Mamatha K. — CEO
About Me | Making Healthcare Smarter Behind the Scenes I'm a healthcare operations professional with over 8 years of experience in the U.S. healthcare space, specializing in end-to-end Revenue Cycle Management (RCM), multi-specialty coding (Inpatient & Outpatient), and Clinical Documentation Improvement (CDI). My expertise spans HCC risk adjustment across concurrent reviews, retrospective audits, and RADV validations. I combine coding mastery, RCM leadership, agile practices, and people-focused management to streamline workflows, improve compliance, reduce denials, and support value-based care. What I bring to the table End-to-End RCM Expertise: Skilled across the full cycle patient registration, eligibility verification, coding, billing, denials, audits, appeals, and reimbursement optimization. Risk Adjustment & Coding Leadership: Led full-cycle HCC projects, specialty coding in ICD-10CM, CPT, ICD-10-PCS, E/M, DRG, Radiology, and Pathology — ensuring compliance, accuracy, and revenue integrity. Process Optimization Mindset: Lean Six Sigma trained (Foundations + Green Belt), eliminating rework, reducing query delays, and streamlining documentation. Tech-Savvy & Agile-Oriented: Scrum certified and project leadership trained, bringing structure, adaptability, and speed to daily operations. Value-Based Care Advocate: Certified in U.S. Value-Based Care by the University of Houston, aligning smarter coding and RCM processes with better contracts and patient outcomes. Fluent in EMR/EHRs: Skilled in Epic, eCW, NextGen, and Allscripts, leveraging data to close care gaps and enhance documentation quality. Leadership that Connects People & Performance: Merging clinical expertise, data insights, and strategy to deliver scalable solutions that elevate care quality and optimize financial performance. What drives me I’m deeply enthusiastic about helping and building healthcare startups with my skills and knowledge. I love transforming complex challenges into clean, efficient, and tech-enabled RCM systems that make healthcare work better for everyone. My passion lies in ensuring that with evolving technology, clinicians can focus more on care, organizations can thrive, and people can live healthier lives. Let’s connect if you’re working on RCM transformation, coding innovation, or value-based care strategy. I’m always open to real conversations that lead to better systems and healthier outcomes.
Stackforce AI infers this person is a Healthcare Operations Expert with a focus on Revenue Cycle Management and Coding.
Location: Hyderabad, Telangana, India
Experience: 0 mo
Skills
- Coding Leadership
- Revenue Cycle Management
Career Highlights
- Over 8 years in U.S. healthcare operations
- Expertise in end-to-end Revenue Cycle Management
- Certified in U.S. Value-Based Care
