Job Search Status
Open to workDesired start date: Open to discussion
Open To Work
Shaheed Shaik
SME CDI Specilaist
Hyderabad,TG
Work Preference
Summary
Subject matter expert with extensive experience in clinical documentation improvement and E/M coding at Reventics India. Demonstrated success in enhancing documentation accuracy and compliance through risk adjustment and root cause analysis. Skilled in delivering actionable feedback and promoting collaboration among clinical teams to achieve optimal outcomes.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Subject Matter Expert
Reventics India Private limted
Hyderabd
02.2025 - Current
- Clinical Documentation Improvement (CDI) SME focused on retrospective chart review and provider education to improve documentation completeness, accuracy, and E/M (MDM) level support. Experienced in identifying documentation opportunities (problem complexity, data, risk) and communicating actionable feedback to support compliant coding and reimbursement.
- Developed training materials for new employees in healthcare processes.
- Conducted workshops to enhance team knowledge of regulatory compliance.
- Collaborated with cross-functional teams to improve service delivery standards.
Quality control Analyst
Gebbs health care solutions
12.2021 - 09.2024
- Led ED ProFee quality audits for Parallon/HCA, applying ACEP-aligned documentation principles to validate E/M level selection, compliance, and coding accuracy.
- Educated and coached coders through daily huddles and targeted feedback, improving consistency in documentation-supported coding decisions.
- Prepared and presented MOM updates and performance insights to stakeholders, highlighting trends, risks, and corrective actions.
- Conducted weekly 5-Why root cause analysis on recurring errors to identify process gaps and implement focused retraining plans.
- Performed super-audits across multiple locations/teams and built monthly coder assessments/scorecards to benchmark and improve quality.
- Supported additional audits for Urgent Care E/M (OP & IP) and ASC same-day surgery cases, ensuring documentation alignment and compliant code capture.
Senior Medical Coder
PRIMERA MEDICAL TECHNOLOGIES
Hyderabad
05.2015 - 09.2021
- Supported multiple coding projects across Core E/M (OP & IP), ensuring accurate code assignment aligned with documentation and payer requirements.
- Performed CMS-HCC / risk adjustment coding, strengthening diagnosis specificity and evidence support to improve RAF accuracy and compliance.
- Managed ancillary coding workflows (diagnostic/procedural support services as applicable), maintaining productivity and quality standards.
- Contributed during the ICD-9 to ICD-10-CM transition, applying updated guidelines, improving code mapping accuracy, and supporting team readiness.
Education
M. Pharmacy -
Vaagdevi College of Pharmacy
Warangal01.2015
B. Pharmacy -
Dhanvanthari Instituete of Pharmaceutical Science
Kothagudem01.2013
Board of intermediate -
The merit jr college
Yellandu01.2009
SSC -
The Sri Saraswathi High School
Khammam01.2006
Skills
E/M Coding – OP & IP
ED ProFee Coding & Auditing (Parallon / HCA)
CMS-HCC / Risk Adjustment (RAF) – diagnosis specificity & evidence support
Same-Day Surgery Coding Knowledge – documentation and coding validation
Provider Education (Retrospective) – E/M, HCC, Surgery documentation support
Multi-Specialty / Multi-Project Support – productivity and quality focus
Certification
- Certified Outpatient Coder (COC), American Academy of Professional Coders
- CompTIA Healthcare IT, Udemy
- Case Studies in Personalized Medicine, Coursera
- Fundamentals of HIPAA Law and Its Privacy Rules, Alison
- Positive Psychiatry and Mental Health, Coursera
Personal Information
Date of Birth: 08/22/92
Languages
- Hindi
- Telugu
- Urdu
- English
Profile Summary
- Clinical Documentation Improvement (CDI) SME and Senior Medical Coding professional with 10+ years of progressive experience (May 2015–present) across ICD-9/ICD-10 transitions, ancillary coding, CMS-HCC risk adjustment, and E/M coding for Urgent Care and ED ProFee. Began career at Primera (2015–2021) supporting multiple coding projects and physician query workflows, then advanced at Gebbs (2021–2024) into Senior Medical Coder and Quality Analyst roles, auditing ED professional services using ACEP-aligned documentation principles for large health system clients (including HCA/Parallon) and performing same-day surgery audits. Currently a Reventics CDI Specialist/SME, partnering closely with providers to close documentation gaps through retrospective education—delivering 1,500+ opportunity-based communications to strengthen MDM support, improve accuracy, and enable compliant reimbursement.
Timeline
Subject Matter Expert
Reventics India Private limted
02.2025 - Current
Quality control Analyst
Gebbs health care solutions
12.2021 - 09.2024
Senior Medical Coder
PRIMERA MEDICAL TECHNOLOGIES
05.2015 - 09.2021
M. Pharmacy -
Vaagdevi College of Pharmacy
B. Pharmacy -
Dhanvanthari Instituete of Pharmaceutical Science
Board of intermediate -
The merit jr college
SSC -
The Sri Saraswathi High School