Team lead &Medical Coding Specialist & Health Information Management Officer
NMC Specialty Hospital (JCIA) Abu Dhabi, UAE
Total years of experience :15 years, 3 Months
Reviews medical documentation and assigns appropriate ICD-9-CM and/or CPT codes in order for billing to occur.
Well versed in DRG assignment and Inpatient claims.
Handling wide variety of medical claim including ER, E&M for Surgery, Ent, Opthalmology, Cardiology, Urology, Gastroenterology, Neurology, ObgNephrology & etc…
Analyze billing to improve coding data accuracy for better reimbursement.
Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse
Reviews, abstracts, and codes clinical cancer information in order to comply with government regulations. Maintains a database. Also provides data for physicians and research studies.
Responsible for conducting chart audits, preparing reports, and reporting data. Also, develops policies and procedures for staff training
Reviews, abstracts, and codes clinical cancer information in order to comply with government regulations. Maintains a database. Also provides data for physicians and research studies.
Conducting training in-service and other education regarding diagnosis and procedure code assignment, regulatory requirement for compliance and data quality.
Tutor new coders for compliance with Icd-9 cm classification system and coding, regulatory guidelines.
Collect and summarize performance data, identify opportunities for improvement, and present data to other clinicians and administrative staff
Responsible for conducting chart audits, preparing reports, and reporting data. Also, develops policies and procedures for staff training
Worked with Apollo Health City (JCIA), Hyderabad, India as Junior Executive, Health Information Management, from January 2009 to January 2011.
Job Profile:
❖ Management of HIM (Medical Records) Department.
❖ Medical Coding. (Diagnostic and Procedural) using ICD -I0 and ICP (Statstical Classification)
❖ Closed and open review of Clinical Documentation for the survey of Joint Commission International Accreditation (JCIA) and Acute Stroke Program (JCIA)
❖ Qualitative and Quantitative analysis of documentation of Inpatient Medical Records.
❖ Reporting of Hospital Statistics to Senior Executive-HIM.
❖ Maintenance of Medico Legal Cases and Registers.
❖ Maintain rules & regulations regarding Confidentiality.
❖ Provide Orientation and training for medical record staffs.
❖ Participated in JCI Re Accreditation (April2009)
❖ Participated in JCI Acute Stroke Program ( April 2009)
CERTIFIED PROFESSIONAL CODER FROM AAPC
Msc.in Medical Documentation