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Harish Reddy Kolthuru

Harish Reddy Kolthuru

Scrub nurse

Followers of Harish Reddy Kolthuru3000 followers
location of Harish Reddy KolthuruHawalli, Kuwait

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  • Timeline

  • About me

    Senior Quality Assurance Officer | Internal Auditor | Healthcare Insurance & Health Information Management | Process Optimization Specialist | Data Analytics & Reporting | Clinical experience| 10+ Years Experience

  • Education

    • Image hospitals ,ameerpet,hyderabad

      2007 - 2011
      Bachelor’s Degree in nursing Registered Nursing/Registered Nurse A

      Activities and Societies: Panel discussions, debate, group discussions,cne, seminars,symposium, Anatomy2. Physiology3. Biochemistry4. Nutrition5. Fundamentals of Nursing, First aid with applied Sciences and Pharmacology6. Introduction to community health7. Psychology8. Introduction to medical surgical nursingQualifying Subjects9. EnglishMed.Surg.Nursingi) Orthopaedicsii) E.N.T.iii) Skin & Communicable diseasesiv) Eyev) Gynaevi) General Med. Surg.vii) Applied pharmacology2. Psychiatric Nursing3. O.T… Show more Anatomy2. Physiology3. Biochemistry4. Nutrition5. Fundamentals of Nursing, First aid with applied Sciences and Pharmacology6. Introduction to community health7. Psychology8. Introduction to medical surgical nursingQualifying Subjects9. EnglishMed.Surg.Nursingi) Orthopaedicsii) E.N.T.iii) Skin & Communicable diseasesiv) Eyev) Gynaevi) General Med. Surg.vii) Applied pharmacology2. Psychiatric Nursing3. O.T. Technique4. Microbiology5. Healh Education & A.V.Ai1. Med.Surg. Nursing (speciality nursing) ICU2. Paediatric Nursing & Growth & Development3. Public Health Nursing4. M.C.H.5. Sociology & Social Medicine6. Trends in Nursing & Professional adjustmentds. Midwifery & Obstetrical Nursing2. Principles of administration & supervision3. Elective-Introduction to Research and statistics Show less

    • Medvarsity

      2017 - 2018
      Diploma Healthcare informatics 90%

      The Clinical Informatics Specialist serves as a liaison and builds collaborative relationships between clinical leadership, IT, and end users to ensure the optimum design and use of clinical software workflows for patient safety, patient experience, resource efficiency, and revenue capture. This position is responsible for identifying opportunities to optimize key business processes, analyzing and articulating current state workflows and identifying barriers to optimization. The Clinical… Show more The Clinical Informatics Specialist serves as a liaison and builds collaborative relationships between clinical leadership, IT, and end users to ensure the optimum design and use of clinical software workflows for patient safety, patient experience, resource efficiency, and revenue capture. This position is responsible for identifying opportunities to optimize key business processes, analyzing and articulating current state workflows and identifying barriers to optimization. The Clinical Informatics Specialist supports the electronic medical record (EMR) and provides onsite and phone support and guidance to users and the IT help desk. This position serves as the key point of contact with clinical software vendors, advocating for BHCHP’s needs and monitoring ongoing vendor support response. Show less

    • Margadarsi english medium school

      2002 - 2005
      Senior secondary certificate maths,science,social,english first class

      Activities and Societies: volley ball, cricket, chess In India it is also known as 10th Board Exam, is a public examination that is conducted by various boards of education including CISCE[1] and other state boards for students of class 10 (Senior class). CBSE made their class 10 boards non compulsory.[2]The SSC examination is conducted in the states of Tamil Nadu, Kerala, Gujarat, Telangana, Andhra Pradesh, Maharashtra, Madhya Pradesh and Goa in India. In India, 10th board exam is usually conducted in the month of March and April by most… Show more In India it is also known as 10th Board Exam, is a public examination that is conducted by various boards of education including CISCE[1] and other state boards for students of class 10 (Senior class). CBSE made their class 10 boards non compulsory.[2]The SSC examination is conducted in the states of Tamil Nadu, Kerala, Gujarat, Telangana, Andhra Pradesh, Maharashtra, Madhya Pradesh and Goa in India. In India, 10th board exam is usually conducted in the month of March and April by most of the boards of education in India. An exam schedule is released by the boards at least one month before the exam. Class 10 board exam results are usually declared in the month of May/June. Some of the education boards in India also declare a list of top 15 students in the board exams, called the merit list. Show less

    • NTR University of Health Sciences

      2007 - 2011
      Bachelor of Science in Nursing - BSN Registered Nursing/Registered Nurse A

  • Experience

    • In omega hospital

      Dec 2011 - Mar 2014
      Scrub nurse

      Assisting to surgeon for surgery.Organizing operation theater,Educating people in groups Etc

    • Dar Al Shifa Hospital

      Jun 2014 - now

      Conducted comprehensive audits of hospital financial records, operations, and internal controls to ensure accuracy, compliance, and efficiency.Evaluated internal control effectiveness, identifying risks and recommending corrective actions to mitigate operational risks.Audited billing, claims, and revenue cycle processes to verify compliance with contractual agreements and ensure proper documentation.Prepared detailed audit reports and presented findings to hospital management, outlining areas for improvement with actionable recommendations.Investigated discrepancies and potential fraud cases, collaborating with legal and compliance teams to implement corrective measures.Developed annual audit plans based on risk assessments, coordinating with department heads for audit schedules and scope.Key Achievements:✅ Conducted 9 internal audits, identifying 56 significant control weaknesses, leading to 30% cost savings or revenue recovery.✅ Reduced operational risks by implementing process improvements that streamlined hospital operations.✅ Led audits across multiple departments (Insurance, IT, Biomedical, HIM, Physiotherapy), enhancing compliance and cost-saving measures hospital-wide. Show less Medical Claims & Insurance Specialist | Healthcare Revenue Cycle ManagementProcessed and adjudicated medical claims efficiently while ensuring compliance with insurance policies and regulatory requirements.Acted as the primary liaison between the hospital, insurance companies, and patients, resolving claim issues, denials, and appeals.Conducted business risk assessments and planned audit objectives in alignment with industry methodologies.Reviewed and adjudicated inpatient and outpatient claims, ensuring accurate coding, medical necessity, and proper documentation.Analyzed denied claims, collaborated with clinical and coding teams to resolve discrepancies, and successfully resubmitted claims for payment.Partnered with finance and billing teams to streamline revenue cycle processes and reduce accounts receivable days.Led process improvement initiatives, restructuring insurance workflows to enhance operational efficiency.Key Achievements✅ Reduced claim denials by 10% through proactive review processes and strengthened insurer relationships.✅ Increased hospital reimbursements by 3% via timely and accurate claim submissions and follow-ups.✅ Successfully managed 3,900 claims per month while maintaining a 99.6% accuracy rate.✅ Optimized claims processing, cutting turnaround time by 70% and boosting department efficiency.✅ Led team training initiatives, reducing escalated issues by 90% and enhancing claims resolution. Show less

      • Senior Quality Assurance Officer – Health Information Management (H.I.M) Department

        Sept 2023 - now

      • Internal Auditor

        May 2022 - Sept 2023

      • Medical Claims & Insurance Specialist | Healthcare Revenue Cycle Management

        Jun 2014 - Sept 2023

  • Licenses & Certifications

    • Diploma in Healthcare informatics

      Medvarsity Online Ltd
      Oct 2017

    • Hsfa

      American Heart Association | American Stroke Association
      Aug 2014
      View certificate certificate

  • Volunteer Experience

    • SrivariSeva

      Issued by Tirumala Tirupati Devasthanams Trust on Jan 2013
      Tirumala Tirupati Devasthanams TrustAssociated with Harish Reddy Kolthuru

    • As a nurse

      Issued by Esic india on Nov 2011
      Esic indiaAssociated with Harish Reddy Kolthuru