Satya Prakash Rai

CEO

Sahibzada Ajit Singh Nagar, Punjab, India10 yrs 1 mo experience
Highly StableAI Enabled

Key Highlights

  • Expert in Medical Coding and Revenue Cycle Management
  • Proven track record in denial management strategies
  • Exploring AI-driven innovations in healthcare coding
Stackforce AI infers this person is a Healthcare Coding and Revenue Cycle Management expert with a focus on AI integration.

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Skills

Core Skills

Medical Coding & ComplianceLeadership & Team GrowthDenial Management & Process Optimization

Other Skills

Collaborative CodingSoftware CodingLeadershipLean Six SigmaProcess Quality ImprovementProject ManagementTeam BuildingTransition ManagementArtificial Intelligence (AI)Change ManagementBusiness ManagementCurrent Procedural Terminology (CPT)HCPCSHealthcare Information Technology (HIT)ICD-10-CM

About

With years of experience in Medical Coding and Revenue Cycle Management (RCM), I have built a career around precision, process optimization, and strategic leadership. As a Medical Coding Manager, I have led teams, streamlined workflows, and implemented denial management strategies that drive financial integrity and compliance. Today, as the healthcare industry evolves, so does my journey. I am now exploring AI-driven innovations in medical coding, understanding how automation, NLP, and predictive analytics can enhance coding accuracy, reduce claim denials, and improve efficiency. Key Expertise: ✔ Medical Coding & Compliance – Proficient in ICD-10 CM, CPT, HCPCS, and payer-specific regulations. ✔ Denial Management & Process Optimization – Ensuring accuracy, reducing denials, and improving revenue cycles. ✔ AI in Medical Coding – Leveraging AI to enhance coding efficiency, automate workflows, and drive innovation. ✔ Leadership & Team Growth – Managing high-performing teams, fostering collaboration, and driving operational excellence. My Vision: I believe that the future of medical coding lies in the synergy between human expertise and AI. Technology will not replace coders—it will empower them to work smarter, faster, and more accurately. Let’s connect and discuss healthcare innovation, AI-driven coding, and the future of RCM. Whether you’re in coding, AI, or healthcare leadership, I’d love to exchange ideas and explore opportunities together.

Experience

10 yrs 1 mo
Total Experience
2 yrs 10 mos
Average Tenure
1 yr 5 mos
Current Experience

Resourcify consultants

Coding Manager

Dec 2024Present · 1 yr 5 mos

Collaborative CodingSoftware CodingLeadershipLean Six SigmaProcess Quality ImprovementProject Management+6

Coronis health

4 roles

Sr. Team leader

Aug 2024Dec 2024 · 4 mos

Business ManagementChange ManagementCurrent Procedural Terminology (CPT)HCPCSHealthcare Information Technology (HIT)ICD-10-CM+16

Team Leader

Promoted

Jan 2022Jul 2024 · 2 yrs 6 mos

Transition ManagementTeam ManagementTeam LeadershipStrategic PlanningU.S. Health Insurance Portability and Accountability Act (HIPAA)Project Management+8

Subject Matter Expert

May 2020Jan 2022 · 1 yr 8 mos

TeamworkTeam LeadershipU.S. Health Insurance Portability and Accountability Act (HIPAA)Process Quality ImprovementMedical CodingProcess managemtn+5

Senior Coder

May 2019May 2020 · 1 yr

Process TrainingU.S. Health Insurance Portability and Accountability Act (HIPAA)Medical CodingHealthcare Information Technology (HIT)Current Procedural Terminology (CPT)HCPCS+3

Nthrive

Senior Medical Coder

Jul 2018May 2019 · 10 mos · Noida, Uttar Pradesh, India

U.S. Health Insurance Portability and Accountability Act (HIPAA)Medical CodingHealthcare Information Technology (HIT)Current Procedural Terminology (CPT)HCPCSICD-10-CM+2

R1 rcm

Coding analyst

Mar 2016Jul 2018 · 2 yrs 4 mos · Noida, Uttar Pradesh, India

U.S. Health Insurance Portability and Accountability Act (HIPAA)Medical CodingHealthcare Information Technology (HIT)Current Procedural Terminology (CPT)HCPCSICD-10-CM+2

Education

Lovely Professional University

Master of Business Administration - MBA — International Business

Jul 2022Aug 2024

AAPC

CPC — MEDICAL Coding

Jan 2016Jan 2017

Dr APJ A.K.T.U

B- Pharma — Pharmacy

Jan 2013Jan 2016

APJ Abdul Kalam Technological University

Bachelor of Pharmacy - BPharm — Pharmacology

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