Vijay Thulasidass
Medicare Advantage RAF & RADV Analytics | AI-Assisted Risk Adjustment Specialist | Driving Revenue Recovery & RADV Risk Mitigation
- Role
- Senior Team Leader-service Quality at Firstsource
- Location
- Kanchipuram, TN, IN
- LinkedIn followers
- 500 followers
About Vijay Thulasidass
I help Medicare Advantage payers identify missed RAF revenue and reduce RADV audit exposure using a structured AI-assisted clinical analytics process — all on de-identified data for compliance and safety.With deep domain experience in risk adjustment, clinical documentation workflows, and payer operations, I partner with healthcare executives to uncover actionable financial insights that are often hidden in unstructured clinical notes and coding patterns.My focus areas include:* RAF leakage analysis and revenue opportunity identification* RADV risk assessment and documentation gap analysis* AI-assisted clinical review + human validation* Executive reporting and risk mitigation guidanceI begin engagements with low-risk pilots on de-identified data so organizations can see results before commitment.* If you’re focused on improving RAF accuracy or preparing for RADV readiness, let’s connect.
Experience
Senior Team Leader-service Quality
Jan 2023 — Present · Bengaluru, IN
Medical billing and medical claiming
Education
Karpaga Vinayaga College of Engineering and Technology
BE - Bachelor of Engineering, Biomedical/Medical Engineering
2015 — 2019
Indian Institute of Technology, Delhi
Executive MBA, Healthcare entrepreneurship and Healthcare management
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