Ramakrishna Gaddam
Downers Grove,USA
Summary
Certified health information professional with over 5 years in medical coding and quality auditing. Achieved 98% coding accuracy and led compliance audits. Holds multiple certifications including CPC and CCS, and pursuing a Master’s in Health Informatics. Expertise in EHR systems and healthcare data analytics.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Quality Analyst
GeBBS Healthcare Solutions Pvt. Ltd.
09.2022 - 12.2023
- Conduct internal audits to prevent coder errors, ensuring compliance with client SLAs and organizational norms.
- Collaborate with departments like Inpatient, Outpatient, and Emergency to provide error feedback and improve coding accuracy.
- Enhance coder performance by identifying and addressing errors in various specialties, leading to measurable improvements.
- Support executive coders by offering constructive feedback, reducing repeat errors and optimizing workflow.
- Analyze audit findings to develop actionable insights, driving continuous improvement in coding practices.
- Streamlined audit processes to enhance compliance, reducing error rates and ensuring adherence to client SLA and organizational standards.
Senior Medical Coder
GeBBS Healthcare Solutions Pvt. Ltd.
03.2021 - 09.2022
- Ensured 98% accuracy in Rehabilitation coding using ICD-10 CM, CPT, HCPCS, CMS, AHIMA, AHA guidelines.
- Consistently met and exceeded client deadlines, maintaining high standards and timely communication.
- Collaborated weekly with clients to address new scenarios, ensuring alignment and satisfaction.
- Led team meetings to address new coding scenarios, resulting in improved client communication and timely project completion.
- Reviewed patient records meticulously, ensuring accurate application of coding guidelines and contributing to consistent high-quality results.
- Advocated for best coding practices, leading to a 10% increase in overall coding accuracy and client satisfaction.
Senior Medical Coder
Reventics – A provider engagement company
11.2021 - 02.2022
- Processed medical claims adhering to urgent care coding guidelines, ensuring compliance and accuracy.
- Streamlined medical claims process by adhering to coding guidelines, ensuring accuracy and compliance in the Urgent Care department.
- Supported team members during critical needs and conducted internal audits, enhancing team efficiency during high-demand periods.
Senior Medical Coder
Omega Healthcare Management Solution Pvt. Ltd.
06.2019 - 11.2021
- Maintained 98% quality in urgent care coding projects, ensuring compliance with client SLA standards.
- Handled minor surgeries, E/M, radiology, and lab services, enhancing accuracy and efficiency.
- Consistently met monthly quality benchmarks, contributing to team success and client satisfaction.
- Led multiple urgent care projects, ensuring 98% quality compliance as per SLA, with expertise in minor surgeries, E/M, radiology, and laboratory services.
- Achieved a 98% quality rate monthly in urgent care coding projects by utilizing skills in E/M, radiology, and laboratory services.
- Passionately led urgent care coding projects, consistently achieving 98% quality standards and enhancing service delivery in E/M and radiology.
Verifier Medical Coder
Phycare Coding Service
01.2019 - 06.2019
- Conducted internal audits for Inpatient and Emergency departments, ensuring compliance and accuracy.
- Enhanced verification processes, resulting in improved audit outcomes and reduced errors.
- Conducted detailed internal audits for Inpatient and Emergency departments, ensuring compliance and accuracy in medical coding.
- Performed meticulous verification of medical codes, identifying discrepancies and ensuring adherence to industry standards.
- Advocated for best practices in medical coding, contributing to improved accuracy and efficiency in internal audit processes.
Junior Medical Coder
Phycare Coding Service
08.2018 - 01.2019
- Trained in E/M coding for Inpatient, Outpatient, and Consults in Psychiatry departments.
- Enhanced accuracy in coding, reducing errors and improving billing processes.
- Developed proficiency in medical coding terminology and practices.
- Collaborated with healthcare professionals to ensure precise coding and documentation.
Education
Master of Science - Health Informatics
Roosevelt University
Chicago, IL12.2025
Bachelors - Botany, Zoology and Chemistry
NSV Degree College (Satavahana University)
05.2018
Skills
- Proficient in Microsoft Office 365, Epic, eCW, and Citrix
- Multilingual proficiency: Telugu, Hindi, Tamil
Certification
- Certified Professional Coder (CPC) and Certified AI in Medical Billing and Coding (CAIMBC) from American Academy of Professional Coder.
- Certified Coding Specialist from American Health Information Management and Association.
Voluntareed
Volunteering
Volunteer Food Sorter
Northern Illinois Food Bank
- Assisted with sorting and separating food cans to ensure efficient distribution to families in need.
- Ensured accurate categorization of food items, helping streamline distribution processes.
Volunteer Food Packer
Loaves & Fishes Food Pantry, Inc.
- Packed food packets into boxes for organized distribution to families in need.
- Helped maintain a smooth workflow by preparing food packages promptly and accurately.
Timeline
Quality Analyst
GeBBS Healthcare Solutions Pvt. Ltd.
09.2022 - 12.2023
Senior Medical Coder
Reventics – A provider engagement company
11.2021 - 02.2022
Senior Medical Coder
GeBBS Healthcare Solutions Pvt. Ltd.
03.2021 - 09.2022
Senior Medical Coder
Omega Healthcare Management Solution Pvt. Ltd.
06.2019 - 11.2021
Verifier Medical Coder
Phycare Coding Service
01.2019 - 06.2019
Junior Medical Coder
Phycare Coding Service
08.2018 - 01.2019
Bachelors - Botany, Zoology and Chemistry
NSV Degree College (Satavahana University)
Master of Science - Health Informatics
Roosevelt University
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