Summary
Overview
Work History
Education
Skills
Leadership & Communication
Soft Skills & Attributes
Certification
Languages
Affiliations
Accomplishments
Extracurricular Activities
Hobbies and Interests
Timeline
Generic

Sompalli Supriya Reddy

Hyderabad

Summary

Healthcare professional with over 5 years of experience as a medical reviewer and 7 years in clinical settings, including ICU and emergency medicine. Proficient in more than 40 EMR platforms, including MEDITECH, EPIC, and Allscripts. Expertise in denial management and authorization appeals, ensuring compliance with healthcare regulations. Demonstrated leadership in high-pressure environments, promoting collaboration and team success.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Senior Medical Reviewer/Senior Internal Auditor

Primera Medical Technologies
Hyderabad
01.2019 - Current
  • Reviewed medical records across 40+ EMR platforms to ensure compliance with payer guidelines.
  • Applied IQC and MCG standards for assessing medical necessity and service appropriateness.
  • Managed high-volume caseloads, consistently exceeding productivity and accuracy benchmarks.
  • Conducted peer training sessions, mentoring new hires on review protocols and systems.
  • Coordinated daily status reports while serving as team liaison for escalations.
  • Collaborated with cross-functional teams to prioritize case reviews.

Casuality Medical Officer

AIG Hospital
Hyderabad
01.2018 - 01.2019
  • Acquired clinical experience in critical and acute care settings.
  • Conducted patient assessments and medical examinations across diverse health conditions.
  • Delivered life-saving interventions during emergencies to stabilize patients.
  • Monitored daily health status of patients in post-operative wards.
  • Prepared detailed summaries and updated drug charts to maintain accurate records.
  • Coordinated monthly health camps for routine wellness check-ups and preventive care.
  • Assisted with blood donation camps, promoting community health initiatives.

Education

Bachelor Of Medicine, Bachelor Of Surgery - Medicine

NMU University
Hyderabad
07.2017

Intermediate - BIPC

Sri Chaitanya Junior College
Hyderabad
07.2009

Skills

Denial management and appeals

Clinical auditing and documentation

IQC guidelines (2017–2025)

MCG guidelines (21st–29th edition)

EMR systems: MEDITECH, EPIC, CAREPORT, ALLSCRIPTS, WEBPORTAL

Utilization review and medical necessity

Peer training and team leadership

Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)

Skype and Microsoft Teams

Leadership & Communication

Peer training and mentorship

Cross-functional team collaboration

Productivity and time management

Client communication and reporting

Quality assurance and feedback integration

Soft Skills & Attributes

Attention to detail

Critical thinking

Adaptability in fast-paced environments

Problem solving

Professional ethics and integrity

Certification

ACLS, AIG Hospital, 02/2019

Languages

Telugu
First Language
English
Proficient (C2)
C2
Hindi
Intermediate (B1)
B1

Affiliations

  • Member of the Healthcare Professionals Network – participated in peer discussions, webinars, and policy reviews to stay updated on evolving medical standards and practices
  • Volunteer, community health outreach program – assisted in organizing free health camps and patient education sessions in underserved areas
  • shared insights for platforms like Epic, Meditech, and Allscripts
  • Team lead, hospital process improvement initiative – collaborated with cross-functional teams to streamline patient intake and reduce EMR documentation errors
  • Mentor, Clinical Intern Training Program – Guided new interns in ICU protocols, EMR usage, and emergency response procedures

Accomplishments

  • Top Performer Award – Primera Medical Technologies (2022), recognized for exceeding productivity benchmarks and maintaining 98% accuracy in medical reviews
  • Excellence in clinical documentation – AIG Hospital (2019), honored for outstanding contributions to patient charting and compliance with ICU protocols
  • Peer mentor recognition – Primera Medical Technologies (2024), acknowledged for leading onboarding and training of new reviewers, enhancing team performance
  • Healthcare Hero Volunteer Award – Community Health Outreach (2019), commended for organizing and participating in multiple health camps and awareness drives

Extracurricular Activities

Volunteering Blood Donations camps

Hobbies and Interests

  • Listening to music
  • Travelling
  • Reading books

Timeline

Senior Medical Reviewer/Senior Internal Auditor

Primera Medical Technologies
01.2019 - Current

Casuality Medical Officer

AIG Hospital
01.2018 - 01.2019

Bachelor Of Medicine, Bachelor Of Surgery - Medicine

NMU University

Intermediate - BIPC

Sri Chaitanya Junior College

Similar Profiles

CREATE PROFILE
Sompalli Supriya Reddy