Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Dharma Reddy Padala

Jersey City,NJ

Summary

Experienced healthcare data analyst and certified medical coder with expertise in coding automation, regulatory compliance, and pharmaceutical data analysis. Skilled in project management, process improvement, and training development to enhance coding accuracy and efficiency.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Data Analyst

Drug Depot Corp
New York, NY
04.2024 - Current
  • Utilizing advanced data analysis tools such as Excel (Pivot Tables), Power BI, SQL Server Reporting Services (SSRS), SQL Server Management Studio (SSMS), and Python to extract, transform, and analyze pharmacy data.
  • Ensured adherence to CMS, Medicare, and other healthcare coding standards through detailed analysis of pharmacy data.
  • Participated in project documentation and coding automation to streamline 340B drug utilization reporting.
  • Generate and maintaining detailed reports on 340B drug utilization and inventory levels, monitoring drug procurement, distribution, and compliance with program requirements.
  • Review and validate comprehensive drug data to ensure compliance and support efficient prescription claims processing.
  • Developing visually compelling dashboards and reports to present insights on medication usage, patient adherence, and inventory management, catering to the needs of various stakeholders.
  • Applying data mining techniques and statistical analysis to identify patterns and trends in medication usage, including the detection of drug interactions, medication errors, and opportunities for therapy optimization.
  • Conducting in-depth analysis of patient data to identify high-risk profiles based on medication history, comorbidities, and adherence patterns.
  • Utilizing predictive modeling techniques to stratify patients by risk level and prioritize interventions effectively.
  • Developing and maintaining comprehensive patient profiles within pharmacy software systems, ensuring accuracy and completeness of medication lists, allergy information, and clinical data.
  • Verifying prescription data, including patient information, medication details, and prescriber credentials, for compliance.
  • Developing Python scripts for automation, predictive modeling, and data-driven interventions to optimize workflow efficiency and patient care outcomes.

Coder

Guidehouse India Pvt Ltd
Trivandrum, Kerala
03.2021 - 06.2022
  • Managed approximately 12 inpatient medical records per day from the client.
  • Implemented compliant coding solutions for inpatient records, ensuring adherence to regulatory requirements and reducing discrepancies.
  • Developed project documentation to support coding audits and improve automation accuracy.
  • Conducted inpatient and ED coding using the Epic EHR system.
  • Ensured accurate assignment of diagnostic and procedural codes.
  • Collaborated with healthcare providers to resolve coding discrepancies.
  • Maintained compliance with regulatory guidelines.
  • Supported documentation improvement initiatives.
  • Organized and detail-oriented, with a strong work ethic.
  • Participated in team projects, demonstrating ability to work collaboratively and effectively.
  • Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.

Coding Associate

Anthelio Business Technologies Private
Telangana, Telangana
09.2018 - 03.2021
  • Reviewed patient medical records and assigned diagnostic codes, ensuring compliance with regulatory standards and supporting documentation improvement initiatives.
  • Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
  • Managed approximately 60 records of outpatient visits or 80 records of Oncology Ancillary records per day.
  • Performed outpatient and oncology ancillary coding using Cerner and Epic.
  • Reviewed medical records to assign appropriate codes.
  • Participated in coding audits and quality assurance.
  • Maintained data integrity and accuracy.
    Contributed to coding education and training.

Clinical Pharmacist Intern

Government General Hospital
Kakinada, Andhra Pradesh
12.2016 - 12.2017
  • Conducted comprehensive medication reviews for patients in the ambulatory care setting.
  • Provided patient counseling on proper use of medications, including dosage and administration instructions.
  • Collaborated with physicians and other healthcare providers to optimize therapeutic outcomes for patients.
  • Applied data analysis skills to healthcare datasets.
  • Utilized Excel and data visualization platforms for analysis.
  • Collaborated with cross-functional teams for process improvement.
  • Utilized Microsoft Excel and data visualization platforms for in-depth analysis and reporting.

Education

Master of Science - Healthcare Informatics

Sacred Heart University
Fairfield, CT
12-2023

Doctor of Pharmacy - Pharmacy

Aditya Pharmacy College
Andhra Pradesh, India
12-2017

Skills

  • Business Needs Analysis
  • Coding Automation and Workflow Optimization
  • Coding Expertise (ICD-10-CM, CPT-4, HCPCS, etc)
  • Project Management and Process Improvement
  • Data Validation and Report Writing
  • Data Visualization and Presentations
  • Tableau
  • Python Programming
  • Database Programming and SQL
  • Software Development Life Cycle (SDLC)
  • Microsoft Access
  • Microsoft excel
  • Database Maintenance
  • Compliance with CMS, Medicare, and State Healthcare Regulations

Certification

  • Google Data Analytics Professional Certificate - Google.
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA).
  • Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
  • Professional Scrum Product Owner I & II(PSPO I & II)-Scrum.org.
  • Certified SAFe 6 Agilist - Scaled Agile Inc.

Timeline

Data Analyst

Drug Depot Corp
04.2024 - Current

Coder

Guidehouse India Pvt Ltd
03.2021 - 06.2022

Coding Associate

Anthelio Business Technologies Private
09.2018 - 03.2021

Clinical Pharmacist Intern

Government General Hospital
12.2016 - 12.2017

Master of Science - Healthcare Informatics

Sacred Heart University

Doctor of Pharmacy - Pharmacy

Aditya Pharmacy College

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