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.
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)
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.
 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.
 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.
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.
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)

Siddhesh_Bane

  • 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 forTeam 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 onDenials 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)