Ravi D. Nikam
Pune
Summary
Dynamic professional with extensive experience in medical coding and team leadership at WNS Global Solution. Proven track record in enhancing service delivery through strategic process improvements and performance analysis. Skilled in employee training and motivated to drive team success while ensuring compliance with industry standards.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Assistant Manager
WNS Global Solution
Nashik
12.2024 - Current
- Supervised daily operations and ensured compliance with company policies.
- Coordinated team schedules to optimize resource allocation and workflow efficiency.
- Trained new employees on operational procedures and customer service standards.
- Implemented process improvements to enhance service delivery and customer satisfaction.
- Managed client communications to address concerns and provide timely solutions.
- Analyzed performance metrics to identify areas for improvement and development.
- Supervised daily operations including scheduling shifts, assigning duties.
- Monitored employee attendance records, timekeeping, and payroll information.
- Collaborated with management on developing strategic plans for achieving business goals.
- Conducted regular performance reviews for employees to identify areas of improvement.
Quality Analyst
First Insight Solutions
06.2024 - 12.2025
- Specialized in ophthalmology coding to ensure precise documentation and billing.
- Reviewed and ensured accuracy of ophthalmology coding for optimal reimbursement.
- Maintained and analyzed quality metrics for ophthalmology coders to enhance performance.
- Developed action plans to address coding errors, improving coder efficiency.
- Analyzed software quality assurance processes to confirm adherence to industry standards.
Team Leader
VLMS HEALTHCARE
Pune
08.2022 - 05.2024
- Compiled coder data to generate weekly production reports.
- Maintained quality and production reports for medical coders.
- Assigned tasks and coordinated daily operations for team efficiency.
- Arranged DTR and action plans for underperforming staff.
- Monitored project timelines to ensure consistent deadline adherence.
- Developed training materials facilitating smooth onboarding of new hires.
- Mentored junior staff on best practices and company procedures.
- Coded appropriate ICD10cm for accurate documentation.
Senior Medical Coder
OPTUM
08.2018 - 04.2022
- Working as SME to solve Doubts
- Worked on HCC Project
- Worked on Evaluation and Management (Outpatient)
- Handling quality related data for 30 members
Quality Analyst
Omega Health care
11.2015 - 06.2018
- Maintain CAPA report
- Prepare quality report for coders and Filled it in MIS
- Using MS excel to prepare Pivoted table to show error made by coder.
- Prepare MOM for updates received in client Call
Medical coding and Denial specialist
BIZMATICS INDIA PVT LTD
12.2014 - 10.2015
- Speciality: Evaluation and Management (Office visit)
- Denial management
- Insurance eligibility check
- Local coverage payable check
Medical coding specialist
Gebbs Healthcare solution
06.2013 - 12.2014
- Speciality: ED coding (Emergency Department)
- Evaluation and management For (ED)
- CPT coding for procedure in chart
- Diagnosis coding for ICD 9CM
Education
University of Pune
01.2013
Skills
- Medical coding expertise
- Team leadership
- Performance analysis
- Data analysis
- Employee training
- Strategic planning
- Problem solving
- Performance evaluation
- Inventory management
- Coaching and mentoring
- Team motivation
- Staff supervision
- Insurance coding proficiency
- Medical terminology knowledge
- Medical documentation skills
- Process improvement strategies
- Performance metrics analysis
Disclaimer
I hereby declare that the above mentioned particulars are true and correct to the best of my knowledge and belief.
Coding And Billing Expertise
- Evaluation and Management (Outpatient)
- ED coding (Professional)
- HCC Coding
- Denials and Rejection handling
- Good knowledge of RCM cycle
- ICD-10 CM coding, CPT Coding, Modifiers
- Good knowledge of Medical insurance payer in US
- Knowledge of Medical billing.
Major Qualifications
- Certified profession coder (CPC) from AAPC.
- Lean Six sigma Green Belt Training & Course Completed.
- B-Pharma (University of Pune 05/2013)
- Computer - Well Versed with MS Office, good typing speed, MS excel.
Affiliations
Participating in marathon
Languages
English
First Language
Hindi
Advanced (C1)
C1
Accomplishments
- Received award for Top performer Manager from all Vertical in March 2025
Certification
- CPC from AAPC
- LSSGB
References
References available upon request.
Timeline
Assistant Manager
WNS Global Solution
12.2024 - Current
Quality Analyst
First Insight Solutions
06.2024 - 12.2025
Team Leader
VLMS HEALTHCARE
08.2022 - 05.2024
Senior Medical Coder
OPTUM
08.2018 - 04.2022
Quality Analyst
Omega Health care
11.2015 - 06.2018
Medical coding and Denial specialist
BIZMATICS INDIA PVT LTD
12.2014 - 10.2015
Medical coding specialist
Gebbs Healthcare solution
06.2013 - 12.2014
University of Pune
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