Thummala Balanjaneyulu
Kurichedu
Summary
Dynamic Medical coding with a proven track record at R1 RCM Global Pvt. Ltd., excelling in SDS and ED facility coding. Expert in ICD-10-CM and CMS guidelines, consistently achieving high quality scores. Recognized for strong analytical skills and adaptability, driving compliance and accuracy in healthcare coding operations.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Software Engineer
Whisk Software Private Limited
07.2022 - 03.2023
- Supported healthcare coding workflows by aligning system logic with clinical documentation and coding standards.
- Worked with cross-functional teams to analyze coding-related data issues, ensuring accurate data representation within applications.
- Assisted in validating outputs against medical records to ensure compliance with payer and regulatory requirements.
- Gained exposure to healthcare technology environments, strengthening understanding of coding system integrations.
- GSPANN Technologies
Senior Analyst - Medical Coding
R1 RCM Global Pvt. Ltd.
08.2018 - 07.2022
- Performed high-volume ED and SDS facility coding with strong adherence to CMS, Medicare, and Medicaid guidelines.
- Ensured accurate assignment of ICD-10-CM and CPT codes based on detailed clinical documentation review.
- Maintained consistently high quality scores and met productivity targets across multiple client requirements.
- Utilized 3M Encoder, EPIC, MEDITECH, PARALLON, and HPF for coding and validation activities.
- Participated in internal audits, error trend analysis, and corrective action discussions to improve coding accuracy.
- Demonstrated flexibility by adapting to frequent guideline updates, workflow changes, and client-specific rules.
- Rejoined on 01/03/2024
Senior Medical Coder
Dell / NTT DATA Pvt. Ltd.
Chennai
04.2017 - 05.2018
- Delivered end-to-end facility coding services for SDS and ED encounters.
- Interpreted complex operative reports, ED notes, and ancillary documentation to assign compliant codes.
- Supported quality initiatives by minimizing rework and reducing coding discrepancies.
- Collaborated with QA teams to resolve feedback and maintain compliance benchmarks.
Senior Medical Coder
GeBBS Healthcare Solutions
Navi Mumbai
09.2015 - 03.2017
- Initiated career in large-scale healthcare coding operations with focus on accuracy, turnaround time, and compliance.
- Developed strong fundamentals in medical terminology, anatomy, physiology, and pharmacology.
- Consistently met productivity expectations while maintaining high coding accuracy.
- Recognized for quick learning ability and adaptability to new clients and tools.
Education
Bachelor of Science (B.Sc.) - Bioinformatics
JKC College
GunturIntermediate - Bi.P.C.
MSR Junior College
KuricheduSecondary School Certificate (SSC) -
YR ZP High School
KuricheduSkills
- SDS & ED Facility Coding
- ICD-10-CM
- CPT
- CMS Guidelines
- Medicare & Medicaid Compliance
- 3M Encoder
- Coding Validation
- Facility DRG & APC Understanding
- Medical Record Review
- Audit Readiness
- EHR
- Encoder Systems
- Productivity & Quality Metrics
- Clinical Documentation Analysis
- HIPAA
- Regulatory Compliance
- Coding Systems
- Encoders & Tools
- EHR / Applications
- Other Tools
- Operating Environments
- Strong analytical and problem-solving skills
- Excellent understanding of clinical documentation
- Quick learner
- High adaptability to change
- Effective individual contributor
- Team facilitator
- Strong verbal and written communication skills
- Thorough knowledge of Medicare & Medicaid regulations
Certification
AAPC - Certified Outpatient Coder (COC), 01434079
Languages
- Telugu
- English
- Telugu
Personal Information
- Passport Number: U9474907
- Date of Birth: 06/01/88
- Gender: Male
Timeline
Software Engineer
Whisk Software Private Limited
07.2022 - 03.2023
Senior Analyst - Medical Coding
R1 RCM Global Pvt. Ltd.
08.2018 - 07.2022
Senior Medical Coder
Dell / NTT DATA Pvt. Ltd.
04.2017 - 05.2018
Senior Medical Coder
GeBBS Healthcare Solutions
09.2015 - 03.2017
Bachelor of Science (B.Sc.) - Bioinformatics
JKC College
Intermediate - Bi.P.C.
MSR Junior College
Secondary School Certificate (SSC) -
YR ZP High School