Bhima Gawade

Managed the E/M–Surgery specialty coding team of 100+ coders with six team leads, ensuring SLA delivery across accuracy and productivity. Drove process improvements via automation opportunities while maintaining client communication and KPI performance.

Led E/M and Surgery coding teams, owning work planning, execution, MBR presentations, and team performance. Improved operational efficiency through process improvements and inventory forecasting while conducting audits and team meetings to maintain quality and productivity KPIs.

Coded radiology procedures and supported audits of global and professional radiology reports. Managed denials related to CPT, LCD, modifiers, and diagnosis issues to support claim resolution.

Performed quality audits, feedback, and training for E/M and Ancillary coding projects to ensure consistent delivery against standards. Served as an external auditor for a major client while managing inventory allocation and daily quality performance.

Coded imaging reports for Radiology and HCC projects while meeting client expectations consistently. Supported coding delivery across healthcare documentation and guideline-driven workflows.

Performed HCC coding focused on identifying diagnoses based on patient management documentation. Ensured accurate mapping aligned with coding guidelines and client expectations.

Grade: Higher Second Class (58.64%)

Completed an MBA from Pune University in 2014, scoring 58.64% (Higher Second Class).

Grade: First Class (64.16%)

Completed a B.Pharmacy from Pune University in 2012, scoring 64.16% (First Class).

Grade: First Class (67.83%)

Completed H.S.C. from the Maharashtra Board in 2008, scoring 67.83% (First Class).

Grade: First Class (67.83%)

Completed S.S.C. from the Maharashtra Board in 2006, scoring 67.83% (First Class).