Sachin D. Email and Phone Number
Areas of Expertise:- Revenue Cycle– Charge Capture, Claims, Coding, Collections, Pre-registration, Remittance and Utilization Review. Revenue Integrity - External and Internal Audits, Denials resolution, Charge Reconciliation, Claim edits (NCD/LCD), Cost & Payment estimates and Improving Revenue stream. Denials Management – Denials capture, timely resolution and education to reduce denials. Utilization Review & Management- Short stay reviews, Medical necessity, Inpatient only procedures, Code 44, ABNs, Clinical & level of care review. Compliance – Self audits, Period clinical reviews, Identify vulnerability and risks, and Develop &Implements corrective action plan. Clinical Documentation Improvement (CDI/ HIM) - Documentation improvement, discussion with physician to get queries answered. Charge Master/ Decision Support- Charge reconciliation, Identify new and missing codes to be updated in CDM to further improve revenue and reimbursement. Finance- Budget & Reporting.COMPUTER PROGRAM/ SKILLS Epic Resolute, Keane, Siemens., Meditech, Cerner (Billing) Epic ADT (Registration / Access) MedeAnalytics, RAC Tracker, Midas (Denials/ RAC tracking) Encoder Pro, 3M & Medassets- Revenue Cycle (CDM, Prebill edits & Coding)
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Strategic Advisor, Healthcare Innovation And GrowthCurium HealthNashville, Tn, Us
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Vice President, Healthcare (Innovation, Digital Transformation & Alliance Partnerships)Rgp Jun 2022 - PresentIrvine, Ca, Us
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Investor, Healthcare ItHealthcare Startups (Multiple) Jan 2022 - Present
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Board Advisor IndependentPatient Engagement| Telehealth| It Software Solutions & Services (Multiple) Jun 2022 - Present
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Sr. Director, Healthcare Analyst (Payers & Providers)Gartner May 2019 - Jun 2022Stamford, Ct, UsServed as a thought leader and advisor for healthcare organizations globally (payers and providers). Helped in planning and executing healthcare IT and digital transformation strategy across multiple areas including revenue cycle transformation, patient engagement, care delivery, price transparency, cost optimization, telehealth/virtual care, business process hyper-automation (RPA/AI/ML), financial planning, data and applied analytics (value-based care, population health & financial analytics, genomic medicine and precision medicine. -
Director Of Revenue Cycle ManagementCook Children'S Health Care System 2019 - 2019Fort Worth, Tx, UsProvide end-to-end revenue cycle expertise, operational solutions for denials/appeals management, utilization review, healthcare IT projects, workflow oversight, strategic planning, standardization and change management. Implement and provide recommendations for best practices in healthcare/ revenue cycle to gain operational efficiencies, including process improvements, gap analysis, and strategic expansion. -
Director Of Revenue Cycle OperationR1 2017 - 2019Oversaw deployment and onboarding of new clients/hospital by applying operating model, deployment strategy, and transformational change management for multiple hospitals. Executed and managed multiple workflows during onboarding of client, including current-state assessment of backend revenue cycle (operations and technology), transition of backend process to shared services, technology implementation, and standardization of billing, follow-up, cash posting, credits, payment variance, denials, and revenue integrity to industry standards. Provided collateral with deployment team to facilitate key updates and insights to strategize roadmap for execution of project plan
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Senior Director Of Revenue CycleSyntel 2016 - 2017Troy, Michigan, UsFor the duration of project, led the team as innovative thought leader and revenue cycle expert for both hospital and physician revenue cycle. Led cross-functional project team and worked interactively with clients, client team members, and partners to drive innovations and implement solutions toward revenue cycle optimization. -
Director Of Revenue Cycle/ Revenue IntegrityUniversity Of Mississippi Medical Center 2015 - 2017Jackson, Ms, UsManaged backend revenue cycle operations and team (direct and indirect reports). Guided and managed dedicated task force to improve denials, revenue integrity, underpayments, charge master (CDM), and project management team. Oversaw other administrative duties and operations within revenue cycle department, including staffing, monthly goals, productivity, projects, and policies and procedures. Led change approval and upgrades to Epic billing system to ensure compliance and effectiveness of processes and workflows for denials and revenue integrity. Mapped all remittance codes (RMC) to capture 100% of denials and established workflows to work all denials in timely manner. Chaired denials steering committee and revenue integrity meeting with C-staff from all three hospitals. -
Asst. Director Revenue Integrity- Pfs/Pas (Denials, Nurse Audit & Rac)University Of Texas Southwestern Medical Center 2013 - 2015Dallas, Texas, UsDeveloped and managed new revenue integrity program, with team consisting of nurse auditors, coding auditors, RAC specialist, and revenue integrity specialist. Worked to reduce risk and exposure to external audits, improve clean claim rate and timely charge capture, and audit pre-bill claims to create bridge routines in billing scrubber. Reduced CFB (candidate for final billing) through staff training, establishment of revenue integrity program, and training clinical departments. Trained and cross-trained team of ten employees, including nurse auditors, appeals nurses, and RAC coordinators. Analyzed data periodically to identify and trend any issues impacting revenue and address them directly with area or department, generating constructive feedback. -
Director Of Utilization & Denials ManagementCatholic Health Services 2009 - 2013Rockville Centre, Ny, UsEstablished and managed denials and utilization management departments. Served as liaison between clinical and finance departments. Co-chaired utilization review committee and chaired denials committee with C-level executives and physicians to report denials performance and KPIs, including transfers, length of stay, denials, short stays, and readmissions. Performed medical record reviews with physicians and answered queries. Coordinated short stay, observation, and Code 44 reviews. Developed plan to address any revenue-impacting issues identified through PEPPER, HCAHPS score, and audits.
Sachin D. Education Details
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Hofstra UniversityHospital And Health Care Facilities Administration/Management -
Bjm CollegeDoctor Of Medicine - Md
Frequently Asked Questions about Sachin D.
What company does Sachin D. work for?
Sachin D. works for Curium Health
What is Sachin D.'s role at the current company?
Sachin D.'s current role is Strategic Advisor, Healthcare Innovation and Growth.
What schools did Sachin D. attend?
Sachin D. attended Hofstra University, Bjm College.
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