Thota Gnapika

Analytical and tech-driven Clinical Informatics Specialist and Health Data Analyst with 8+ years of expertise managing electronic health records (EHR) data validation, clinical workflow optimization, and health information metrics. Unique cross-functional background combining a Postgraduate Degree in Medical Microbiology with advanced technical skills in Python, SQL, and Power BI data pipelines. Proven track record of auditing 40–60 clinical files daily, ensuring a 98% quality compliance rating while utilizing cloud-based hospital information systems like EPIC.

Expert in medical coding structures (DRG, ICD-10, CPT) and a Lean Six Sigma Black Belt dedicated to resolving data gaps, tracking system-use KPIs, and bridging communication between IT and medical teams.

Clinical Systems & RCM Auditing Officer - Dubai Health (via Reach) - Dubai, UAE

(2020-01)

• System Workflow Optimization: Evaluate 40–60 complex digital insurance authorization requests daily, maintaining a 98% data quality compliance index and minimizing electronic claim processing errors.
• EHR Data Validation: Investigate inpatient and outpatient documentation structures using DRG, ICD-10-CM, and CPT validation logic to secure information reliability and eliminate data misrepresentation.
• Digital Infrastructure Engagement: Leverage cloud-based hospital information systems (EPIC) and clinical data reporting pipelines to streamline discharge tracking and refine automated clearance workflows.
• Informatics Performance Analysis: Proactively isolate structural documentation discrepancies, reducing systems-level administrative blockages by 15% through meticulous root-cause analysis.
• Cross-Functional Collaboration: Partner with clinical case management, financial teams, and international insurance stakeholders to resolve technical system escalations under target corporate SLAs.

Clinical Data Auditor & Medical Coder - Thumbay Hospital - Ajman, UAE

(2017-01 - 2020-12)

• Regulatory Compliance Controls: Reviewed and validated complex healthcare records for absolute compliance with DOH/DHA guidelines, regional policy structures, and internal hospital information protocols.
• Denial & Data Integrity Analysis: Maintained automated health records, identifying recurring billing system discrepancies or data anomalies to execute corrections that dropped file errors by 10%.
• Technical Informatics Liaison: Acted as the primary clinical tech contact to reconcile records-related data gaps with physicians, improving electronic documentation transparency and interdepartmental performance indicators.
• High-Volume Data Targets: Managed high-density clinical data validation workflows, analyzing 40 medical charts per day while keeping output accuracy benchmarks above 95%.

Senior Clinical Data Auditor - Elico Healthcare Services - Hyderabad, India

(2016-01 - 2017-12)

• Informatics Quality Audits: Executed secondary clinical validation and coding data audits for complex inpatient records, boosting system compliance and delivery metrics.
• Error Minimization Mapping: Performed structural root-cause mapping on system rejections, successfully dropping coding errors by 15% to 25% via strict governance enforcement.
• Peer Technical Training: Led peer workshops and mentored junior analytical staff on data tracking updates, technical compliance policies, and systems auditing criteria.

Healthcare Operations & Risk Analyst - Optum, UnitedHealth Group - Hyderabad, India

(2014-01 - 2016-12)

• Data Security Governance: Evaluated healthcare records data for major US healthcare clients to verify compliance with contractual SLAs and HIPAA data governance privacy standards.
• Data Trend Analytics: Monitored technical trend data, compiled productivity profiles, and synthesized metrics into data-backed visual performance reports for operations management.
• Process Cost Management: Achieved a 15% to 20% reduction in records rework by conducting deep validation on systemic discrepancies.

Postgraduate Degree - Microbiology