Satya Prakash Rai

Forward-thinking Operations Specialist bringing more than seven years of expertise in medical coding for E2E RCM businesses. Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient in all the widely used coding tools like Encoder, 3M, Codify, Athena, eCW, EPIC etc.

Hands-on experience in various Six Sigma methodology such as DMAIC and Kaizen. as a yellow belt. Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency.

• Coronis Health, Process Team Lead, Looking after of 39 Users team, Established efficient workflow process., Monitored daily productivity and implemented modifications to improve US reporting and handling client calls., Compile the updates, SOPs and make strategies to meet the client expectation., Taking care of all internal and external reporting of the process.
• NThrive Global Solutions Pvt. Ltd, Senior Medical Coder, Team coordination and work allocation., Resolve Work related queries., Compile Presentations, Temple and SOPs to improve quality and production of team., Assign appropriate ICD 10cm codes and CPTs as per medical record review., Compile full production and share with higher management., Deale with Client calls and mails to resolve their concerns.
• R1RCM, Coding Analyst, Assign appropriate ICD 10 cm codes and CPTs as per medical record review., Compile Cheat Sheets and SOPs to improve daily quality and production., Verify Patient details and charge review., Self-Audit and team audit in terms of improve efficiency of work.
• R1RCM, Coding Analyst, Charge review and verify coding followed by ICD 10 cm guidelines and CPT guidelines, Provide appropriate modifiers, Diagnosis, HCPCS and Procedure codes to resolve edits., Resolve all new generated edits and share details of changes made in claim to Reporting person.

• Passport Number: P1300776
• Father's Name: Dr. Vijay Bahadur Rai
• Date of Birth: 07/31/1995
• Gender: Male
• Nationality: Indian

• English
• Hindi

• Project management essentials certified from from Management & Strategy Institute Credential ID: 328794974
• Six Sigma Yellow belt certified from AIGPE
• Recognized as Star Supervisor in Q4,2023.