Summary
Overview
Work History
Education
Skills
Languages Known
Hobbies and Interests
Disclaimer
Reading books, Travelling
Timeline
Generic

Sanket Borhade

Charholi,pune.,MH

Summary

To work in a strong, forward thinking, progressive and equal opportunity organization where I can apply the knowledge I have obtained, involving maximum utilization of my skills and experience to deliver beyond expectations so as to produce growth oriented results.

Overview

13
13
years of professional experience

Work History

Senior Medical Coder

Cotiviti
06.2021 - Current
  • Optimized coding procedures by working closely with the coding team (Project PPA)department, ensuring timely reimbursement for services rendered.
  • Work experience in E/M( outpatient/Inpatient),Multi-speciality coding.
  • Developed procedures for handling complex cases requiring specialized knowledge or expertise in specific medical coding areas.
  • Participated in relevant professional development opportunities to stay abreast of changes in medical coding standards.(internal AAPC seminar)
  • Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.(Trained New trainee for hands on experience for detail process knowledge.)
  • Reduced claim denials by identifying and addressing common errors in the coding process.

Senior Medical Coding analyst

United health group(OPTUM)
11.2015 - 05.2021
  • Maintained high levels of productivity by efficiently managing a large volume of cases, prioritizing tasks based on urgency and complexity.
  • Work experience in Emergency department coding.
  • Promoted teamwork and open communication among colleagues through participation in regular meetings and constructive discussions about best practices in medical coding.
  • Optimized data quality by verifying patient information, diagnosis codes, and procedure codes before submission to billing department.

senior medical coder

Infinx Healthcare pvt.ltd.
12.2013 - 11.2015
  • Participated in relevant professional development opportunities to stay abreast of changes in medical coding standards.
  • ICD-10 Certification completed.
  • Handled cerner tool for Radiology coding.
  • Assisted in the development of internal coding policies, promoting consistency across the organization.
  • Participated in company program's for award functions, Published poem in company annual magazine &worked with HR for CSR activity for social services in educational field.

Senior Medical Coder

Gebbs Healthcare Solutions
07.2012 - 11.2013
  • Senior Medical Coder in Medical coding department
  • Hands on experience in 3M software.
  • work experience in Radiology coding,Denials coding.
  • Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.(Internal QA)

Education

B. Pharm - Science Education

S.P. College of Pharmacy
Otur,pune
01.2011

H.S.C - undefined

M.G. Junior college
01.2007

S.S.C - undefined

Shree Muktadevi Vidyaalaya
01.2005

Skills

  • Allocation of team data
  • Day end report
  • Denial management experience
  • Hands on experience of Merge Software, Cerner, E-CODE, 3M software
  • Experience in E/M, ED Facility and ED Pro
  • Team collaboration
  • Effective communication
  • Handle claims relevant to Radiology Department
  • Coding of verbatim terms using Encoder Software ICD and CPT
  • CPC Certification
  • ICD-10 Certification
  • Optum Rx
  • E/M Inpatient &Outpatient coding

Languages Known

English
Hindi
Marathi

Hobbies and Interests

Reading book, travelling.

Disclaimer

I hereby declare that all the information mentioned above is true to the best of my knowledge. DATE - Yours Sincerely PLACE - sanket c borhade.

Reading books, Travelling

Reading History books, Novels.

Timeline

Senior Medical Coder

Cotiviti
06.2021 - Current

Senior Medical Coding analyst

United health group(OPTUM)
11.2015 - 05.2021

senior medical coder

Infinx Healthcare pvt.ltd.
12.2013 - 11.2015

Senior Medical Coder

Gebbs Healthcare Solutions
07.2012 - 11.2013

H.S.C - undefined

M.G. Junior college

S.S.C - undefined

Shree Muktadevi Vidyaalaya

B. Pharm - Science Education

S.P. College of Pharmacy

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Sanket Borhade