🌐 Healthcare AI & Technology Leader

Nandha Kumar P

Senior Manager — HIM & Coding Operations | CDI | Revenue Cycle
PMI Certified Practitioner | Lean Six Sigma Black Belt

PMP® #2792486 PMO-CP® LSSBB CDIP CCDS CCS CRCR RAC CDIO CDIP ★ CCDS ★ COC PAHM MBA LLB
15.6+
Years Experience
360+
Team Size (FTE)
$12M
Revenue Portfolio
98%
Coding Accuracy
📧 Contact Me View Experience ↓
Nandha Kumar P

Nandha Kumar P

Hyderabad, India · Open to Opportunities
📱
+91 88847 44666
✉️
nandha.airesearch@gmail.com
📍
Hyderabad, India
PMP® Certified
PMI #2792486 · Aug 2020
PMO-CP® Practitioner
Project Management Office
PMO-CP® Certified Practitioner
Project Management Office · PMI
CDIP® — AHIMA (Jan 2024)
Clinical Documentation Improvement Practitioner
CCDS® — ACDIS
Certified Clinical Documentation Specialist
PMI Trainer & Tutor
PMP | RMP | Portfolio Mgmt
18%
YoY Revenue Growth
Avg. delivered consistently
35%
Denial Rate Reduction
Improved AR recovery
20%
Automation Efficiency
Manual effort reduced
95%+
CSAT Score
Sustained across all accounts
Nandha Kumar P
PMP
PMP® Certified
PMI #2792486
PMO
PMO-CP®
PMI Practitioner
CDIP
CDIP® — AHIMA
Documentation Improvement
CCDS
CCDS® — ACDIS
Clinical Doc Specialist
Experience
15.6+
Years
👤 About Me

Healthcare Leader.
PMI Expert.
AI Innovator.

Results-driven Senior Healthcare Executive with 15.6+ years of progressive leadership across U.S. Healthcare Revenue Cycle, HIM Operations, CDI, Medical Coding, and Compliance. I manage large-scale teams of 360+ FTEs, deliver consistent P&L impact across $8M–$12M portfolios, and lead enterprise-wide AI automation initiatives.

As a PMI-authorized PMP® Tutor, I have facilitated multiple cohorts for PMP®, RMP®, and Portfolio Management — including specialized batches for construction industry professionals. Passionate about bridging healthcare operations with cutting-edge AI technology to drive meaningful outcomes.

🏆
4x Award Winner
Best Manager & Performer
🤖
AI Pioneer
LLM Validation & Automation
📚
PMI Trainer
PMP | RMP | Portfolio Mgmt
🌍
20+ Certifications
International Credentials
📧 Get in Touch View PMI Profile ↓
🏆 PMI Expertise

Project & Portfolio Management Leadership

Internationally certified PMI professional with hands-on training experience across PMP®, RMP®, Portfolio Management and specialized construction industry batches.

🏅

PMP® Certified Professional

Project Management Professional — PMI Certification #2792486 (Aug 2020). Demonstrating global competency in project leadership, delivery, and stakeholder management across industries.

PMI #2792486
🏢

PMO-CP® Practitioner

Advanced PMI certification in establishing, managing, and optimizing Project Management Offices. Expert in PMO governance, maturity models, and strategic portfolio alignment.

PMI Certified
⚠️

RMP® Training Facilitator

Delivered Risk Management Professional prep cohorts covering risk registers, Monte Carlo analysis, quantitative risk assessment, and response planning per PMI PMBOK standards.

PMI Framework
📊

Portfolio Management Trainer

Facilitated PMI Standard for Portfolio Management workshops covering governance, benefits realization, strategic alignment, and value delivery optimization frameworks.

PMI Standard
🏗️

Construction PM Batch Specialist

Conducted specialized PMP® batches for construction professionals — civil engineers, site managers, and EPC professionals. Adapted PMI frameworks to construction lifecycles and procurement.

Specialty Batch
🤝

PMI Chapter Volunteer

Active contributor to PMI Chennai Local Chapter. Driving digital education access for rural children through the Kalvi 40 initiative — project-based community volunteering.

Chennai Chapter
💡 Core Skills

Areas of Expertise

15.6+ years of specialized expertise spanning healthcare operations, AI integration, and project management.

🏥
Healthcare Revenue Cycle

ICD-10-CM / CPT / HCPCSIPDRG / MS-DRGHCC Risk AdjustmentCDI / Clinical DocumentationCoding DenialsSOI / ROM / POA / HACCase Mix IndexDRG ValidationRevenue Impact AnalysisAR Management

🤖
AI & Technology

LLM Output ValidationAI Model EvaluationCoding AutomationPrompt EngineeringSalesforce AI SpecialistPower BI DashboardsTableau AnalyticsQA Validation FrameworksCoder-SME Sync

📋
Project & PMO Management

PMP® / PMO-CP®RMP® FrameworkPortfolio GovernanceAgile / Hybrid PMLean Six Sigma BBBenefits RealizationStakeholder MgmtProcurement Mgmt

💼
Leadership & Operations

360+ FTE Team ManagementP&L Ownership $8M-$12MClient Relationship MgmtNew Business TransitionsHIPAA ComplianceProcess OptimizationCSAT ManagementPerformance Governance
💼 Career Journey

Professional Experience

15.6+ years of progressive leadership across U.S. healthcare domain organizations.

Senior Manager — HIM, Coding Operations & CDI
Aug 2024 – Present
Medvance Healthcare
Scope: End-to-end Coding Operations | CDI | HIM | Compliance | Revenue Cycle · Team: 360+ FTEs · Portfolio: $8M–$12M
  • Lead enterprise-wide coding operations across IP, OP, ED, HCC, CDI & Denials with full P&L accountability
  • Drive AI-powered coding automation including LLM output validation, Coder-SME synchronization & QA framework design
  • Spearhead new business transitions, stabilizing operations within defined timelines
  • Champion Lean Six Sigma improvements improving throughput by 18–22%
  • Deliver Power BI executive dashboards for strategic C-suite decision-making
Senior Manager — Head of Coding Department
Jan 2023 – Apr 2024
Helio Next
Scope: Operations | Quality | Training · Full P&L Responsibility · Multi-specialty Leadership
  • Directed all coding operations achieving sustained 96–98% accuracy across specialties
  • Built and mentored high-performance coding teams with structured training programs
  • Implemented denial prevention strategies reducing rates by 28–35%
  • Collaborated with tech teams on automation requirement gathering & QA validation
Coding Manager — RCM, CDI & HIM
Sep 2018 – Jan 2023
R1 RCM Healthcare
Scope: Coding Manager | Internal Auditor Officer | Denial Coding Specialist · Multi-account Leadership
  • Managed multi-specialty coding teams across ICD-10-CM, CPT, HCPCS, and IPDRG frameworks
  • Served as Internal Auditor conducting compliance reviews and regulatory alignment
  • Led CDI programs improving DRG accuracy, SOI/ROM documentation & Case Mix Index
  • Awarded Best Manager Q2 2019 & Best Guiding Star Q4 2020 (Project Holly)
  • Contributed to PMP® prep facilitation for team leads including RMP & Portfolio modules
Group Coordinator — Business Transitions
Feb 2016 – Aug 2018
Logix Health
  • Led new business transitions and client onboarding within SLA timelines
  • Received Best Auditor Award 2016 for outstanding quality performance
Senior Medical Coder / Operations
Nov 2013 – Dec 2016
India Healthcare Solutions, Chennai
  • Delivered high-accuracy multi-specialty coding · Best Performer Award 2015
🎓 Credentials

Certifications & Credentials

20+ internationally recognized certifications across healthcare, project management, and technology domains.

PMP®
Project Management Professional
PMI · #2792486 · Aug 2020
PMO-CP
Certified Practitioner – PMO
PMI
LSSBB
Lean Six Sigma Black Belt
IASSC · Anexas Europe
FEATURED
CDIP
Certified Documentation Improvement Practitioner
AHIMA · Jan 2024
Clinical Documentation Excellence
FEATURED
CCDS
Certified Clinical Documentation Specialist
ACDIS
Clinical Documentation Specialist
CCS
Certified Coding Specialist
AHIMA · Feb 2019
CDIO
CDI Oversight Certified
AHIMA · 2023
RAC
Risk Adjustment Coder
AHIMA · 2023
CRCR
Certified Revenue Cycle Representative
HFMA · Nov 2023
COC
Certified Outpatient Coder
AAPC · 2015
PAHM
Professional Academy for Healthcare Mgmt
AHM-250 · Jun 2020
MACRA
MACRA Certified
AAPC · 2019
SF AI
Salesforce AI Specialist & Associate
Salesforce
MBA
Master of Business Administration
Loyola College · Pondicherry University
LLB
Bachelor of Laws
SV University · Andhra Pradesh
PBI
Power BI – Data Analysis & Dashboards
Udemy · 2022
🎯 Mentorship

Training & Thought Leadership

Passionate educator and mentor, having trained hundreds of professionals across PMI, healthcare coding, and leadership domains.

🏅

PMI PMP® Tutor & Trainer

Conducted multiple PMP® exam prep batches aligned with PMBOK 7th Edition and Agile Practice Guide. Served healthcare, IT, and construction industry professionals.

PMBOK 7th EdAgileHybrid
⚠️

RMP® Cohort Facilitator

Delivered Risk Management Professional prep training covering risk registers, Monte Carlo simulations, quantitative risk assessment, and portfolio-level risk governance.

Risk RegistersMonte CarloPMI Framework
📊

Portfolio Management Trainer

PMI Standard for Portfolio Management facilitation — covering portfolio selection, prioritization, benefits realization, governance, and strategic value delivery.

Portfolio GovernanceBenefits Realization
🏗️

Construction PM Batch Specialist

Industry-specific PMP® batches for civil engineers, site managers, and EPC professionals — bridging PMI frameworks with real-world construction contexts.

Civil EngineeringEPCProcurement
🏥

Healthcare Coding Instructor

Expert instructor for CDIP, CCDS, CRCR, CPHQ, HCC, MACRA, CPB, and Denials Management certification prep. Specialty areas: ED, IPDRG, Radiology, Psychiatry.

CDIPCCDSHCCCPHQ
💻

Online Course Designer

Developed comprehensive medical coding training curriculum for freshers and qualified professionals. Complete specialty pathways with structured learning modules.

Curriculum DesignE-LearningeLMS
🌟 Recognition

Honors & Awards

Recognized consistently for excellence in leadership, quality, and operational performance.

🏆
2015
Best Performer Award
India Healthcare Solutions
🥇
2016
Best Auditor Award
Logix Health Solutions
⭐
Q2 2019
Best Manager Award
R1 RCM — Project Holly
🌟
Q4 2020
Best Guiding Star
R1 RCM — Project Holly
📬 Get in Touch

Let's Connect

Open to senior leadership opportunities, consulting engagements, and PMI training collaborations.

📱

Phone

+91 88847 44666

Available Mon–Sat
✉️

Email

nandha.airesearch@gmail.com

Response within 24 hours
📍

Location

Hyderabad, India

Open to Remote & Dubai Roles