Sunny S.
Healthcare RCM | AI Claims | Medical Billing | ETL| EDI| HL7| FHIR
Certified Microsoft Healthcare Specialist | Clinical Quality Measures, HEDIS, MIPS MACRA, PCMH, HIPAA, FHIR, HL7, EMR/EHR Integration, Telemedicine, Clinical Analytics, and AI-driven Healthcare Solutions With 15+ years of hands-on experience in healthcare technology, interoperability, and compliance, I specialize in developing, integrating, and optimizing enterprise-grade healthcare solutions aligned with U.S. regulatory standards such as HIPAA, HITECH, and Meaningful Use (MU 1, 2, 3,3.5). My expertise spans EHR/EMR design and integration, clinical data exchange (HL7, FHIR, CCDA, EDI), and AI-driven clinical analytics, supporting healthcare organizations, startups, and payers in achieving operational excellence, compliance, and innovation. Core Expertise - Healthcare Technology & Compliance HIPAA / HITECH Compliance HL7, FHIR, CCDA, HEDIS, EDI Meaningful Use (MU 1, 2, 3) ICD-9/10/11, CPT, SNOMED, LOINC, NDC, HCPCS, RxNorm Telehealth, Telemedicine, Homecare, mHealth, IoMT PMS, HIX, and Healthcare Data Exchange - EHR / EMR Development & Integration Custom EHR/EMR design for Behavioral Health, OBGYN, Wound Care, Eye Care, and Dental Integration with major EHR systems: EPIC | eClinicalWorks (eCW) | Cerner | AllScripts | Athenahealth | NextGen | DrChrono | PracticeFusion | AdvancedMD | GE Centricity | Kareo | IMS | EMD - Data, Analytics & Business Intelligence Data Modeling (Transactional + Dimensional) ETL, Reporting, Dashboards, and KPIs Tools: IBM InfoSphere Data Architect, Cognos BI, Report Studio, Framework Manager Population Health, Risk Adjustment, and Care Gap Analytics - AI & Machine Learning in Healthcare My team and I leverage AI/ML, NLP, and Computer Vision to create smarter, data-driven healthcare systems. Document AI workflows include OCR and document extraction Document classification Structured JSON extraction Human-in-the-loop validation Contract clause extraction Invoice extraction and reconciliation Medical document processing eFax classification Referral processing Document search and RAG Enterprise knowledge bases Approval and review workflows AI Virtual Assistants for patient engagement Non-invasive Continuous Glucose Monitoring Predictive Denial Management & RCM Optimization AI-based Clinical Decision Support Tools Wound Detection & Skin Analysis (Computer Vision) NLP for Risk Adjustment and Clinical Documentation Radiology & Pathology Image Analysis Posture/Squat Analysis for Physiotherapy Disease Quality Analytics (e.g., Diabetes) Healthcare IT Services Revenue Cycle Management (RCM) Healthcare Interoperability (FHIR, HL7, CCDA, EDI) Medical Billing Systems & Coding Integration Telemedicine / Remote Patient Monitoring MU Certification Support & HIPAA Consultancy Risk Stratification & Preventive Care Platforms Population Health & Clinical Analytics Solutions **Why Choose Me** Microsoft Healthcare & Azure FHIR Specialist Deep expertise in U.S. healthcare workflows Proven integration with top EHRs & PMS systems Focused on compliance, interoperability, and AI innovation Experienced team combining the healthcare domain + data science Let’s build secure, scalable, and intelligent healthcare solutions - from EMR integrations to AI-powered telemedicine platforms.
Earnings and projects
Last 6 months ÷ 6
Last 6 months: $12k
Billed in all: $167,060$167k
$12k in the last 6 months
Across 14 contracts
Earnings, last 30 days
Skill rankings: Top 7% in DICOM
Ranked by MRR among everyone on Upwork with the skill.
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