arun raj

I've spent 7+ years improving healthcare revenue cycle operations and clinical document review at GetixHealth and Omega Healthcare. My work spans denial root-cause analysis, claims recovery, quality audits, and HIPAA-compliant document classification.

At GetixHealth, I reduced claim rejections from 15% to 1% by identifying denial causes and implementing corrective workflow controls. I also audit revenue cycle processes, analyze denial patterns, verify coverage and benefits, and apply Medicare, Medicaid, and commercial payer policies to resolve denied and aged claims.

In my clinical document review work, I classify radiology reports, consult notes, pharmacy records, refill requests, and discharge summaries for accurate patient-record routing. I maintain HIPAA compliance while resolving incomplete documentation and supporting quality checks that improve processing turnaround.