Summary
Overview
Work History
Education
Skills
Languages
Accomplishments
Timeline
Generic

Raiz Fathima

Al Hassa

Summary

Experienced Coding Supervisor with a proven track record in managing coding teams and establishing effective coding standards. Expertise in medical terminology, clinical procedures, and various coding systems. Achievements include successful training initiatives that enhanced workflow efficiency and ensured compliance with healthcare regulations. Strong leadership abilities combined with attention to detail support staff development while maintaining high accuracy and productivity levels.

Overview

23
23
years of professional experience

Work History

Medical Coding Supervisor (Acting Manager)

Al Moosa Healthcare
Al Hasa
11.2022 - Current
  • Supervised daily coding operations, ensuring accuracy of medical records.
  • Facilitated effective communication between coders and clinical staff regarding documentation requirements.
  • Reviewed medical records, assigning appropriate codes using ICD-10 AM, ACHI and SBS codes.
  • Trained new coding staff on compliance protocols and coding systems.
  • Maintained knowledge of coding software and healthcare regulation changes.
  • Conducted audits of coded data to ensure quality assurance.
  • Collaborated with healthcare teams to address coding discrepancies.
  • Implemented process improvements to enhance workflow efficiency within coding department.

Medical Coding Specialist

Al Moosa Healthcare
Al Hasa
01.2017 - 10.2022
  • Managed patient data using coding software to ensure efficient input and oversight.
  • Collaborated with healthcare providers to clarify documentation and coding requirements.
  • Assisted in creating training materials for onboarding new coding personnel.
  • Maintained current knowledge of medical terminology and classification systems.
  • Participated in continuing education programs focused on medical coding procedures.
  • Verified accuracy of patient data for correct assignment of ICD-10 codes.
  • Developed expertise in CPT and HCPCS codes, including relevant modifiers.
  • Researched and resolved coding discrepancies identified by auditors.

Senior Medical Coder

Saad Specialist Hospital
Al Khobar
01.2011 - 12.2016
  • Reviewed and analyzed patient records to ensure coding compliance accuracy.
  • Collaborated with healthcare providers to uphold correct documentation practices.
  • Utilized coding software to assign precise medical codes for diagnoses.
  • Assisted in training new coders on hospital-specific coding standards and protocols.
  • Updated coding guidelines in accordance with latest industry regulations.
  • Communicated with billing department to efficiently resolve coding discrepancies.
  • Maintained comprehensive knowledge of medical terminology and classification systems.
  • Conducted research on coding topics to support ongoing education.

Medical Coder

Saad Specialist Hospital
Al Khobar
01.2006 - 12.2010
  • Ensured adherence to coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for procedural code assignment.
  • Verified accuracy of procedure codes, facilitating proper reimbursement levels.
  • Conducted audits on coded claims to confirm inclusion of all required data elements.
  • Collaborated with departments including billing and quality assurance to uphold accurate coding practices.
  • Communicated with healthcare personnel to enhance coding accuracy and compliance.
  • Responded promptly to staff and client inquiries regarding CPT codes.
  • Assisted in developing coding policies and procedures to standardize practices.
  • Utilized coding software effectively to accelerate coding processes.

Coding and Billing Specialist

Talluri Technologies PVT LTD
Hyderabad
01.2003 - 12.2005
  • Reviewed and verified coding accuracy for medical claims submissions to ensure compliance.
  • Processed billing inquiries, resolving discrepancies efficiently and promptly.
  • Maintained current knowledge of healthcare regulations and coding practices.
  • Participated in workshops and seminars to enhance understanding of industry updates.
  • Utilized billing software for accurate tracking of claims and report generation.
  • Monitored claim denials, implementing corrective actions to minimize future occurrences.
  • Investigated customer complaints regarding coding or billing errors, executing necessary corrections.
  • Developed strategies for effective management of accounts receivable processes.

Education

Master of Science - Zoology

Osmania University
Hyderabad
06-2004

Skills

  • Medical coding
  • ICD-10 coding
  • CPT code assignment
  • Compliance auditing
  • Training and development
  • Healthcare regulations
  • Problem solving
  • Effective communication
  • Team collaboration
  • Time management
  • Medical terminology
  • Coding appeals
  • Training and mentoring
  • Coding error resolution
  • Procedural coding
  • Inpatient records coding
  • HIPAA compliance
  • Clinical documentation
  • Revenue cycle management
  • Medical billing

Languages

English
First Language
Hindi
Proficient (C2)
C2
Urdu
Proficient (C2)
C2

Accomplishments

Care Giver of the Year (2019)

Timeline

Medical Coding Supervisor (Acting Manager)

Al Moosa Healthcare
11.2022 - Current

Medical Coding Specialist

Al Moosa Healthcare
01.2017 - 10.2022

Senior Medical Coder

Saad Specialist Hospital
01.2011 - 12.2016

Medical Coder

Saad Specialist Hospital
01.2006 - 12.2010

Coding and Billing Specialist

Talluri Technologies PVT LTD
01.2003 - 12.2005

Master of Science - Zoology

Osmania University

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Raiz Fathima