M SAI JYOTHI
Hyderabad
Summary
Experienced detail-oriented professional in collecting and verifying patient demographic and insurance information. Proficient in preparing and maintaining accurate medical records. Skilled in utilizing medical terminology and accurately classifying diagnostic procedures, treatments, and medications. Committed to delivering the highest quality care to patients.
Overview
6
6
years of professional experience
Work History
Medical Reviewer
Primera Medical Technologies
05.2019 - 07.2024
- Perform Medical Review/ case analysis with review of all forms and documents pertaining to medical cases
- Developed systematic classification system for patient health records, test results and case notes
- Collaborated on key Epic modules, including : Epic MyChart: Enabled patient access to health records online. EpicCare Ambulatory: Managed outpatient care processes and medication management. EpicCare Inpatient: Oversaw hospital admissions, discharges, orders, and clinical documentation. Anesthesia Module: Supported anesthesia management, including pre-operative assessments and intraoperative documentation.
- Monitored medical system billing structure and configurations to maintain accurate coding of insurance claims
- Worked on special KPMG projects which includes medical summary- documenting the details of patients symptoms, ailment, treatment provided and progress
- 4 years of experience in medical writing for healthcare industry
- Knowledge of manuscripts and literature search
- Write, edit and review clinical study reports, manuscripts and abstracts and other medical documents to ensure accuracy, clarity
- Carried out online clinical literature searches across multiple therapeutic areas which involved oncology, hematology, urology and infectious diseases
- Evaluated and reviewed group and individual medical case records against federal, institutional and healthcare quality assurance criteria
- Understanding of clinical/medical data and medical terminologies
- Ability to work on multiple projects and manage competing priorities
- Trained new employees in medical systems billing and review of medical case records
- Maintained accuracy, completeness, and security for medical records and health information.
- Followed up with medical staff regarding missing information in patient records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Verified accuracy of patient information in medical records.
Dentist
SK Dental Clinic
11.2018 - 05.2019
- Treated patients for scaling and filling procedures including root canal treatments
Education
Bachelor of Dental Science -
SVS Institute of Health Sciences
01.2018
Skills
- HIPPA
- HCFA and UB documentation
- MCG (Milliman care guidelines)
- IQC guidelines
- CPT codes
- ICD10 codes
- Microsoft Office
- Excel
Accomplishments
- Received the Best Team Award for delivering the project on time and for ensuring user flexibility.
- Received the Best Employee award as part of the MCG team.
- Organized dental camps for government schools and villages.
Timeline
Medical Reviewer
Primera Medical Technologies
05.2019 - 07.2024
Dentist
SK Dental Clinic
11.2018 - 05.2019
Bachelor of Dental Science -
SVS Institute of Health Sciences