S. Raghavendra Pawar - HCAFA, FAHM, CIRCC, CPC, CPC-P, CHA, LSSGB

Founder at CoverSelf

S. Raghavendra Pawar has over 13 years of work experience in the healthcare industry. S. Raghavendra is currently the Founder of CoverSelf, a company they started in November 2019. Prior to that, they worked at HealthLucid from June 2016 to October 2019 as a Product Manager, where they were responsible for product innovation and development for US healthcare.

Before their role at HealthLucid, they worked at PrimEra Medical Technologies from February 2015 to May 2016 as the Center Head Bangalore, Senior Manager - HIM Operations & Process Improvement. In this role, they managed operations for a Top 15 U.S Health Systems and handled a large team size of 250+ reportees across multiple delivery center locations. S. Raghavendra was involved in workflow tool development, coding automation, and worked closely with the tech team to provide product requirements and refinements.

From 2013 to 2015, they worked at Cotiviti as an Assistant Manager - Payment Integrity. Prior to that, they worked at GeBBS Healthcare Solutions from March 2010 to January 2013 as a Team Leader - Physician & Hospital, Medical Coding. In this role, they handled multiple accounts and was a subject matter expert for computer-assisted coding.

Raghavendra started their healthcare career at Omega Healthcare Management Services Private Limited, where they worked from July 2006 to February 2010. S. Raghavendra served as a Quality Control Analyst - Medical Coding from December 2008 to February 2010 and as a Senior Medical Coder from July 2006 to December 2008.

Throughout their career, Raghavendra has gained expertise in various areas of healthcare, including product management, operations management, coding automation, and quality control. S. Raghavendra has demonstrated the ability to lead teams and manage multiple accounts in the healthcare industry.

S. Raghavendra Pawar holds a Master's degree in Biochemistry from Bangalore University, which was obtained from 2004 to 2006. Prior to that, from 2001 to 2004, they completed a Bachelor of Science degree in Industrial Microbiology, Chemistry, and Botany, also from Bangalore University.

In addition to their formal education, Pawar has acquired various certifications throughout their career. These include the Health Care Anti-Fraud Associate (HCAFA) certification from America's Health Insurance Plans (AHIP), obtained in May 2021. S. Raghavendra also holds the Fellow, Academy For Healthcare Management (FAHM) certification from AHIP, obtained in August 2018, and the Professional, Academy For Health Care Management (PAHM) certification, obtained in June 2017.

Pawar is also a Certified HIPAA Administrator (CHA) from ecfirst, obtained in January 2017. In 2014, they obtained the Lean Six Sigma Green Belt certification from Benchmark Six Sigma, as well as the Certified Professional Coder-Payer (CPC-P) and ICD-10 Proficient certifications from AAPC. In 2012, Pawar obtained the Certified Interventional Radiology Cardiovascular Coder (CIRCC) certification from AAPC, and in 2010, they obtained the Certified Professional Coder (CPC) certification, also from AAPC.

While the information provided does not mention any specific certifications in the field of healthcare administration or management, Pawar's extensive certifications in coding, HIPAA administration, and lean six sigma suggest a well-rounded skill set in healthcare reimbursement, compliance, and process improvement.

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Timeline

  • Founder

    November, 2019 - present