Bommareddy

Senior Quality Analyst | CCS | LSSGB |

Role
Senior Quality Analyst at Optum
Location
Vijayawada, AP, IN
LinkedIn followers
500 followers

About Bommareddy

Certified medical coder with 2+ year of Experience in healthcare industry.Understands the various formats of medical records documentation for accurate code extraction.Well knowledge in medical terminology, anatomy, Physiology, ICD 10 CM, CPT and PCS. Have experience in various risk adjustment projects like HHS, Rx-HCC, CMS-HCC & ESRD.Specialist- HCC coding

Experience

  1. Senior Quality Analyst

    Optum

    Mar 2026 — Present · IN

    Perform comprehensive quality audits on medical records to ensure accurate ICD-10-CM coding and compliance with CMS and Risk Adjustment (HCC) guidelines.Identify coding trends, discrepancies, and documentation gaps to provide actionable feedback to the coding team.Ensure a high level of accuracy and data integrity to optimize risk score calculations and organizational compliance.Collaborate with cross-functional teams to streamline workflows and implement best practices in medical coding quality.

Education

  • Jawaharlal Nehru Technological University, Kakinada

    Bachelor's degree, Bachelor of pharmacy

    2014 — 2018

  • Jawaharlal Nehru Technological University, Kakinada

    Master's degree, Pharmacy

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Bommareddy — Senior Quality Analyst at Optum in Vijayawada, AP, IN | Unifers