Curriculum Vitae

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SNAYHIL RANA, CPC-H, CPCO, BB
A-44 , PANDAV NAGAR, SHOP PLOT,
NEW DELHI, DELHI-110092 , INDIA
LINKEDIN : HTTP://WWW.LINKEDIN.COM/HOME?TRK=HB_TAB_HOME_TOP
CON # 91-9711996075
- [email protected]
www.chaoshealthcare.com
www.snays.com
EDUCATION
■ Master in Business Management (Splz – Project Management/Quality Management).
■ B.Sc (Hones) Bio-Technology
RELEVENT PROFICIENCY
■ Healthcare E-2-E
■ Process Design and transition
■ ICD-10-CM Transition
■ Project Management
■ Healthcare Database Development
■ CPT/ICD/DRG/ASC Coding
■ Medical Coding/Medical Billing
■ Quality Management
CERTIFICATION
■ CPC-H®- AAPC [Member ID – 01129501]
■ CPCO™ - AAPC [Member ID – 01129501]
■ Six Sigma Black Belt
■ Lean Certified.
■ Several Online Certification on Clinical Trial & Research Management, Clinical Investigation
Regulatory Process from FDA/NCI/NIH/CMS.
■ Several soft skill certified.
DOMAIN EXPERTIES
■ ICD -10-CM/PCS Transition Specialist and Trainer. Writing a Guide Book for the
ICD-10CM/ICD-10PCS
■ DRG shift analysis and Neutrality assessment for ICD-10 transition.
■ CDI (Clinical Documentation improvement) analysis, Design and training.
■ E/M & Surgery Audit for Different specialties.
■ Medical and coding content editor. Writing book on Neuro-spinal surgery coding.
■ Healthcare data management. Coding tool development
■ Medical Coding/Audit/Denial Management
■ US Worker’s compensation knowledge. P&C Policy Services
■ US Health care database development & Management.-Developing Medical Fee Schedule
for Providers & Payers for Ingenix.
■ Adequate knowledge of NCI, FDA, CMS (Center of Medicare & Medicaid) policies & rules.
■ Clinical Research and Trial data management. Adverse Event reporting and Medical coding.
Sound knowledge of Group ‘C’ drugs, Clinical Trial Design. Knowledge of GCP, GMP,
C-GMP, FDA, ICH Guideline.
ACCOMPLISHMENT
■ India First Certified Compliance Officer.
■ Wrote several of the ICD-10, Coding book at The coding Institute.
■ Design and executed several of the Coding tools and software at Eli research.
■ Recognized for Process Re-engineering with Lean and Six-Sigma Implementation.
■ Won Gold Award for ‘Best Lean Idea and Six Sigma Implementation’.
■ Designing Process Workflow tool as Green Belt Project.
■ Green Belt (Train and Tested).
■ Single Point of contact for Happiness and Fun in the clinical department.
■ Represent Genpact Volunteer for Teach India Volunteer program.
■ Developed several concept to accelerate employee satisfaction and team work.
■ Work with Sr. Knowledge manager to get some new Clinical Trial Project.
LEGAL EXPERIENCE
EXPERIENCE-1
CHAOS HEALTHCARE: FOUNDER AND CHIEF(SEP 2012-PRESENT).
KNOWLEDGE SERVE: DIRECTOR, HEALTHCARE (SEP 2012- PRESENT).
INDEPENDENT CODING CONSULTANT : SEP 2012- PRESENT (WWW.SNAYS.COM)
■ ICD -10-CM/PCS Transition Specialist and Trainer. Writing a Guide Book for the
ICD-10CM/ICD-10PCS
■ Writing several of the coding book for surgery (Neurospinal surgery, Ob-gyn surgery).
■ Designing coding Software tool: DRG Grouper, ICD-10 Transform, coding software,
E/M audit tool
■ Designing Neuro-navigational software tool (Level – 5 application) (estimated time- 5 years).
■ Independent ICD-10-CM/PCS & Medical coding trainer.
■ Independent Compliance consultant & coding quality Auditor.
■ Project consultant at XLMT India.
■ Developing different kind of data solution and crosswalk for EMR integration.
■ Volunteer Nosologist at WHO
■ Independent Corporate training for ICD-10, Compliance and medical coding.
EXPERIENCE-2
ELI RESEARCH : (PROJECT MANAGER AND CONTENT EDITOR) APR 2011- AUG 2012
THE CODING INSTITUTE : APR 2011- AUG 2012
INFOSYS*** (POC CONTRACT FOR ICD-10 DRG ASSESSMENT AND CDI: MAY 2012- AUG 2012)
■ ICD -10-CM Transition and implementation Design and Tools (Software) Development.
■ DRG Shift analysis & neutrality assessment for ICD-10-CM/PCS * (Infosys).
■ CDI (Clinical Documentation Improvement ) analysis and training.
■ Coding tool (Supercoder.com) Development and Management.
■ Healthcare Data Development, Design and Execution.
■ Medical Record Auditing and Training. Healthcare Compliance Training.
■ Training and Business Development.
■ Medical Writing and Editing for Various journals published by Coding institute.
■ Illustrated Medical Coding and specialty book writing and development.
EXPERIENCE-3
GENPACT : FEB 2007- MAR 2011.
■ ICD -10-CM Transition Specialist and Trainer.
■ DRAFTING END TO END ICD-10-CM EXECUTION PLAN FOR PAYER AND PROVIDER.
■ TRAINING AND DEVELOPMENT FOR ICD -10-CM AND ICD-10-PCS.
■ DEVELOPMENT AND MAPPING FOR ICD-10-CM/PCS DATA, FOR CROSSWALK.
■ DEVELOPMENT OF BASIC USER INTERFACE FOR CROSSWALK.
■ RESEARCH AND ANALYSIS FOR ICD-10 IMPLEMENTATION.
■ RCM – Revenue Cycle Management (Aug 2009 – Feb 2010)
END TO END QUALITY AUDIT AND TRAINING FOR RCM.
■ Transition and stabilization of SFS (State fee schedule).
***SFS and Powertrak-Data is stand alone payable application and the main feeder of Powertrak
(covering the 25% market share of USA Medical bill review application)
■ KEY RESPONSIBILITIES
CLIENT INTERACTION
■ Interact with client coordinators for process related issues on daily basis.
■ Maintain and report MIS of activity (output) for individual team member.
■ Serve as process ambassador and represent team during client facility visits.
■ Conduct Conference calls with the overseas client.
■ Be in regular email contact and ensure all problems are ironed out on a timely basis.
■ Resolving escalated queries through online CRM portal (Onyx and Dev-track).
TEAM RESPONSIBILITIES
■ Actively manage staff on a regular basis to ensure all issues are dealt with effectively and
efficiently.
■ Conduct weekly meetings, Monthly KAT (knowledge assessment test) with the team member.
■ Resolve escalated Client queries.
■ Support and assist the Sr. Manager Operations.
QUALITY CONTROL■ Implement service standard parameters for all business processes and customer touch points.
■ Measure and monitor against benchmarks, to ensure all quality standards are adhered to;
data collation, mining, measurement and reporting.
■ Implement and follow a quality audit process for the assigned functions to identify and track
errors, process gaps; establish feedback mechanism to capture voice of customer.
■ Recommend and implement change for procedure, systems, and training.
■ Assist in coordinating, conducting training programs for implementing and improving service
standards.
EXPERIENCE-4
PACIFIC INDIA VENTURE Ltd.: Nov-2003 to Dec-2006
■ Responsible for Medical coding and Auditing Surgery outpatient/ inpatient /ER//, CPT,
ICD-9/10 CM, APC, DRG coding.
■ Denial Management Audits.
■ Providing training for Medical Terminology, Anatomy and Surgery.
EXPERIENCE-5
Ranbaxy India Ltd.: July 2003-Nov-2003: Clinical research associate Intern.
ACTIVITIES/SKILL
COMPUTER SKILL:
■ MS-Window, MS- Office application, MS-Excel (advanced), MS-Powerpoint (advanced),
MS-Word.
■ Statistical software – MS-Excel (Moderate), Minitab (Basic only).
■ Healthcare Software – Medical Manager, Powertrak, Encoder-pro, Code Manager, Care
Tracker, Supercoder, DRG Grouper, Intellicode E/M audit tool.
■ Online CRM tool – Onyx, Dev-Trak, Citrix
COMMUNICATION SKILL
■ Team Management, Team Leadership, Organizational behavior, Time management, Change
management, Presentation skill certified.
■ Proficient command over English and Hindi.
ACTIVITY & HOBBY
■ Tarot Reading, Bike Riding, Philosophical reading, Cooking , Photography.
PERSONAL DEMOGRAPHICS
■ Date of Birth
15th Feb 1986
■ Nationality
Indian
■ Sex
Male
■ Marital Status
Never Married
■ Passport
Valid Indian passport (Valid till 2017).
■ Mailing Address:
Residential: A-44, Pandav Nagar , Shop Plot, New Delhi-110092, India.
■ Contact No- 91-9711996075
■ E-mail – [email protected] // [email protected]
Date: Oct/18/2012
Place: New Delhi, India
Reference-1
Karine McOmie
Director, P&C Regulatory and Development
Ingenix, Inc.
2525 Lake Park Blvd.
West Valley City, UT 84120
801-982-3362 Cell, 801-631-1044
[email protected]
Reference-2
Raman Sawhney
Global operation lead, TCS
E-mail – [email protected]
Reference-3
Rohit Malik
Sr. Manager, operation
Xerox India.
Contact: +91-8800616565
SNAY
(Signature)
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