Ruksar Saiyed

CCS Certified Sr. Medical Coding Specialist with 10+ years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.

I have coded PMRs for various clients in a previous role and assigned ICD- 10 CM and CPT Codes to patient medical records. I have also had a good knowledge of ICD-10 PCS Coding. I am looking for a challenging job where I can achieve success with my professional knowledge. Reliable medical support professional with 10 years of experience in RCM Department. I am looking for a challenging
job where I can achieve
success with my professional
knowledge.

Ahima ID#228042 - [April 24 ,2025]

• Worked in different specialties like Podiatry, E&M,outpatient,IP DRG, Dermatology and Lab procedures,Radiology Plastic and Reconstructive Surgery and surgical coding.
• Analyze the patient medical records and documentation to identify diagnosis & procedures that determine almost nearby errors.
• Used Codify tools to assign procedures and Dx codes to medical records for billing purpose.
  Assign correct CPT and ICD+10 CM codes to describe the types of service received by patient as per documentation and to get the payment from the insurance.
• The exact E/M level assignment depends on client guidelines.Follow up with provider on any documentation that is insufficient/unclear.
  Ensures compliance with established coding guidelines, CMS policies as well as maintain knowledge of anatomy,physiology, and medical terminology with ability to correctly code provider services with diagnosis.
• Efficient handling of claims submission in a time bound manner.Achieve daily targets in claims submission and process claims efficiently to avoid claim rejections.
• Conducting training session on weekly feedback and daily updates by client with team.Auditing trainee’s files and providing individual feedback (one on one) to coders-based o audit findings to improve quality.Passing timely communication on all process and client changes to direct reports and documenting these updates.
• Proactively involved in checking the quality, interacting with clients, sending daily, weekly, and monthly productivity reports.Working experience in resubmission of claim resubmission and prepared Appeal documents in timely manner.Analysis and management report (Maintaining monthly revenue report high level -Claimed amount/Paid amount/rejected and resubmitted amount -based on rejection.)
• Giving updates to doctors regarding medical necessity rejection and requesting proper documentation for the same to avoid rejections in advance as well as educating them on standard coding guidelines and medical documentation requirements.Pre and Post Submission Audit (auditing claims and giving feedback to the team on weekly basis for accurate coding and medical justification and to avoid unnecessary rejection and maintain clean claim ratio.maintain clean claim ratio.