Tejasvi Reddy Velupula

Clinical Informatics Specialist @Molina Healthcare

Supported quality and compliance reporting by preparing validated data extracts from Epic for CMS and NCQA submissions, ensuring accuracy and adherence to HIPAA standards. Worked with medical directors and care managers to identify care gaps in preventive screenings, chronic disease follow-ups, and medication adherence and facilitated closure of those gaps. Partnered with providers to update Epic documentation templates and workflows (problem lists, progress notes, order sets) so clinical notes captured all required information for quality measures. Assisted quality leadership in preparing provider scorecards and compliance reviews, making results easier to understand and act upon. Coordinated with risk adjustment and coding teams to review Epic-coded encounters, ensuring completeness and reducing issues with reimbursement denials. Conducted provider training sessions on Epic workflows, improving documentation quality and consistency across care teams. Acted as the liaison between clinicians, quality teams, and compliance officers, ensuring EHR workflows supported regulatory and reporting needs without burdening providers.