SHIVA KUMAR VADLAMUDI
Hyderabad
Summary
Revenue Cycle Management professional with 10 years of experience across hospital billing, professional billing, claims processing, denials management, accounts receivable follow-up, remittance review, appeals, underpayment resolution, and patient financial services. Epic Resolute Hospital Billing certified, with current Epic Tapestry experience and prior Epic Bridges production support at Deloitte. Known for improving clean claims, reducing turnaround time, lowering write-offs, and resolving payer and billing issues in fast-paced healthcare environments.
Overview
1
1
Certification
11
11
years of professional experience
Work History
Epic Tapestry Consultant
Deloitte
Hyderabad
04.2026 - Current
- Collaborated with business and technical teams to resolve eligibility and enrollment issues, enhancing billing accuracy.
- Configured new MLB and AIF builds in pre-production; deployed to production via content management.
- Executed file re-triggers, UAT testing, deployment validation, and resolved production issues efficiently.
- Managed end-to-end deployment activities, ensuring configuration releases and providing robust post-deployment support.
Epic Bridges Consultant
Deloitte
Hyderabad
05.2022 - 04.2026
- Developed and maintained Epic Bridges interfaces for efficient healthcare data exchange.
- Configured routing transformations and message validation within Epic Bridges for optimal performance.
- Supported HL7 v2.x interfaces including ADT, ORM, ORU, SIU, and DFT.
- Monitored interface performance, resolving integration issues to ensure high availability.
- Performed testing and troubleshooting of interfaces while providing production support.
- Collaborated with cross-functional teams and vendors to implement effective interface solutions.
- Analyzed HL7 messages and logs to identify and rectify data transmission issues.
- Supported interface deployments, upgrades, and maintained technical documentation.
Senior Analyst / Senior Revenue Cycle Specialist
R1 RCM / Cerner Transition
Hyderabad / Bengaluru
10.2019 - 05.2022
- Managed hospital and professional billing operations, focusing on claims processing and remittance reviews.
- Achieved 52% reduction in account write-offs for major payers within 12 months.
- Improved clean claim process by 43% through effective denial management and A/R reduction.
- Resolved incorrect payments and EOB rejections to enhance reimbursement outcomes.
- Reduced turnaround time by 53% by correcting billing edits and provider information.
- Monitored daily underpayments while documenting workflows to streamline internal processes.
Executive – AR
Omega Healthcare
Bengaluru
08.2018 - 08.2019
- Monitored open A/R to identify and resolve adjustments, refunds, and payment breakdowns, enhancing accuracy in accounts receivable management.
- Analyzed claim denials for coding errors and payer policy updates, implementing necessary corrections to ensure compliance.
- Prepared appeals and reconsideration forms through payer portals and payer-specific formats.
- Updated patient accounts with accurate insurance and demographic information.
Junior Medical Coder
XL Health
Bengaluru
04.2017 - 02.2018
- Reviewed medical documentation, assigning accurate ICD-10-CM codes for inpatient and outpatient charts to support proper billing and patient care.
- Assigned appropriate codes for diagnoses and procedures using ICD-10 and CPT guidelines.
- Reviewed medical records for accurate coding and compliance with regulations.
- Mapped codes to appropriate HCC categories to ensure compliance and optimize reimbursement.
- Collaborated with healthcare professionals to clarify documentation and coding queries.
AR Associate
IKS Health
Hyderabad
07.2015 - 12.2016
- Processed electronic billing and posted insurance payments while following up on outstanding balances and refunds to facilitate cash flow.
- Resolved pre-billing edits, rejections, and invalids to ensure timely payment generation.
- Prepared appeal packages for US health insurance companies to support claims resolution.
Education
MBA - HR & Marketing
Siddhartha Institute of Science & Technology
HyderabadBachelor of Science - Mathematics, Electronics & Computer Science
Avanti Degree College
HyderabadIntermediate - Mathematics, Physics & Chemistry
Guntur Vikas Junior College
HyderabadSSC -
Grace Mission High School
HyderabadSkills
- Epic hospital billing and revenue cycle management
- Claims processing and edits
- Denials and rejections management
- Accounts receivable follow-up
- EOB/ERA review and appeals
- Payment posting and adjustments
- Clean claim improvement strategies
- Epic Tapestry and Bridges support
- HL7 interface troubleshooting
- ServiceNow ticket management
- HIPAA compliance oversight
- Cross-functional coordination
- Revenue cycle operations support
- Claim reimbursement assistance
- Medical coding fundamentals
- CMS-1500 and UB-04 knowledge
- EDI/Clearinghouse familiarity
- Process improvement initiatives
- Go-live support and training
Certification
- Epic Resolute Hospital Billing Administration, June 2026
- Bridges Interfaces EDI 101, Epic, Sep 2022
- CPC-A, AAPC, Feb 2016
Timeline
Epic Tapestry Consultant
Deloitte
04.2026 - Current
Epic Bridges Consultant
Deloitte
05.2022 - 04.2026
Senior Analyst / Senior Revenue Cycle Specialist
R1 RCM / Cerner Transition
10.2019 - 05.2022
Executive – AR
Omega Healthcare
08.2018 - 08.2019
Junior Medical Coder
XL Health
04.2017 - 02.2018
AR Associate
IKS Health
07.2015 - 12.2016
MBA - HR & Marketing
Siddhartha Institute of Science & Technology
Bachelor of Science - Mathematics, Electronics & Computer Science
Avanti Degree College
Intermediate - Mathematics, Physics & Chemistry
Guntur Vikas Junior College
SSC -
Grace Mission High School