Summary
Overview
Work History
Education
Skills
Software
Timeline
AdministrativeAssistant
Ravi Kiran Jannila

Ravi Kiran Jannila

CPC, CPPM, CPC-I, LSSBB, CSM
Hyderabad

Summary

Dedicated and results-driven Healthcare Senior Manager with a proven track record of success in optimizing revenue cycle operations within the healthcare industry. A dynamic leader and strategic thinker with comprehensive expertise in managing the end-to-end revenue cycle, from patient registration to reimbursement. Possessing a keen understanding of regulatory compliance, financial analytics, and process improvement, excel in developing and implementing strategies that enhance organizational financial performance.

Key Competencies:

Leadership and Team Management: Successfully lead and inspire cross-functional teams, fostering a collaborative work environment. Demonstrated ability to motivate teams to achieve and exceed revenue cycle goals.

Strategic Vision and Decision-Making: Develop and execute strategic initiatives aligned with organizational objectives. Make informed decisions based on a thorough analysis of data, industry trends, and financial metrics.

Revenue Cycle Expertise: In-depth knowledge of revenue cycle processes, including patient registration, coding, billing, and reimbursement. Stay abreast of evolving healthcare regulations, coding standards, and industry best practices.

Financial Acumen: Proficient in financial analysis, budget management, and optimization of revenue cycle performance. Achieved measurable improvements in revenue and cash flow through effective financial strategies.

Communication and Stakeholder Engagement: Exceptional communication skills, with the ability to convey complex financial information to diverse stakeholders. Proven track record of building and maintaining effective relationships with payers, vendors, and internal departments.

Process Improvement and Workflow Optimization: Identify and implement process improvement initiatives to enhance efficiency and reduce operational bottlenecks. Streamline workflows and leverage technology to optimize revenue cycle operations.

Regulatory Compliance: Ensure strict adherence to healthcare regulations, including HIPAA, and maintain compliance readiness for audits. Successfully navigate complex compliance challenges and implement corrective actions.

Negotiation and Vendor Management: Skillful in negotiating reimbursement rates with payers and managing relationships with external vendors. Achieved cost savings through effective vendor management strategies.

Training and Development: Provide comprehensive training programs to enhance the skills and knowledge of revenue cycle staff. Foster a culture of continuous learning and knowledge-sharing within the team.

Problem Solving and Risk Management: Proven ability to identify and resolve complex issues related to billing, coding, and reimbursement. Mitigate risks through proactive risk management strategies.

As a Healthcare Senior Manager, bring a dynamic combination of leadership, strategic thinking, and technical expertise to drive financial excellence and operational efficiency in healthcare organizations. Committed to delivering measurable results, thrive in fast-paced environments where innovation and continuous improvement are paramount.

Overview

13
13
years of professional experience

Work History

Senior Manager Clinical Support

EHealth Technologies Pvt. Ltd.
10.2020 - Current

Key Responsibilities:

  • Develop and implement strategic initiatives to enhance efficiency and effectiveness of revenue cycle process. Collaborate with executive leadership to align revenue goals with overall organizational objectives.
  • Lead and manage team of 450 revenue cycle professionals, including billing specialists, coders, and collection staff. Provide mentorship, guidance, and performance feedback to team members.
  • Identify opportunities for process improvement and implement best practices to optimize revenue cycle operations. Conduct regular assessments of workflows, systems, and procedures to ensure efficiency and compliance.
  • Stay abreast of healthcare regulations, payer policies, and coding updates to ensure compliance with industry standards. Implement and enforce policies and procedures to maintain regulatory compliance.
  • Analyze revenue cycle metrics and financial data to identify trends, opportunities, and areas for improvement. Develop and present reports to executive leadership on key performance indicators and financial outcomes.
  • Collaborate with other departments, including finance, IT, and clinical operations, to streamline processes and improve overall financial performance. Foster positive relationships with external stakeholders, including payers and vendors.
  • Provide ongoing training and professional development opportunities for revenue cycle staff to ensure highly skilled and motivated team. Stay informed about industry trends and share knowledge with team.
  • Managed large-scale projects and introduced new systems, tools, and processes to achieve challenging objectives. Recommended and implemented successful strategies to maximize revenue.

Quality Manager – Medical Coding

Sutherland Global Services
12.2019 - 10.2020

Key Responsibilities:

  • Establish and implement quality assurance processes to ensure accurate and compliant medical coding practices. Conduct regular audits of coded medical records to assess accuracy, completeness, and adherence to coding guidelines.
  • Supervise and lead coding team, providing guidance, training, and performance feedback. Foster positive and collaborative work environment to enhance team productivity and job satisfaction.
  • Stay current with updates and changes to coding guidelines, regulations (such as ICD-10, CPT, and HCPCS), and industry best practices. Ensure that coding practices align with regulatory requirements and organizational policies.
  • Develop and manage comprehensive audit program to assess accuracy and compliance of coded medical records. Analyze audit findings, identify trends, and implement corrective actions as needed.
  • Provide ongoing education and training to coding staff on coding guidelines, updates, and best practices. Conduct regular workshops or training sessions to enhance skills and knowledge of coding team.
  • Establish and monitor key performance indicators (KPIs) related to coding accuracy, productivity, and turnaround time. Analyze performance metrics to identify areas for improvement and implement strategies to enhance overall coding efficiency.
  • Collaborate with healthcare providers, clinical documentation improvement (CDI) teams, and other relevant departments to address coding-related issues and improve documentation quality.
  • Stay informed about advancements in coding technology and software. Collaborate with IT teams to optimize coding software and tools for accuracy and efficiency.
  • Ensure compliance with regulatory requirements, such as HIPAA, and maintain understanding of potential coding-related compliance risks.
  • Prepare and present regular reports on coding quality and performance to senior management. Maintain accurate documentation of coding audits, corrective actions, and improvements.
  • Implement continuous improvement initiatives to enhance coding processes and reduce errors. Encourage culture of continuous learning and quality improvement within coding team.

“Deputy Manager – Operations & Training”

MEDEECODE Medical Coding And Billing Services
03.2017 - 12.2019

Key Responsibilities:

  • Oversee day-to-day operations of medical coding department, ensuring timely and accurate coding of medical records. Monitor coding productivity and efficiency, identifying areas for improvement and implementing optimization strategies.
  • Supervise and lead coding team, including recruitment, training, performance evaluations, and career development.
    Foster positive and collaborative work environment that promotes teamwork and professional growth.
  • Design and implement comprehensive training programs for new and existing coding staff. Develop training materials, modules, and resources to ensure consistent understanding of coding guidelines and regulations.
  • Conduct training sessions for coding staff, covering topics such as coding guidelines, updates, and best practices. Utilize various training methods, including classroom instruction, workshops, and e-learning platforms.
  • Establish and enforce quality assurance measures to ensure accurate and compliant coding practices. Conduct regular audits of coded medical records and provide constructive feedback to coding staff.
  • Define and monitor key performance indicators (KPIs) related to coding accuracy, productivity, and turnaround time. Analyze performance metrics to assess effectiveness of training programs and identify areas for improvement.
  • Collaborate with clinical documentation improvement (CDI) teams, healthcare providers, and other relevant departments to address coding-related issues and improve documentation quality.
  • Ensure that coding practices align with regulatory requirements, such as ICD-10, CPT, HCPCS, and other coding standards. Stay informed about updates to coding guidelines and regulations.
  • Evaluate and optimize coding workflows to enhance efficiency and reduce bottlenecks. Collaborate with IT teams to leverage technology and tools that support streamlined coding processes.
  • Prepare and present regular reports on coding operations, training effectiveness, and staff performance. Maintain accurate documentation of training sessions, audits, and corrective actions.
  • Implement continuous improvement initiatives to enhance coding processes, training programs, and overall departmental performance. Encourage culture of continuous learning and quality improvement within coding team.

Assistant Manager (Process Operations & Training)

Omega Healthcare Management Services Pvt. Ltd.
07.2015 - 03.2017

Key Responsibilities:

  • Assist in daily operations of medical coding department, ensuring accurate and timely coding of medical records. Monitor coding productivity, identify operational challenges, and contribute to implementation of improvement strategies.
  • Assist in supervision and management of coding staff, including providing support in recruitment, training, and performance evaluations. Foster positive and collaborative work environment, promoting teamwork and professional development.
  • Collaborate with Training Manager to support design and implementation of training programs for new and existing coding staff. Participate in development of training materials and resources.
  • Assist in conducting training sessions for coding staff, covering topics such as coding guidelines, updates, and best practices. Provide support in utilizing various training methods, including classroom instruction, workshops, and e-learning platforms.
  • Contribute to establishment and enforcement of quality assurance measures to ensure accurate and compliant coding practices. Participate in regular audits of coded medical records and provide feedback to coding staff.
  • Collaborate with Training Manager to define and monitor key performance indicators (KPIs) related to coding accuracy, productivity, and turnaround time. Assist in analyzing performance metrics to assess effectiveness of training programs and identify areas for improvement.
  • Collaborate with CDI teams, healthcare providers, and other relevant departments to address coding-related issues and improve documentation quality.
  • Ensure that coding practices align with regulatory requirements, staying informed about updates to coding guidelines and regulations.
  • Assist in evaluating and optimizing coding workflows to enhance efficiency and reduce bottlenecks. Collaborate with IT teams to leverage technology and tools that support streamlined coding processes.
  • Support preparation and presentation of regular reports on coding operations, training effectiveness, and staff performance. Assist in maintaining accurate documentation of training sessions, audits, and corrective actions.
  • Participate in continuous improvement initiatives to enhance coding processes, training programs, and overall departmental performance. Encourage culture of continuous learning and quality improvement within coding team.

Subject Matter Expert

Hinduja Global Solutions
06.2013 - 07.2015

Key Responsibilities:

  • Serve as go-to person for in-depth knowledge of coding guidelines, including ICD-10, CPT, HCPCS, and any other relevant coding standards. Stay current with updates and changes to coding regulations and industry best practices.
  • Develop and deliver training programs for coding staff to enhance their understanding of coding guidelines, documentation requirements, and compliance standards. Provide ongoing education on new coding procedures, technologies, and industry developments.
  • Lead and participate in coding quality assurance initiatives, conducting regular audits to ensure accurate and compliant coding practices. Provide feedback to coding staff based on audit findings and contribute to continuous improvement efforts.
  • Act as resource for coding team when handling complex or challenging coding cases. Review and assist with resolution of complex coding scenarios, ensuring accuracy and compliance.
  • Monitor and ensure adherence to all coding-related regulations, including HIPAA and other applicable healthcare compliance standards. Collaborate with compliance officers to address any coding-related compliance issues.
  • Collaborate with IT teams to optimize coding software and tools, ensuring they align with industry standards and support accurate coding. Provide input on selection and implementation of coding-related technologies.
  • Respond to coding queries and clarifications from coding staff, healthcare providers, and other relevant departments. Facilitate communication between coding and clinical documentation improvement (CDI) teams.
  • Identify opportunities for process improvement within coding department. Contribute to development and implementation of initiatives that enhance overall coding efficiency and accuracy.
  • Stay informed about emerging trends, research, and advancements in field of medical coding. Analyze industry benchmarks and performance metrics to ensure coding department remains competitive and compliant.
  • Collaborate with healthcare providers, CDI teams, compliance officers, and other stakeholders to address coding-related challenges and promote culture of accuracy and compliance.
  • Maintain accurate documentation of coding-related processes, training sessions, and quality assurance activities. Prepare and present reports on coding performance, compliance, and areas for improvement to senior management.

Team Leader

Care Management Internationals Pvt Ltd.
01.2012 - 06.2013

Key Responsibilities:

  • Provide leadership and guidance to of medical coders, including assigning tasks, monitoring workloads, and ensuring productivity. Foster positive and collaborative team environment, encouraging open communication and professional development.
  • Conduct regular audits of coded medical records to ensure accuracy, completeness, and compliance with coding guidelines. Provide constructive feedback to team members based on audit findings and support continuous improvement initiatives.
  • Coordinate and facilitate training sessions for new and existing coding team members. Mentor team members to enhance their coding skills, knowledge of guidelines, and compliance with regulations.
  • Monitor individual and team performance metrics, including coding accuracy, productivity, and turnaround time. Implement strategies to address performance issues and recognize high-performing team members.
  • Oversee workflow of coding team to ensure efficient and timely coding processes. Collaborate with other departments, such as clinical documentation improvement (CDI), to optimize documentation quality.
  • Address coding-related queries and issues raised by team members or other departments. Facilitate communication between coders and healthcare providers to resolve coding discrepancies.
  • Ensure that coding team adheres to all relevant coding regulations, including ICD-10, CPT, and HCPCS guidelines. Stay updated on changes to coding regulations and communicate updates to team.
  • Collaborate with CDI teams, healthcare providers, and other relevant departments to address coding-related challenges and improve documentation quality.
  • Conduct regular performance evaluations and provide constructive feedback to team members. Identify opportunities for skill development and training based on individual and team performance assessments.
  • Manage staffing levels to meet coding demands and maintain operational efficiency. Assist in recruitment and onboarding of new coding team members.
  • Maintain accurate documentation of team processes, training sessions, and performance evaluations. Prepare and present regular reports on team performance, coding accuracy, and areas for improvement.
  • Identify opportunities for process improvement within coding team. Implement and support initiatives that enhance overall coding efficiency and accuracy.

Medical Coder

Care Management Internationals Pvt Ltd.
10.2010 - 01.2012

Key Responsibilities:

  • Analyze and interpret medical records, including physician notes, laboratory results, and other healthcare documentation.
  • Assign appropriate alphanumeric codes (e.g., ICD-10, CPT, HCPCS) to diagnoses, procedures, and services based on documentation guidelines and coding standards.
  • Ensure compliance with coding guidelines, regulations, and industry standards. Stay informed about updates and changes to coding rules and regulations.
  • Maintain high level of accuracy and precision in assigning codes to reflect patient's medical condition and services provided.
  • Collaborate with healthcare providers and clinical documentation improvement (CDI) teams to resolve coding-related queries and discrepancies.
  • Enter coded information into electronic health records (EHR) or other coding software accurately and in timely manner.
  • Participate in coding quality assurance programs, including regular audits and reviews, to ensure compliance and accuracy.
    Implement corrective actions based on audit feedback.
  • Meet productivity targets and adhere to established turnaround times for coding assignments. Prioritize and manage coding tasks efficiently.
  • Engage in continuous learning and professional development to stay updated on coding updates, guidelines, and industry trends.
  • Communicate effectively with other healthcare professionals, including physicians and nurses, to clarify documentation and ensure accurate coding.
  • Maintain patient confidentiality and adhere to HIPAA regulations in handling and coding medical information.
  • Collaborate with other departments, such as billing, finance, and compliance, to address coding-related issues and ensure accurate reimbursement.
  • Generate reports on coding productivity, accuracy, and other relevant metrics for management and quality improvement purposes.
  • Collaborate with IT teams to ensure that coding systems and software are up-to-date and function effectively.
  • Prepare for external audits by ensuring coding practices are in compliance with regulatory requirements and industry standards.

Education

Bachelor of Science - Pharmacy

Utkal University
India
04.2001 -

Master of Science - Pharmacology

Utkal University
India
04.2001 -

Bachelor of Computer Applications -

MRCP University
India
04.2001 -

Certified Professional Coder (CPC) - Medical Insurance Coding

American Academy of Professional Coders (AAPC)
USA
04.2001 -

Certified Physician Practice Manager (CPPM) - Healthcare Administration

American Academy of Professional Coder (AAPC)
USA
04.2001 -

Certified Professional Coder - Instructor CPC-I -

American Academy of Professional Coder
USA
04.2001 -

Lean Six Sigma Black Belt (EOMS UK Accrediation) -

Asian Institute of Quality Management
UK
04.2001 -

Certified Scrum Master (CSM) - Agile Scrum Master

Scrum Alliance
USA
04.2001 -

Project Management Professional PMP Trained -

Project Management Intitute - PMI
USA
04.2001 -

Skills

Leadership and Management

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Software

Expertise with EMR softwares: Epic, Allscripts, Praxis EMR, eClinicalWorks, Cerner, NextGen, athenahealth, Meditech

Proficiency with Artificial Inteligence AI Tools

Accomplishments with Agile tools like Jira, VersiOne, Confluence, Agile Bench

Timeline

Senior Manager Clinical Support

EHealth Technologies Pvt. Ltd.
10.2020 - Current

Quality Manager – Medical Coding

Sutherland Global Services
12.2019 - 10.2020

“Deputy Manager – Operations & Training”

MEDEECODE Medical Coding And Billing Services
03.2017 - 12.2019

Assistant Manager (Process Operations & Training)

Omega Healthcare Management Services Pvt. Ltd.
07.2015 - 03.2017

Subject Matter Expert

Hinduja Global Solutions
06.2013 - 07.2015

Team Leader

Care Management Internationals Pvt Ltd.
01.2012 - 06.2013

Medical Coder

Care Management Internationals Pvt Ltd.
10.2010 - 01.2012

Bachelor of Science - Pharmacy

Utkal University
04.2001 -

Master of Science - Pharmacology

Utkal University
04.2001 -

Bachelor of Computer Applications -

MRCP University
04.2001 -

Certified Professional Coder (CPC) - Medical Insurance Coding

American Academy of Professional Coders (AAPC)
04.2001 -

Certified Physician Practice Manager (CPPM) - Healthcare Administration

American Academy of Professional Coder (AAPC)
04.2001 -

Certified Professional Coder - Instructor CPC-I -

American Academy of Professional Coder
04.2001 -

Lean Six Sigma Black Belt (EOMS UK Accrediation) -

Asian Institute of Quality Management
04.2001 -

Certified Scrum Master (CSM) - Agile Scrum Master

Scrum Alliance
04.2001 -

Project Management Professional PMP Trained -

Project Management Intitute - PMI
04.2001 -
Ravi Kiran JannilaCPC, CPPM, CPC-I, LSSBB, CSM