete all programs planned for Self Development.