SEHRNAZ N. ALI

Coding Compliance for labs. Monitoring and correcting claims with lab charges to ensure clean claim, managing over 10-12 Workques on a daily basis

• CCI/MUE Edits- Reviewing about 30 accounts on a daily basis to ensure clean billing
• Cross-functional collaboration with other teams to ensure smooth operations and maintaining integrity of revenue operations
• meeting with various departments to share subject matter expertise for quality assurance purposes
• Compliance oversight in line with CMS & other payors guidelines

• Teaching Anatomy & physiology, medical terminology for 12-15 students preparing to be in the field of Healthcare medical coding and billing.
• Managing Zoom classes, keeping 10+students engaged through various interactive educational aids to ensure proper learning environment is intact and maximal learning is taking place via intermittent assessment processes.
• Self-motivated, with a strong sense of personal responsibility.
• Worked effectively in fast-paced environments.
• Skilled at working independently and collaboratively in a team environment.
• Proven ability to learn quickly and adapt to new situations.

• Assisting with curriculum development, grading scales, CAHIM requirements. Timely submission of grades & syllabus, attending department and division meetings as required.
• Teaching classes for an Associate program in Health Information department in field of Coding , Medical terminology, Quality Assurance.
• Lab sessions to ensure understanding of taught material with hands on activities
• Conducting Office hours to help assist students outside of class
• Grading, preparing lectures, contributing positively to curriculum building and meeting CAHIM requirements to ensure compliance requirements are met
• Worked well in a team setting, providing support and guidance.
• Assisted with day-to-day operations, working efficiently and productively with all team members.
• Passionate about learning and committed to continual improvement.

• Timely submission of assigned charts by coding & auditing documentation for accuracy, manage chart completion based on Oasis-C Documentation, verifying vague documentation to ensure clean bill & avoid agency audits.
• Collaborating with nursing and managerial staff to resolve claim denials & intricacies of insurance submissions.
• Reviewed documentation to ensure correct coding is being rendered for clean claims and reducing denial rates for the company ; Coded 15-20 charts on a daily basis without compromising the quality of assigned codes.
• Improved coding accuracy by conducting thorough research and staying up-to-date with industry standards.
• Contributed to the development of internal coding guidelines, ensuring consistency across the team.
• Resolved complex coding issues through effective communication with physicians and other healthcare professionals.

• In-charge of coding & abstracting 35-40 charts on a daily basis.
• Auditing M00 questions and critical care paths to ensure documentation is consistence with codes output. Avoiding coding backlogs, extracting data for agency & government audits as needed.