Siddhesh Bane_Ops Man

Siddhesh Sudhakar Bane
Email : sidsbane1012@gmail.com Phone : +918454049509
Summary:
KPO/BPO Professional with 11+ Years of experience in the US HealthCare
Industry/RCM/Medical Coding/Compliance.
Proven expertise in Business Process, Transition, Production Management
and Customer Relationship Management and well verse in Managing, Motivating
and Leading teams for running successful Business Process Operations.
Excellent interpersonal planning and analytical skills. High-performing
Operational Management with expertise in building/optimizing Organizational
processes. Vast experience in managing End-To-End transition of new process.
Delivering optimal results with high-growth environments through Process
Improvement, Productivity Growth, Cost reduction through improved process
performances.
Ability to manage teams is an important skill for smooth transition, which
got refined during my work experience. Developed capabilities of handling large
teams. Organized and good listener with an patient aptitude and affect evaluated
decision-maker.
Areas of Expertise:
 Project and People Management
 Strategic planning
 Team Building
 Training and Development
 Organizational development and restructuring
 Operational Management
 Collaborating with the Marketing and Business Development Teams
 Collaborating with IT developers on system and process automation
 Client relation, interaction and engagement
 MIS reporting, Microsoft Office
 Talent Acquisition

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 Compure Assisted Coding Program (CAC),
McKesson, McKesson, Devero, Citrix - RDP, HCHB, CodeRyte, CodeCatch,
QNXT (Q-Blue) & NASCO, last but not the least P2P and many more software
utilized in Healthcare processes.

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.
 Providing support to marketing team in creation of marketing collaterals and
other documents required for marketing purpose.
 Developing and edit content and documents for PPT and MSA presentations.
 Providing extended support in various activities, such as CAC development,
Business development etc.
 Working diligently with Internal software 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 atomization of Inpatient & Outpatient coding, which can lead to
increase the productivity by 300-350% with + 95% accuracy.
 Interacting with Business Development Team on weekly basis for business
expansion.
 Making Power Point presentations on CAC for prospective clients. Giving them
brief introduction on CAC system.
 Meeting with prospective clients as on need basis. Our motive is to introduce
in-house CAC product in high growing market.
 Directly reporting to CEO/Founder of the organization (India).
Previous Work Profile – 3 Gen Consulting
 Worked 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 deliverable 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.
 Handled two different locations (Pune and Mumbai) with a team of 130+
Employees (110 Billable FTE)
Previous Work Profile – iHealth Technologies
 Worked as “Sr. Adjudicator (Medical Coder)” in Care Management International
PVT LTD, for POPA (Physician Out-liner Prepayment Audit) of Horizon BCBS New
Jersey Insurance.
 Audited reports of out-liner 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 of success as, from being a trainee coder to Team
Supervisor in 3 years and also reworded Thrice with Outstanding performer of
the years.

Achievements:
 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.
 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 Road 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 : 104/B Wing, Sai Shraddha Phase-II,
Hanuman Tekadi, Shiv Vallabh Rd.,
Near Ashok Van, Borivali (E)
Mumbai – 400 066

(Siddhesh S. Bane)

Siddhesh Bane_Ops Man

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