Medical Billing Home Health
Resume:
AMJAD A. KHAN, MBBS;DBA;MBA;CPC;CRC;CHONC;CCA
PO Box 829 Port Ewen, NY12466 C: 845-***-**** ***********@*****.***
PROFESSIONAL SUMMARY
Medical billing and coding supervisor expert CPC, CRC and CHONC credentialed from AAPC. Supervisory of physician revenue services, medical billing, collection, and financial outputs with 14 years hands-on experience in fast-paced multi-specialist Medical Corporation. In last 15 years of tenure expertize in medical billing and coding as well as training in ONCOLOGY/HEMATOLOGY & CHEMOTHERAPY Drugs and all VACCINATIONS, GASTROENTEROLOGY billing and coding with 24 HOUR SURGICAL AMBULATORY care, NEPHROLOGY billing and coding with DIALYSIS, ENDOCRINOLOGY, PULMONARY, OPHTHALMOLOGY, PATHOLOGY, RADIOLOGY AND PRIME CARE billing and coding. Also ten years of HCC / Medicare Risk Adjustment experience. Worked as a REMOTE patient chart review and audit specialist for well care Sr, Tessellate Inc. and Optum UHC. Also, successfully implement, trained employees and physicians on multiple EMR’s. Currently using eCW (eClinical Works). Special strengths include a pragmatic energetic leader; ability to resolve issues and generate new ideas, coding CPT, ICD10,hospital billing and coding,HIPAA compliance,HEDIS expert, physician chart review and audit specialist, staff training and development, workers compensation, home health care, hospice and chemotherapy drug financial assessment. Expert in dealing and managing all kinds of commercial health insurances as well as Medicare and Medicaid. A medical billing, collection, and finance expert and analyzer.
EDUCATION AND TRAINING
2007-CPC: Medical Billing-Certified Professional Coder
AAPC - Albany, NY, USA
License#01059995 Current Expiration December 2018
2017-CHONC: Certified Hematology & Oncology Coder
AAPC - Albany, NY, USA
License#01059995 Current Expiration December 2019
2017-CRC: Certified Risk Adjustment Coder
AAPC - Albany, NY, USA
License#01059995 Current Expiration Pending
2016-CCA-Certified coding certification
AHIMA – Chicago IL, USA
License#2658591 expire 12/28/2018
2016-DBA Doctorate in Business Administration-Healthcare Leadership & Management
California Intercontinental University 17310 Red Hill Ave. #200 Irvine, CA 92614 1-866-***-****
Enrollment# 1506KH4550 Start Date 10/01/2012 Date of Graduation 2/14/2016 GPA # 3.80
2011-MBA: Business Administration (AACSB Accredited)
Colorado State University -301 Administration Building, Fort Collins, CO 80523-0150
CSU Enrollment# 828768018 Start Date 08/24/2009 Date of Graduation 12/17/2011 GPA # 3.122
1999-M.D (Foreign). Medicine and Surgery
Dow Medical College, Karachi Pakistan
2016- Completed Tier II CMS-Medicare care coordination and CPC plus training programs from CMS
Medicare Availity-BCBS and Optum UHC Workshops and Webinars.
EXECUTIVE SKILL HIGHLIGHTS
Certified Medical Billing and Claims Analysis Specialist (Coding CPT,HCPCS and ICD10)
Medical corporation Account and Finance specialist
Medical Home implementation specialist
A Transforming Leader
Staff management, motivation and training specialist
Extensive Knowledge in Government Rules and Regulations
Confident Speaker and Critical Thinker
Resolves conflicts with integrity
Patient oriented with cultural awareness and sensitivity
Relationship and team builder with Sound decision making strengths
Extensive knowledge in all kinds of Computer operations like EMR and EHR
Certified expert Hematology and Oncology Coder
Certified expert Risk Adjustment Coder
PROFESSIONAL EXPERIENCE
Tessellate Inc. Risk Adjustment chart reviewer Auditor-Remote 10/01/2017 to 01/26/2018
Work remotely for Medicare HCC risk adjustment chart review expert auditor and pull out risk adjustment ICD 10 – V22 level codes for a company.
Optum-UHC Risk Adjustment chart reviewer expert-Remote 04/01/2017 to 06/30/2017
Work remotely for Medicare HCC risk adjustment chart review expert and pull out risk adjustment ICD 10 codes for company highest reimbursement.
Administrator CONSULTANT -Medical Billing and PCMH Care Services
Grand Street Medical Associates-Kingston NY 03/04/2004 to Current (Currently working Consultant Part Time basis)
Medical Billing Administrator supervises all activities of medical billing, collections, denials, and posting. In last 15 years of tenure expertize in medical billing and coding as well as training in ONCOLOGY/HEMATOLOGY & CHEMOTHERAPY Drugs and all VACCINATIONS, GASTROENTEROLOGY billing and coding with 24 HOUR SURGICAL AMBULATORY care, NEPHROLOGY billing and coding with DIALYSIS, ENDOCRINOLOGY, PULMONARY, OPHTHALMOLOGY AND PRIME CARE billing and coding. Accomplishes billing human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures. Supervise Care-coordination team with complete leadership role in corporation transformation to level III NCQA Medical Home. In last 14 years of tenure successfully implement, trained employees and physicians on multiple EMR’s. Special strengths include a pragmatic energetic leader; ability to resolve issues and generate new ideas, Coding CPT, ICD10,HIPAA Compliance,HEDIS Expert, Physician chart review and audit specialist. Staff Training and Development, Workers Compensation, Home Health Care, Hospice and Chemotherapy Drug financial Assessment. Enabled organization to establish objective evaluative criteria to measure the quality of individual clinical practices for Physicians, nurses, and technologist in Prime Care Medical Home (PCMH) Care Services.
Well care Sr-Patient Chart review, HEDIS & audit Expert-Kingston NY
Well care Sr-Kingston NY 12401 03/04/2004 to 12/01/2014
Ten years of HCC / Medicare Risk Adjustment experience. Worked as a patient chart review and audit specialist for well care Sr. visiting multiple physician offices on day to day basis and reviewed and audit patient’s charts for updated diagnosis and patient’s condition’s.
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