Summary
Overview
Work History
Education
Skills
Languages
Certification
Timeline
Generic
Naveen Kumar Parshetti

Naveen Kumar Parshetti

Doha

Summary

It is a great feeling to work in a fast-paced and open cultured organization where i can utilize my 8+ years of healthcare experience, strong organizational abilities, analytical skills and leadership skills to raise the standards of the healthcare services provided. Have very good piece of knowledge at a Revenue Cycle Management level.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Group RCM Analyst

Elegancia Healthcare
12.2022 - Current
  • Actively involved in Insurance empanelment, Pricing negotiations and contracting process.
  • Conducting audits on clinical coding and clinical documentation for better submission of the claims and to reduce the denials rate.
  • Giving continuous education on coding and documentations to the physicians and other respective staff.
  • Preparing and analyzing monthly RCM reports. (e.g. Revenue by Doctors, Revenue by Departments, Monthly Revenue, Revenue by Insurance etc..)
  • Weekly meetings with Group RCM Director on revenue reports and the RCM challenges.
  • Querying physicians regarding incomplete documentation and further clarify coding diagnoses, procedures, etc.
  • Analyzing Denials monthly and reporting accordingly.
  • conducting internal monthly denial meetings between Approval, submission and resubmission teams to understand and bring the solution points.
  • Working on customizations of the software.
  • Involving in the insurance pricing and cost comparisons.
  • Preparing the packages based on the cost of services and procedures.

Acting RCM Manager

Pyramids Health Services & Ability Rehabilitation
08.2019 - 11.2022
  • Led by example to maintain team motivation, ensuring daily tasks were performed accurately and efficiently.
  • Handled a project named DoH Covid-19 with less than a 2% rejection rate.
  • Prepared & analyzed monthly RCM reports.
  • Analyzing Denials monthly and acting accordingly.
  • Revenue reviews of Budgeted Vs Actual revenue monthly, quarterly, half-yearly and yearly.
  • Led monthly meetings with directors to analyze the revenue changes and presentations of monthly revenue.
  • Complete knowledge of Insurance Empanelment.
  • Reviewed documentation on daily basis to ensure the accuracy of documentation.
  • Coordinated with the nurses and physicians regarding the queries on medical records of the patients.
  • Provided training to the physicians and nurses on accurate documentation.
  • Taken care of the pre-approvals.
  • Coding & billing, submission & resubmission of the rejected claims (if any).
  • Good hands-on experience with INSTA & OPENJET software.
  • Having good experience in TASNEEF and CARF audits.
  • Good knowledge of DoH adjudication rules and DoH code of ethics.

Senior Medical Coder

AGS Health Pvt. Ltd, ROLES & RESPONCIBILITIES
05.2017 - 05.2019


  • Worked as a senior medical coder in OP, Emergency Department charts using
  • ICD-10-CM, E/M and CPT
  • Attended coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations
  • Maintained quality of above 95% with 120 charts per day
  • Elected as an SME (subject matter expert) and trained freshers in the process
  • Collaborating with other members of the team to carry out work smoothly.

Education

Bachelor of Science - Bachelor of Pharmacy

Gyana Jyothi College of Pharmacy
03.2017

Skills

  • Strong Leadership Skills
  • Known to Advanced Excel, Power BI & Power Point
  • Active Listening
  • Microsoft Office
  • Planning and Coordination
  • Multitasking Abilities
  • Analytical and Critical Thinking
  • Problem-Solving
  • Business analysis
  • Superior communication skills

Languages

Telugu
Native language
English
Advanced
C1
Hindi
Advanced
C1

Certification

  • CCS (Certified Coding Specialist) certification and an active member of AHIMA (American Health Information Management Association)
  • Certified in a course of Leadership skills.


Timeline

Group RCM Analyst

Elegancia Healthcare
12.2022 - Current

Acting RCM Manager

Pyramids Health Services & Ability Rehabilitation
08.2019 - 11.2022

Senior Medical Coder

AGS Health Pvt. Ltd, ROLES & RESPONCIBILITIES
05.2017 - 05.2019

Bachelor of Science - Bachelor of Pharmacy

Gyana Jyothi College of Pharmacy

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Naveen Kumar Parshetti