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Shalini Cpc
Expert in Revenue Cycle Management and Audit process
Professional Background
Shalini Cpc is a highly accomplished Revenue Cycle Manager with over 10 years of extensive experience in the healthcare industry. With a deep-seated passion for optimizing revenue cycle processes, Shalini has established herself as a trusted resource and authority in Revenue Cycle Management (RCM). Her career journey is marked by resilience and adaptability, allowing her to navigate the complexities of billing and coding in various healthcare settings. Throughout her tenure in the healthcare sector, Shalini has successfully tackled numerous challenges associated with both new and established transitions, ensuring that operations are streamlined and efficiently managed.
Shalini's expertise spans multiple specialties, including Anesthesia and Pain Management, Surgery, Inpatient care, DRG, Observation, Interventional Radiology, and Radiology. She possesses a comprehensive understanding of critical coding and billing frameworks, such as CPT, ICD 10, ICD 10-PCS, HCPCS, and Modifiers. Her skills also extend to Denial Management, emphasizing business process improvement and the effective utilization of Electronic Medical Records (EMR). As a Revenue Cycle Manager, Shalini is adept at overseeing multi-dimensional operational activities that contribute to the success of healthcare facilities.
Education and Achievements
Shalini pursued her education at the Technological Institute of Textile in Bhiwani, where she laid the foundations of her professional journey. Her academic background has significantly contributed to her analytical skills, problem-solving abilities, and her comprehensive understanding of healthcare management.
In her role as Assistant Manager for Claims, Insurance & Coding at Health City Cayman Islands, Shalini demonstrated her leadership capabilities by training physicians to ensure compliance with correct coding and documentation practices. Her thorough approach has not only enhanced the quality standards of billing processes but has also played a pivotal role in maintaining up-to-date knowledge of new guidelines.
Prior to her current role, Shalini served as a Senior Medical Coder for Surgery and Inpatient at R1 RCM, where she excelled in billing practices and coding accuracy. As a Medical Coder specializing in Anesthesia at R Systems International Limited, she further honed her skills in coding complexities associated with anesthesia billing. Additionally, Shalini worked as a Subject Matter Expert at Porteck India Infoservices Pvt Limited, where her insights and expertise significantly benefited project initiatives.
Achievements
Shalini's remarkable career is punctuated with notable achievements that reflect her dedication and commitment to excellence within the healthcare space. One of her standout accomplishments includes developing a Denials Management process that led to a significant reduction in claim denials. By analyzing top denial reasons and implementing effective solutions, she was able to increase cash flow and improve accounts receivable days considerably.
Known for her exemplary project execution skills, Shalini has successfully managed the transition to new systems, ensuring that all operational aspects align seamlessly with the organization's objectives. She has played a crucial role in establishing policies and processes for coding, particularly in the context of new transitions. Additionally, Shalini coordinates efforts across departments to decrease billing errors, directly enhancing revenue generation for healthcare providers. Her focus on maintaining quality standards through audits and personnel training underscores her commitment to achieving operational excellence.
In summary, Shalini Cpc stands out as a dynamic and results-driven Revenue Cycle Manager whose expertise and leadership in the healthcare industry have propelled her to the forefront of Revenue Cycle Management. Her unwavering dedication to improving billing accuracy and enhancing revenue operations makes her an invaluable asset to any healthcare organization.
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Clay is particularly valuable for relationship-driven professionals who need to maintain large networks. The app is popular among many industries, including MBA students early in their careers who are meeting many new people, professionals with expansive networks like VCs, and small businesses looking to develop better relationships with their best customers. Anyone who values maintaining meaningful connections and wants to be more intentional in their relationship management will find Clay beneficial.
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