MAHESH GARLAPATI (B.Sc,CPC-AAPC)

• Analyze business problems and provide solutions to stakeholder's system users, clients
• Created scrum board in JIRA for the projects for defining backlog items and used various artifacts for the board such as Releases, Versions, Epics and components
• Involve in sprint planning for the sub sequent releases in the project and conducted sprint demo, sprintretrospective meetings
• Created user stories which need to be delivered for the current sprint and get it reviewed by PO
• Work on healthcare financials which included revenue cycle management and UB04 and 1500 claims processing
• Used SQL for the verification of the database
• Used Quality Center and Jira for test management

• Serves as a mediator between the team and the Quality Council
• An effective leader with proven abilities in leading teams and guiding team members and enabling knowledge sharing and problem solving among the team members
• Ensures smooth and effective operations of the team
• The agenda of all meetings and ensure necessary resources are available for the meeting
• Direct team activities toward stated goals
• Prepare management daily, weekly and monthly reports. Conduct monthly assignments for all agents related to process management, Attain weekly client calls with manager and prepare MOM, Prepare workplan and weekly meetings with agents related to process management
• Handling client escalation calls & responsible to generate/increase work volume from existing clients across revenue cycle processes
• Helping team in pre-call analysis and check status on web portal services and how they need to follow up on pending claims, denied claims, aging claims, reopening claims to receive maximum reimbursement from the insurance companies.

• Multi-specialty coding experience mainly Surgery, E&M and other specialties.
• Good Knowledge in E&M / ER coding (Pro / Facility) and Surgery
• Good Knowledge in Claim Resolution Denial Management
• Attention to detail & Quality focused.
• Good Analytical & Comprehension skills.
• Expertise in review part of medical records in Pre-Pay claims of Medicare & Retirement plan such as First review, Reconsideration claims, Interventional radiology of Medicare & Retirement plan and Appeals as well.

• Trained on Human anatomy, physiology, Evaluation and Management and Medical Terminology.
• Good understanding on ICD-9 CM, Modifier and CPT coding guidelines.

Specialty:

• Worked on Emergency Room/Emergency Department services, interpret the medical records and report the following codes.
• Worked on both ER/ED Physician coding.
• Assigning CPT Codes with appropriate Modifiers.
• Assigning ICD-9 CM and HCPCS Codes.
• By using CPT/HCPCS coding manuals and Encoder pro Reviewed charts for correct admit/discharge dates and entering proper surgery dates.