Nitheeswar Dheenathayalan

Meticulous and performance-driven Quality Analyst with 2+ years of experience in the US healthcare and medical billing domain. Skilled in claim audits, denial management, charge entry verification, and process compliance. Proficient in industry-standard tools like Epic, Medhost, CPSI, eClinicalWorks, TruBridge, and SSI Client Software, with a strong understanding of RCM workflows and HIPAA guidelines. Proven ability to reduce errors, support high-quality deliverables, and collaborate with cross-functional teams to improve billing accuracy.

• Performed audits on submitted claims to ensure 98%+ accuracy before processing.
• Reviewed denials and worked closely with billing teams to resolve issues, reducing rejections by 20%.
• Conducted charge entry quality checks and ensured alignment with client-specific coding and payer rules.
• Collaborated with team using TruBridge and SSI Client for clearinghouse rejections and status checks.
• Maintained HIPAA compliance in all documentation and reporting activities.
• Provided regular feedback to junior billers and helped with process training sessions.

• John Peter Smith Hospital (HB) in denial management.
• McKenzie Health System (HB , PB and Ambulance Claims) in Clearing house rejections and denial management.
• Arkansas Surgical Hospital(HB & PB) in denial Management.
• Parkview Physicians Group(PB) in denial Management.