Fayaz Basha Shaik
Product Management Consultant
Kurnool,AP
Summary
Dynamic medical coding professional with over 11 years of experience specializing in operational excellence, process improvement, and development. Proven expertise as a Certified Medical Coding Specialist, with a comprehensive understanding of claims processing and ICD-10-CM, CPT, and HCPCS coding procedures.
Exposure to Healthcare EDI transactions and HL7 message logs, supporting the technical team in identifying data discrepancies.
Aligned daily coding tasks with broader payer–provider workflows to ensure smooth revenue cycle operations.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Product Management Consultant
Tachy Health
05.2025 - Current
- Serve as a bridge between medical coding experts and AI product teams to refine and enhance coding accuracy in the AiCode platform.
- Conduct end-to-end validation of CPT and ICD-10-CM/AM code mapping across multiple specialties (Surgery, Radiology, Pathology, etc.).
- Collaborate with developers to design coding logic, grouping structures, and rules for automated ICD10, ED and E/M determination.
- Test new CPT/ICD enhancements, validate outputs, and report discrepancies with evidence-based feedback.
- Prepare and present demo sessions highlighting new AI product features, user workflows, and quality improvements.
- Draft product design documents, release notes, and maintain structured validation datasets for QA testing.
- Supported combination code implementation, severity of illness logic, and auto-suggestion model testing.
- Sending Day End report.
- Worked on a huge number of files and used to deliver on time.
- Maintain confidentiality and follow the organization's policies and procedures.
- Conducted comprehensive competitor analysis to identify opportunities for differentiation and growth.
- Identified new business requirements through analyzing market data, customer requirements, competitive offerings and overall industry direction.
- Optimized product roadmaps for better alignment with market needs and strategic goals.
- Reviewed design specifications, quality assurance plans and demonstration scripts.
- Led cross-functional teams to ensure successful product launches and timely delivery of key features.
- Worked with development team on design and requirement management of new and existing products.
- Effectively prioritized feature requests based on customer feedback, market trends, and business impact.
- Implemented continuous improvement initiatives that led to enhanced product quality and reduced operational costs.
- Collaborated with engineering teams to resolve technical issues, ensuring optimal performance of products.
- Established a robust process for gathering customer feedback, leading to valuable insights for future product improvements.
- Conducted market research to identify new opportunities and target markets.
Sr. Medical Coding Analyst
Optum Global Solutions India Pvt.Ltd
11.2023 - 04.2025
- Worked as Sr. Medical Coding Analyst
- Working Emergency Department professional, also playing a vital role in verification. Maximized reimbursement by ensuring accurate ICD-10-CM and CPT coding.
- Ensured records met quality and audit, review and check the quality of the assigned codes.
- Resourcefully used various coding books, procedure manuals and encoders (3M and Encoder pro).
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- HL7 Interface Support – Functional Experience (1.5 years)
- Supporting the users and teams using HL7 interfaces to ensure timely and accurate exchange of patient, encounter, and clinical data between healthcare systems.
- Reviewed HL7 message logs to identify data issues, missing fields, and formatting errors, escalating complex issues to senior team members.
- Assisted in validating patient demographics, orders, and results data flowing across systems.
- Logged, tracked, and documented interface-related issues, ensuring proper follow-ups and closure.
- Served as a liaison between coding department and other healthcare professionals, fostering positive relationships that facilitated collaboration on complex cases requiring specialized knowledge or expertise.
Sr Medical Coding Analyst
AQuity Solutions
04.2021 - 05.2022
- Worked on Outpatient E/M & Ancillary Projects
- Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
- Monitoring and ensuring that invoices are attached with all supporting documents i.e. Copy of Lab reports, radiology reports, discharge summary and all other related documents.
- Performed medical records auditing to find the CPT & ICD-10 CM coding errors
- Finding up-coding and down coding of CPT’s based on documentation evaluation.
Sr. Medical coder
Logix Health Solutions
01.2016 - 03.2021
- Worked as Senior Medical coding Specialist.
- Worked for Outpatient E&M, Urgent Care, Outpatient Surgical Procedures, Family Medicine, Internal Medicine, Preventive Services
- Pathology & Laboratory Services in Outpatient settings, Radiology, IVs Infusions & Injections, Modifiers, ICD-10-CM and HCPCs.
Jr.Medical coder
Vee technologies
03.2013 - 12.2015
- Used to work on Outpatient (OP) E/M Charts Patient Coding Used to deliver the charts in time. Played a vital role in verification and quality control. Maximized reimbursement by ensuring accurate ICD-9-CM coding. Ensured records met quality and audit, review and check the quality of the assigned codes.
- Ability to pick the levels based on History, Physical exam and Medical decision making.(1995,1997 rules)
- Demonstrated knowledge and ability to assign ICD-9 CM codes to the highest specificity ensuring that diagnostic codes and documentation accurately reflect and support the visit encounter.
- Maintained consistent daily production of greater than 40-60 reviews per day.
- Having good knowledge on ICD9 diagnosis codes and CPT codes.
- Work with our project management team determines which medical records validate process.
- Work with our project management team determine which medical records validate and submitted during the coding process.
Education
Post Graduation M.Sc. - Biotechnology
Sri Krishna Devaraya University
Andhra Pradesh, IndiaSkills
Teamwork
Interpersonal skills
Good Knowledge on ICD10 CM, CPT, HCPCS
Adaptability
Good at MS Office/MS Excel
Punctual in delivering tasks
EPIC Software
Encoder pro
3M
ECAC Optum
DocuTap
ED pace Software
Codify Software
HL7v2
Certification
CCS (Certified Coding Specialist) (American Health Information Management Association)
DECLARATION
I hereby declare that the statements furnished above are true to the best of my knowledge and belief. Place: KURNOOL (S.Fayaz Basha)
Timeline
Product Management Consultant
Tachy Health
05.2025 - Current
Sr. Medical Coding Analyst
Optum Global Solutions India Pvt.Ltd
11.2023 - 04.2025
Sr Medical Coding Analyst
AQuity Solutions
04.2021 - 05.2022
Sr. Medical coder
Logix Health Solutions
01.2016 - 03.2021
Jr.Medical coder
Vee technologies
03.2013 - 12.2015
Post Graduation M.Sc. - Biotechnology
Sri Krishna Devaraya University