Vineesh V. — Operations Associate
About | Healthcare Operations & Risk-Adjustment Leader PMP®-certified professional with 10 years of U.S. healthcare experience, currently leading teams in concurrent, retrospective, and RADV HCC coding. I blend project-management rigor with coding expertise to drive compliant, accurate, and patient-centric outcomes. ⸻ Strengths at a Glance • Full-cycle HCC mastery: Direct oversight of concurrent chart reviews, retrospective audits, and RADV validations. • Process excellence: Lean Six Sigma Green Belt—cutting query turnaround times, lifting coder productivity, and trimming re-work through root-cause analysis and cost-benefit reviews. • Data & automation champion: Designed HCC Gap Trackers, real-time risk-score dashboards, and patient-risk models that empower providers and coding teams. • EMR fluency: eCW,Epic, NextGen, and Allscripts—leveraging EHR data to improve coding accuracy and close care gaps. • Cross-functional leadership: Translating clinical, analytical, and operational insights into scalable solutions that strengthen value-based care contracts. ⸻ What Drives Me I’m passionate about transforming healthcare operations with analytics and continuous improvement—turning complex risk-adjustment requirements into streamlined workflows that protect revenue and enhance patient outcomes. 🔗 Let’s connect if you’re working on value-based care, coding optimization, or healthcare data innovation.
Stackforce AI infers this person is a Healthcare Operations and Risk-Adjustment Leader with a focus on coding and analytics.
Location: Bengaluru, Karnataka, India
Experience: 10 yrs 6 mos
Career Highlights
- PMP® certified with 10 years of healthcare experience.
- Expert in HCC coding and risk-adjustment processes.
- Passionate about healthcare analytics and continuous improvement.
Work Experience
agilon health
Assistant Manager (2 yrs 6 mos)
Medical Coder (9 mos)
Freelance
Hcc coding specialist (6 mos)
Optum
senior medical coder (1 yr 7 mos)
Omega Healthcare Management Services Private Limited
Quality Control Analyst (4 yrs 1 mo)
Episource LLC
Medical Coder (1 yr)
Education
Master of Business Administration - MBA at Woolf
Executive Post-Graduate Programme at Loyola Institute Of Business Administration
Sree vidyanikethan degree college at Sri Venkateswara University
Victory high school at Victory High School