Shamili Kandepu

• Identified and corrected billing discrepancies by analyzing claim data and coordinating with healthcare providers.
• Analyzed denied and pended claims, providing data-driven solutions to improve claim approval rates.
• Accurately entered claims data, patient details, and billing codes into the claims management system, maintaining high data integrity.
• Ensured compliance with HIPAA, insurance policies, and regulatory requirements while processing claim documents.
• Processed medical claims with precision, ensuring compliance with company SOPs, insurance policies, and federal regulations.
• Provided comprehensive claim assistance to patients, healthcare providers, and payers, resolving inquiries with professionalism.
• Used Excel functions (VLOOKUP, Pivot Tables, and data validation) for claims analysis and reporting.
• Reviewed and processed insurance claims for accuracy and validity, ensuring compliance with insurance policies and regulatory requirements.
• Investigated discrepancies, resolved disputes, and performed rework adjustments based on provider requests and internal requirements.
• Applied knowledge of ICD-9 and ICD-10 coding in the claims review process to validate claims accuracy and compliance.

• Collected, cleaned, and pre-processed data from various sources (databases, spreadsheets, APIs) to ensure accuracy and consistency.
• Assisted in analyzing large datasets using statistical tools such as Excel, Python, or R to identify patterns, trends, and insights. • Developed data visualizations (graphs, charts, dashboards) using tools like Tableau, Power BI, or Matplotlib to communicate findings effectively to non-technical stakeholders.
• Documented data analysis processes and findings, ensuring transparency and reproducibility for future use by the team.
• Stayed up-to-date with emerging tools and techniques in data analysis and analytics to contribute effectively to the team.

• Abstract health information and assign the specified code referring to the ICD-9-CM and ICD-10-CM coding books.
• Comprehend HCC/Risk Adjustment medical records for every assigned process.
• Meet monthly coding goals as set by the management, and perform changes as and when required, as per the guidelines.
• Monitor weekly, monthly, and quarterly submission error reports to ensure that abstracts are corrected and resubmitted.
• Perform audits, studies, and research on codes against each diagnosis to support supervisors.
• Electronically abstract clinical information from the patient’s record according to current guidelines.
• Enhanced coding accuracy by regularly reviewing and updating coding guidelines and procedures.

Studies on the expression of toxins by Clostridium novyi

• Our study describes the production, purification, and properties of alpha-toxin in Clostridium novyi. The bacterium produced maximal amounts of alpha-toxin when grown at 37 degrees C.
• The culture conditions for toxin production by Clostridium novyi were investigated, and the optimal constituents of a proper medium were determined. A comparison of the value of this medium with other media regarding toxin production by wild strains of C.
• The new type A revealed that, in this TYG medium, the organism could produce more consistent yields of potent toxins than in the other media. The following results examined the toxigenicities of strains isolated under various conditions in the above-mentioned medium.