Sandeep Kumar M
Hyderabad
Summary
Delivery Lead at Reventics with expertise in project management and resource allocation. Proven track record in enhancing client satisfaction and driving process improvements. Skilled in ICD-10-CM coding and fostering teamwork, I effectively manage a team of 36, ensuring adherence to SLAs and operational excellence.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Delivery Lead
Reventics an Omega healthcare
Hyderabad
04.2014 - Current
- Handling 4 Accounts (ED Facility ED Profee. ED OBS and Diagnostic Radiology with a team of 36 members)
- Preparing daily workloads for staff & co- coordinating the daily allocation of work.
- Project management/Resource management and performing all activities as per client satisfaction
- Enhance client and employee experience by continuous improvement/ideas and drive generation and execution of ideas at project level
- Participating in manager reviews for betterment of the process & revenue generation.
- Project planning/Execution, process redesign, change management, Ensure adherence to SLAs-(Productivity, Internal quality, External quality)
- Manage shrinkage by managing planned and unplanned leaves.
- Reduce TAT towards client by process improvement.
- People engagement (On- One's, Team meeting, floor intelligence to control attrition.
- Ensure operational processes and best practices are in place, documented and are regularly reviewed e.g:- SOP, BCP plans. Training and support documentation.
- Ensure monthly R&R is conducted.
Quality Analyst
Gebbs Healthcare Solutions
Aurangabad
04.2019 - 03.2024
- Engaged in ED Facility & HCC Auditing.
- Responsible for Creating and Conducting QA audits and results on all coders, as well as audits of tenured colleagues on new accounts.
- Review the patient records concurrently and retrospectively to find Deficiency, inconsistency, lack of reliability and querying the physician for clarification.
- Assigning work to team and monitor the daily production.
- Conduct weekly, Monthly Physician meetings to educate the coders about clarifications related coding issues.
- Providing Training to Newly hired coders and deploying into the production.
Senior Process Executive
Cognizant Technology Services
Bangalore
11.2016 - 12.2018
- Engaged in medical coding in HCC an HEDIS Coding.
- Utilized various coding books and expert in 3M and Encoder-Pro.
Medical Coder
E4E Healthcare private limited (Nthrive)
Chennai
07.2014 - 10.2016
- Worked in a fast-paced medical office with multiple physicians specializing in HCC&ED.
- Coded Medical Records utilizing ICD-10-CM and CPT-4 conventions.
- Responsible for compiling data from medical records to document patient condition and treatment according to standardized coding specification.
Education
M.Sc. - Biotechnology
Telangana University
NizamabadB.Sc. - optional Bio-technology, Micro-Biology and Chemistry
S.R.K Degree & P.G College
SiddipetIntermediate -
Sri Teja junior college
SangareddySSC -
Sri Saraswathi shishu mandir
SangareddySkills
- 3M, Cerner, Citrix, Optum
- Multi-tasking
- ICD-9-CM, ICD-10-CM, CPT
- Interpersonal skills
- Teamwork
- Fast-paced medical care environments
Languages
- English
- Hindi
- Telugu
- Tamil
Personal Information
- Father's Name: Ramulu
- Date of Birth: 01/29/91
- Gender: Male
- Nationality: Indian
- Marital Status: Married
Certification
- Cleared CCS certification of AHIMA.
- Cleared CPC-H (COC) certification of AAPC.
- Completed AAPC’s ICD 10 CM Proficiency Assessment.
- Completed Lean Six Sigma Yellow Belt Certification from Udemy.
Timeline
Quality Analyst
Gebbs Healthcare Solutions
04.2019 - 03.2024
Senior Process Executive
Cognizant Technology Services
11.2016 - 12.2018
Medical Coder
E4E Healthcare private limited (Nthrive)
07.2014 - 10.2016
Delivery Lead
Reventics an Omega healthcare
04.2014 - Current
M.Sc. - Biotechnology
Telangana University
B.Sc. - optional Bio-technology, Micro-Biology and Chemistry
S.R.K Degree & P.G College
Intermediate -
Sri Teja junior college
SSC -
Sri Saraswathi shishu mandir
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