MANU VIKRANT

Work History

Consultant – Independent Capacity

Independent Contractor

Panchkula, Mohali

07.2024 - Current

Agile methodology for development of in-house rule engine product and analytics products/features.
Creating and maintaining BA artifacts like BRD and FRD, writing user Stories to convert requirements into features.
Maintaining backlog with an eye on product competitiveness and conducting stakeholder interviews.
Conducting research on current guidelines and updates for existing clients in operations and onboarding of new clients or client trials.
Collaborated with cross-functional teams in operations, technical team, business development team, and automation team to successfully deliver comprehensive solutions for clients.
Managed client relationships through regular check-ins and updates on project progress in operations, Automation and product teams.
Liaised with customers, management, and sales team to better understand customer needs and recommend appropriate solutions.
Identified areas of improvement in medical coding and billing practices for in-house clients through quality checks and audits as well writing rebuttals for client queries.
Conducted thorough market research and analysis, providing valuable insights for client decision-making for product team.
On ground support for medical coding team on ad-hoc basis for chart based coding.

Manager - Business Analysis

Perceptiviti Data Solutions Pvt Ltd

Gurgaon

04.2021 - 02.2024

Utilizing Agile methodology for development of Rule-Engine based products and in-house analytics products/features
Creating and maintaining BA artifacts like BRD and FRD, writing user Stories to convert requirements into features
Utilizing Scrum framework and conducting stakeholder interviews for discovery and refinement of business needs, backlog ownership, tracking tasks and subtasks to completion according to definition of done
Attending and leading sprint events like DSM for feature development and resource utilization, review and retrospection associated with sprint lifecycle
Client interaction and discussions regarding requirement gathering and elicitation, gap analysis, feedback and enhancements
Internal discussions including stakeholder interviews and with tech team for Definition of Done, coordinate with tech leads/scrum masters for task creation, change and tracking using tools like Jira and Clickup; tracking progress via Kanban boards, using wireframes to convey logic and output from edits
Maintaining related artifacts like product backlog, Kanban tasks for business team (user stories), business requirement documentations as needed, MOMs and other client communication for product feature meetings, pseudocode matrix, creation of user acceptance testing scenarios, client feedback and engagement for product enhancement
Leading product features for rule-engine based product; responsible for life-cycle of edits including research, masterdata compilation, masterdata mapping; lead discovery, creation and acceptance of business rules from medical coding research and client policies into actionable edits
Strategic decision discussions like Product conceptualization, Go to market initiatives including product packaging, product discovery, market research for competing products, product design features like defining LOBs, specialties, provider types, etc; involvement in answering Post-sales RFPs questionnaire and client-facing decks for capability demonstration
Team collaboration for OKR achievement, Understanding stakeholder and client requirements, collaboration with team and stakeholders for requirement analysis and feature development
Successful onboarding of two new clients during my tenure while helping the technical and sales with the RFPs, demo and first pass of our product. Successfully collaborated with client for their issues and necessary rebuttals on product features and output.
Single handedly developed and collaborated with the tech team for implementation of rule engine logic for more than 70% of product IP responsible for anywhere between 30 to 80% of product output directly deliverable to the client.

Business Systems Analysis Sr. Specialist

NTT Data Pvt Ltd

Noida

06.2018 - 03.2021

Engaged in Prepay claim scrubbing product and Recovery analytics for payers and providers, mainly providing functional BA and domain expertise
Maintaining BRD documentation, collaborating with cross functional teams for POCs, RFPs, and client facing decks with scenario examples
Acting as domain expert for the team, suggesting and leading initiatives on domain specific feature enhancements in Payment Integrity product and rule engine
Single-handedly developed logic for CMS-based rules contributing to around 50% of output for the Payment Integrity product on the rule-engine aspect.
Successfully leveraged domain expertise to transform a legacy application to Azure based application for one of the major payor client by deriving updated logic and collaborating with technical team for the development and implementation of same.
Involved in RFP responses for the domain specific aspects.
Developed scenarios for client facing demo and presentation decks that clearly brought out prime use cases for our Payment Integrity product.

Claims Quality Analyst (Product Research Analyst)

Optum (formerly UnitedHealth Group)

Noida

01.2014 - 06.2018

Worked as Product Research Analyst (Claims Quality Analyst) in Medicaid Data Development team for a reimbursement-driven rules-based engine to help clients scrutinize their claims
Profile primarily involved product research and development based on secondary research from secondary and tertiary resources in Medicaid Reimbursement and medical policies involving various programs and different provider provisions in Medicaid
Use of SQL-based rule development engine to develop rules utilizing logical parameters (operators, operands, lists, values, etc) for a claim processing product; including development of claim testing scenarios, building product edits around real-time claim scenarios, validating rules for Coding guidelines and Medicaid policies
Provided support in client queries and rebuttals as well as independent handling of direct queries, collaborating with team members for rebuttals, rationale and research
User story creation and updation in Kanban boards using Rally tool
Cleared Management Trainee assessment including Aptitude round and Behavioral Assessment round (third party evaluation by PWC)
Attended trainings on various soft skills and US Healthcare concepts, .e.g
Messaging and Presentation Skills, Problem Solving, Situational leadership, Healthcare Insurance Exchange, etc

Coding Content Writer

Eli Research Pvt Ltd.

Faridabad

10.2013 - 01.2014

Worked as Coding Content Writer
Responsible for writing content for digital and online coding content for CPT lay terms in accordance with AMA defined procedural concepts
The process required extensive research into various CPTs in terms of their reporting guidelines and service coverage so that coding professionals can use that content to guide their coding scenarios
As a Coding Content Writer, the profile included providing content writing for marketing team including development of LPs for coding products like data sets
Also coding content development for books, journals, quizzes, etc
The profile also included working as part of a coding/billing experts’ team on online forums responding to queries from customers to provide authentic, result-oriented solutions within a 24-hour TAT on various coding billing questions

Team Lead (Medical Coding)

One World Technologies Pvt Ltd.

Ambala

03.2013 - 10.2013

Worked as Team Lead (Medical Coding)
Responsible for process development including development and upkeep of guidelines, direct interaction with client offices for coordination of process streamlining
Serve as a central knowledge base for all aspects as required in coding and related billing aspects like chargemaster, claim rejections, superbill creation, etc
Also, been involved in the Certification process for Meaningful Use certification of the proprietary EHR of our company
Direct reporting to the Organisational Head (CEO) and also coordinate and report to the client base in US (the Joint Venture)
Involved in hiring process and responsible for spearheading future expansion including training

Sr. Medical Coder

IDS Infotech Ltd.

Mohali

10.2011 - 03.2013

Responsible for process development, guidelines and serve as a central knowledge base for specialty coding projects involving E&M, surgery coding, and HCC Coding
Also, conducted training for ICD-9 CM and HCPCS coding skills for coding trainees and also actively involved in the recruitment process by coordinating with the HR department and Process Manager for the same

Medical Coder

Genascis India Pvt. Ltd.

Noida

04.2007 - 08.2011

Started the Medical Coding career as a Trainee and working as Medical Coder 1, Grade B, and then as Grade A with 90% of work volume as client-deliverable
Project initiative and development of internal guidelines with data research for HCPCS Level II codes from CMS, AMA and other online resources
Worked as an Independent Contractor (WFH) with GPM delivering more than 95% of work volume directly to the client and responsible for day-end and month-end reporting and client-end communication for issues

Summary

Overview

Work History

Consultant – Independent Capacity

Manager - Business Analysis

Business Systems Analysis Sr. Specialist

Claims Quality Analyst (Product Research Analyst)

Coding Content Writer

Team Lead (Medical Coding)

Sr. Medical Coder

Medical Coder

Education

MBA - Healthcare

Skills

Certification

Personal Information

Software

Timeline

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