Neelapu Jyothsna

Working as a SME ( Subject MAtter Expert)

Responsibility: Providing Some Procedural Clarification to team When Required and Assisting in Production aswell.

• Currently working as a QA in Eclat Health solutions Hyderabad from Sep 19, 2023 to 29th November 2025
• Successfully handled a team with 9 coders (Austin) with good quality and productivity and good reviews from the client as a QA in current organization.
• Handled a client (APMG) with QA & TL responsibilities with effective communication with client, as a part of client norms worked in collaboration with AR callers to manage denial payments and document suggestions.
• While working in the client APMG able to gain some knowledge of different payers and their document, modifiers, coding requirements.

• Worked as a Senior coding analyst in R1RCM Hyderabad
• Maintained good quality and productivity while working in R1 as a senior coder.

• Worked as an auditor in EXL- Scio mine - surgery coding
• Upskilled about NCCI guidelines and overriding criteria.
• Improved anatomy basics of surgery required to understand OP report appropriately.
• Upskilled about denial basics how a procedure could be denial based on proof reading and paper specific guidelines.
• Learned to write a good and brief provider letter or verbiage guidelines.
• Upskilled about CMS guidelines of Medical Necessity and auditing Skills.

• Worked as a Medical Coder in Pena4 tech Solutions Private Limited.
• Started career as an ED coder in 2015 worked as an ED coder till 2018.
• After certification (CPC) in 2018, through IJP moved to SDS coding in same organization.
• 2018 May moved to L&D department - OP desk as an OP trainer and successfully trained a batch on OP coding including CPT all chapters successfully 1 years. (2018-2019)
• Post that 1.5 years worked as same day surgery coder, from (2019-2021).
• Partially Assisted in L&D Department for OP New Coders and Partially Worked As a SDS Coder as per Organisation requirement (2019-2021)

• Worked as a biotechnology lecturer in BRBM College Vizag