LEELA KUMAR ARAJA.L

The Chart Review Analytics Process working with Medicare, ACA and Medicaid business team and Chart retrieval vendors and coding team to Identify Patients charts which is Underreported/unreported and work with analytics team to identify data issues and create reports and obtain approvals needed from stockholders. In this retrospective chart review process, we work as central point of contact between different teams to achieve highest accuracy in process withing regulatory guidelines to generate a more complete picture of member health status while maintaining coding accuracy and completeness. Responsibilities:  Create multiple SAS Reports and Excel reports for business team to understand charts identified in chart analytics process.  Validate data values/attributes used in selection process and present it to Stake holders and obtain approvals.  Perform data and analytical services in support of risk adjustment programs, maintaining compliance with CMS standards and modeling financial impacts of changes in risk adjustment data and methodologies using Pyspark and DB Visualizer and SSMS and SAS Tools.