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 - snayhil@gmail.com 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 – snayhil@gmail.com // chaoshealthcare@gmail.com 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 Karine.McOmie@Ingenix.com Reference-2 Raman Sawhney Global operation lead, TCS E-mail – raman.sawhney@tcs.com Reference-3 Rohit Malik Sr. Manager, operation Xerox India. Contact: +91-8800616565 SNAY (Signature)