1. Siddhesh Sudhakar Bane
Email : sidsbane1012@gmail.com Phone : +918454049509
Areas of
Expertise:
Project and People Management
Strategic planning
Organizational development and restructuring
Operational Management
Hiring, Motivation, Coaching & Mentoring
Training & Auditing
Professional Qualifications
BCHH-C Internal ICD-10 proficient from NCBCC in Year 2015.
AAPC ICD-10 Proficient coder in 2015.
BCHH-C Certified from NCBCC in year 2014.
COC Certified from AAPC in year 2009.
CPC Certified from AAPC in year 2008.
Diploma in Medical Transcription.
Diploma in Business Management from ICFAI University.
Sound knowledge in subjects
Human Anatomy & Physiology,
ICD-9, ICD-10, CPT, HCPCS
Having experience in Provider, Payers, Home health & Hospice coding and
Audits (Prepayment Audits)
Vast experience in Radiology, Evolution and Management, Emergency
Department, Pathology, Interventional Radiology and Home Health &
Hospice coding.
Worked on Prepayment Audits as well as Denials Analysis projects.
Software experience:
Having a vast experience working on McKesson, McKesson, Devero, Citrix -
RDP, HCHB, CodeRyte, CodeCatch, Q-Blue & NASCO, last but not the least
P2P and many more Coding software utilized for medical coding.
2. Work Experience:
Organization : NDS InforServ
(http://www.ndsinfo.com)
Headquarter : Dallas (TX)
Period : July 2016 – Till Date
Designation : Manager – Medical Coding and Operations
Organization : 3 Gen Consulting LLP, Pune
(www.3genconsulting.com)
Headquarter : Mumbai (India)
Period : February 2014 – June 2016
Designation : Manager – Medical Coding and Operations (February
2015)
Team Leader (June 2014)
Organization : iHealth Technologies (iHT) inc, Pune
(www.ihealthtechnologies.com)
Headquarter : Atlanta (GA)
Designation : Sr. Auditor & Adjudicator
Period : June 2011 – February 2014 (2 Yrs 8 Months)
Organization : Accretive HealthCare International, Gurgaon
Headquarter : New Jersey, U.S
Designation : Sr. Medical Coder
Period : February 2011 – June 2011 (4 Months)
Organization : GeBBS Healthcare Solutions LTD, Mumbai
Headquarter : New Jersey, U.S
Period : December 2005 – January 2011 (5 Yrs 2 Months)
Designation : Team Coach (2009)
Sr. Coder (2008)
Coder (2007)
Trainee coder (2006)
3. Current Work Profile – NDS InfoServ
Working as "Manager - Medical Coding and Operations" in NDS InfoServ,
on Coding Automation program.
NDS InfoServ is a Business Process Outsourcing company, providing
Healthcare consulting and IT solutions by combining automation to
increase productivity and efficiency with innovation to enhance business
effectiveness.
Currently working with Internal IT developers team on Medical Coding and
Billing automation application (CAC - Computer Assisted Coding), which is
specifically designed for Inpatient and Outpatient coding.
Responsible for providing effective feedback to Developers to enhance
CAC's efficiency.
Our goal is to automated Inpatient & Outpatient coding, which can lead to
increase the productivity of coder by 300-350%.
Interacting with BDM team on weekly basis for business expansion.
Previous Work Profile – 3 Gen Consulting
Working as “Manager – Medical coding and Operations” in 3 Gen
Consulting PVT LTD, for HHA (Home Health Associations).
3Gen Consulting is a professional healthcare consulting company, offers End to
End Revenue Cycle Management services.
Handling the process like Medical Coding, Home Health Coding, Data
Management, work Flow Management.
Responsible for maintaining attrition level.
Directly reporting to CEO/Founder of the organization (India).
Working diligently for process improvement, Resource utilization, feedback
mechanism (internally and externally), Leave planner etc.
Handling work of 123 Home Health Agencies situated across U.S.
Interacting with Client as on need basis.
Reviewing the productivity logs, call log and MIS reports on a daily basis
Ensure deliverables are prepared to satisfy the project requirements and schedule.
4. Responsible for Team management, Floor management, auditing the coded reports,
resolving team queries.
Obtain and co-ordinate with IT team for the initial set-up of the process during the
transition phase.
Handling two different loations (Pune and Mumbai) with a team of 130+
Employees (110 Billable FTE)
Previous Work Profile – iHealth echnologies
Worked as “Sr. Adjudicator (Medical Coder)” in Care Management
International PVT LTD, for POPA (Physician Outliner Prepayment Audit) of
Horizon BCBS New Jersey Insurance.
Audited reports of outliner physician before payment released by
Insurance Company.
Interacted with physicians and educate them on report documentation for
accurate level of coding.
Issued letters to Providers for incorrect or faulty billing and asking to make
changes as per coder’s recommendation.
Work Profile – Accretive Healthcare Pvt Ltd
Worked as “Sr. Medical Coder” in Accretive Healthcare Pvt Ltd.
Worked on Emergency Department Specialty Coding.
Work Profile – GeBBS Healthcare Solutions Pvt Ltd
Climbed the ladder from being a trainee coder to Team Supervisor in 3
years and also achieved Outstanding performer for 3 consecutive years
Worked on specialty Radiology, Pathology, E/M and Coding. Provide
training to fresher on these specialties and maintaining their progress
report on daily basis.
Handled team size of 22 medical coders
Interacted with the clients, and sending daily, weekly & monthly
productivity reports
Worked on Radiology, Pathology, E/M and IVR Clients. Interacting with
Client on Daily, Weekly or Monthly basis, as per requirements.
Clearing test / pilot batches for new clients.
5. Worked on Denials analyses and also worked the claims rejected at the
clearing house, assisted AR team on coding related issues.
Coordinated with Operations manager to discuss project impediment,
Resource allocation, Issue analysis.
Was actively involved in keeping check on quality by auditing medical
records (CPT, ICD & HCPCS) coded by team and providing them a regular
feedback and monitoring their improvement.
Resource utilization and process planning as per client and process
requirement.
Maintained the project documents based on ISO standard point of view
Participated in ISO Audit since year 2008 & 2009 as internal Auditor.
Have sound knowledge of ISO Audit, and have audited many projects
including AR, Payment Posting and Charge entry.
6. Achievements:
Awarded as “Excellency in Management” of the year 2015.
Awarded as Best Team Coach of the year in 2009.
Awarded as Outstanding Performer of the year 2007 & 2008.
Personal Strength
Positive attitude towards life gives me confidence to achieve my goals
and solving challenges
Stability, Credibility, Consistency and Leadership quality are my main
traits which I believe will help me to achieve success in my career and my
life.
Academic Qualification:
Graduation - B.Sc. Mumbai University – March_2005
H.S.C - Maharashtra Board – March_2001
S.S.C - Maharashtra Board – March 1999
M.B.A -Perusing from ICFA, completed with Diploma.
My hobbies
Music, Reading and Raod trips.
7. Personal Profile
Name : Siddhesh Sudhakar Bane.
Father name : Sudhakar Gangaram Bane.
Date of Birth : 10th
Dec 1983.
Sex : Male
Marital Status : Married
Languages known : Hindi, English, Marathi.
Permanent Address : 305/B Wing, Sai Shraddha Phase-II,
Hanuman Tekadi, Shiv Vallabh Rd.,
Near Ashok Van, Borivali (E)
Mumbai – 400 066
(Siddhesh S. Bane)