Summary
Overview
Work history
Education
Skills
Additional Information
Accomplishments
Certification
Languages
Work availability
Timeline
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Harish Gaddam

Coventry,United Kingdom

Summary

Ambitious Quality Analyst with track record of dependability and leadership. Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Proficient in preparing test cases, plans and scripts. Dedicated to analyzing and resolving defects.

Overview

13
13
years of professional experience
1
1
Certification

Work history

QA Analyst

Cotiviti
Hyderabad, India
05.2022 - 12.2023
  • Developed monthly, end-of-quarter and other statistical reports for leadership team and quality improvement programs.
  • Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
  • Updated inspection journals and daily summary logs with quality-related data.
  • Administered internal quality audits and assessed results to inform corrective action measures.

Senior Quality Specialist

R1 RCM Global Pvt Ltd
Hyderabad, India
01.2021 - 04.2022
  • Identified control gaps in processes, procedures and systems through in-depth research and assessment and suggested methods for improvement.
  • Obtained and interpreted relevant and authoritative criteria for program or issues under audit.
  • Initiated, performed and documented quarterly coding audits for physicians.

Senior Coding Analyst

R1 RCM Global Pvt Ltd
Hyderabad, India
07.2019 - 12.2020
  • Verified, coded and added modifiers to diagnoses.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.

Medical Coding Executive

Visionary RCM Infotech Pvt Ltd
Hyderabad, India
10.2016 - 05.2019
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Accurately selected proper descriptive code when more than one anatomical location was indicated.
  • Reviewed patient charts to better understand health histories, diagnoses and treatments.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.

Medical Data Entry Specialist

SIA Group
Hyderabad, India
07.2014 - 06.2016
  • Managed documents by organizing forms, making photocopies, filing records, preparing correspondence and creating reports.
  • Increased data-entry productivity by maintaining detailed logs of data projects, identifying issues and improving them.

Writer & Content Developer

SIA Group
Hyderabad, India
05.2011 - 06.2014
  • Proofread copy written by colleagues to correct spelling, punctuation and grammar.
  • Utilized exceptional writing, editing and proofreading skills to produce engaging and error-free content.
  • Organized material to research and complete writing tasks.
  • Repurposed and optimized existing content for use in different mediums.

Education

Bachelor of Science - Pharmacy

Vision College of Pharmaceutical Sciences & Research, Jawaharlal Nehru Technological University
India

Skills

  • P>Medical claims coding
  • P>Coding error resolution
  • P>Quality auditor
  • P>Data reviewing
  • P>Data entry
  • Picking and packing
  • Bar code allocation

Additional Information

  • Perform coding quality reviews for OP records for different patient types like HCC, Radiology, Ancillary, Epars-edits & Denials as per general & client guidelines. Audit and educate new & established coders. Identify coding quality improvement opportunities and work with respective managers to develop recommendations. Author, edit, and review quality communications (e.g., policies, procedures & training) make recommendations for updates. Provide feedback and education to coding staff through written communication. Consult SMEs for clarification of scenarios related to patient charts to avoid errors. Be updated about new coding guidelines and rules as they change from time to time. Maintain confidentiality of patient information at all times. Provide guidance and educate fellow auditors. Share skills, knowledge and expertise to fellow auditors. Set and meet ongoing goals and priorities. Perform other special assignments as requested by manager.

Accomplishments

  • Stood as R1 Young Star in 2019 and R1 Star of the quarter twice in the year 2021.
  • Stood as monthly top performer thrice in the year 2018.
  • Selected as mentor and successfully handled a team of 10 members.

Certification

  • Certified Professional Coder (CPC) by AAPC (American Academy of Professional Coders)

  • Diploma in Computer Applications (DCA)

Languages

English
Upper intermediate

Work availability

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
morning
afternoon
evening
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Timeline

QA Analyst

Cotiviti
05.2022 - 12.2023

Senior Quality Specialist

R1 RCM Global Pvt Ltd
01.2021 - 04.2022

Senior Coding Analyst

R1 RCM Global Pvt Ltd
07.2019 - 12.2020

Medical Coding Executive

Visionary RCM Infotech Pvt Ltd
10.2016 - 05.2019

Medical Data Entry Specialist

SIA Group
07.2014 - 06.2016

Writer & Content Developer

SIA Group
05.2011 - 06.2014

Bachelor of Science - Pharmacy

Vision College of Pharmaceutical Sciences & Research, Jawaharlal Nehru Technological University
Harish Gaddam