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ManojKumarChunduru/README.md

Manoj Kumar Chunduru, Epic Hospital Billing Analyst. Animated claim lifecycle where a denied claim is recovered through root cause analysis.

I work the seam where clinical operations become revenue, and I build analytics that prove their own numbers: every metric on this page regenerates from a repo you can clone and run.

Email LinkedIn Open to roles

The Numbers


3+ years
Epic HB / Resolute across
large health systems
🧪
150+ scenarios
UAT executed for an
Epic upgrade cycle
📊
5K+ daily txns
supported, manual reporting
effort cut 30%
🏆
4 certifications
Johns Hopkins ×2,
MedCerts ×2
📦
4 repos
every benchmark measured,
95–96% test coverage

Stack, by depth

Tech stack by experience level: Epic Resolute HB, SQL, Excel at expert; Python, DuckDB, Power BI at advanced; HL7, Tableau, SSRS at working level.

Featured work

Four repos, four different revenue cycle bottlenecks, four different mechanisms. Each includes a labeled synthetic data generator, so detection quality is a measurement against ground truth, not a claim.

Repo What it proves Headline number
claims-denial-leakage-miner Preventable denials can be classified to an actionable root cause even when remit codes lie 99.5% precision, 100% recall, 99.1% cause accuracy; $5.57M of $7.28M denied dollars traced to six preventable causes; 126K claims/s
rcm-upgrade-regression-sentinel Upgrade UAT can be a declared contract with a measured catch rate, not an eyeball exercise 100% catch rate over 1,299 planted regressions, zero false alarms on a benign-only control; 1M rows in 67s; generates the Excel sign-off workbook
hl7-charge-capture-reconciler Ordered care that never becomes a posted charge is findable and priceable from raw HL7v2 0.98 missing-charge recall with honest false positive accounting; ~30K msg/s; $1.8M missing and $2.8M late charges priced
workqueue-flow-radar Conflicting routing rules that ping-pong claims between queues can be caught and named from the event log alone 1.0 precision and recall on labeled victims; 1.1M events in 7s; renders the daily ops packet (Excel + PDF)

Building blocks

Python SQL DuckDB pandas Power BI Tableau Excel HL7 FHIR pytest GitHub Actions ServiceNow Jira

Current focus

  • Turning denial reports into root-cause worklists a biller can act on without asking why a claim was flagged
  • Automating UAT evidence for EHR upgrade cycles: the tolerance spec is the test plan, the workbook is the artifact
  • Workqueue flow analytics: aging, first-pass yield, and the routing conflicts native queue views cannot see
  • Porting the repos' plain-SQL models to MS SQL Server syntax, the warehouse most hospital reporting teams run

Pivot point

I learned the revenue cycle from inside its workflows: UAT scripts, workqueues, and production support tickets at hospital scale. Then I went back to school for the data discipline (MS in Data Management & Analytics, 2024) to measure what I had been supporting. The four repos above are that pivot made public: the same denials, charges, upgrades, and queues, now with labeled ground truth, benchmarks, and CI behind every claim.

Quick connect

Email LinkedIn Repositories

The fastest way to evaluate me: git clone any pinned repo and run the three-command quickstart.

Profile views

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  1. hl7-charge-capture-reconciler hl7-charge-capture-reconciler Public

    Parses HL7v2 message logs (ADT, ORM, DFT) into an EHR analytics warehouse, reconciles clinical orders against posted charges, and prices missed charge capture and discharge-to-bill lag. 0.977 detec…

    Python

  2. Claims-denial-leakage-miner Claims-denial-leakage-miner Public

    Mines 837/835-shaped hospital claims for preventable denials and prices revenue leakage by CARC code, payer, and department. 99.5% precision and 100% recall measured against labeled synthetic groun…

    Python

  3. rcm-upgrade-regression-sentinel rcm-upgrade-regression-sentinel Public

    UAT regression framework for billing system upgrades. Tolerance-aware diffing of pre/post-upgrade report extracts: 100% catch rate measured against 1,299 planted regressions across 7 classes, zero …

    Python

  4. workqueue-flow-radar workqueue-flow-radar Public

    Workqueue analytics that replays WQ event logs with SQL window functions to measure aging and first-pass yield, and detects ping-pong claims bouncing between queues under conflicting routing rules.…

    Python