sagar hagwane
@sagarhagwane
Dedicated Medical Coder with expertise in ICD-10 and CPT coding.
IndiaWhat I'm looking for
I am a meticulous and dedicated Medical Coder with four years of experience in accurately assigning ICD-10, CPT, and HCPCS codes for medical diagnoses, treatments, and procedures. My proficiency in reviewing patient records ensures compliance with insurance requirements and healthcare regulations. I collaborate with healthcare professionals to resolve coding discrepancies and streamline claims processing, always maintaining strict patient confidentiality.
At Eclat Health Solutions, I improved medical billing accuracy by 25% through careful code verification and error analysis, significantly reducing claim denials. I also supervised a team of five coders, boosting efficiency by 15% through adherence to coding standards. My commitment to optimizing reimbursement and supporting efficient revenue cycle management drives my passion for improving the accuracy and effectiveness of coding operations.
With a strong understanding of anatomy, physiology, and disease processes, I stay updated with evolving coding regulations to enhance the efficiency of medical documentation. My experience with advanced coding software and medical billing systems allows me to implement automation and streamline workflows, ultimately contributing to high-quality patient care.
Experience
Work history, roles, and key accomplishments
Coding Analyst
Eclat Health Solutions
Feb 2024 - Present (1 year 4 months)
Increased medical billing accuracy by 25% through careful code verification and error analysis, leading to a significant reduction in claim denials. Supervised a team of five medical coders, ensuring strict adherence to coding standards and boosting efficiency by 15%. Implemented automation and coding software (3M CodeFinder, Optum 360, Nthrive, Codify) to streamline workflows, enhancing daily cod
Executive Coding
Sagility India Private Limited
Jul 2023 - Feb 2024 (7 months)
Reviewed and resolved coding-related denials from payers, ensuring accurate code edits and compliance with billing guidelines. Conducted thorough code edit reviews to address discrepancies and improve claims acceptance rates. Utilized industry-leading applications, including Optum, NThrive, Claim Extension, Select Coder, and Cotivity, to enhance coding accuracy and efficiency.
Associate Ops
WNS Global Services
May 2022 - May 2023 (1 year)
Accurately assigned CPT and ICD-10-CM codes based on medical records, ensuring proper documentation and billing. Successfully obtained AAPC-CPC certification, demonstrating proficiency in medical coding standards and best practices. Maintained adherence to coding regulations and guidelines to support accurate claims processing and minimize denials.
Officer – Quality Assurance Department
SciTech Specialities Pvt. Ltd
Jun 2020 - Dec 2021 (1 year 6 months)
Oversaw process flow to ensure the final product met quality standards and regulatory requirements. Maintained essential records, including Batch Manufacturing Records (BMR), Batch Packaging Records (BPR), validation reports, and Standard Operating Procedures (SOPs). Ensured adherence to industry regulations and internal quality guidelines, identifying areas for quality enhancement and implementin
Education
Degrees, certifications, and relevant coursework
SND College of Pharmacy, Nashik
Master's, Pharmacy
Grade: 64%
Completed a Master's degree in Pharmacy. Achieved a 64% score in the Graduate Pharmacy Aptitude Test (GPAT) in April 2022, with an All India Rank (AIR) of 3116.
Government College of Pharmacy, Aurangabad
Bachelor's, Pharmacy
Grade: 55.47%
Obtained a Bachelor's degree in Pharmacy. Focused on foundational pharmaceutical sciences and practices.
Tech stack
Software and tools used professionally
Availability
Location
IndiaAuthorized to work in
Job categories
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