Musarrat Khalil CPC (A)

832-***-**** • ad36gt@r.postjobfree.com • Katy, TX 77449 • WWW: Bold Profile

Hardworking and reliable Medical Coder with strong ability in HCC Coding. Offering Coding and Summary Billing. Highly organized, proactive and punctual with team-oriented mentality. Skills • HIPAA Compliance Certification

• Commercial and Private Insurance

• Multitasking and Organization

• Medical Terminology

• Services Rendered Documentation

• Billing Data Verification

• Billing and Invoicing

05/2023 - 02/2024

HCC Coder, Optum UHC, Wayne, PA

05/2016 - 04/2023

Medical Biller, PFS Group, Houston, TX

10/2004 - 11/2013

Experience

• Maintained up-to-date knowledge of coding changes, updates, and new rules. Analyzed data from various sources including electronic health records databases, insurance websites, in order to identify potential errors in the coded data sets.

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Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.

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Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.

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• Maintained high accuracy rate on daily production of completed reviews.

• Categorized health services and assigned specific DX code to each one.

• Assisted in the development of coding guidelines and policies. Verified that all necessary information is accurately documented in the patient's record prior to assigning a code.

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Assigned diagnosis codes based on provider documentation while adhering to established coding guidelines and conventions.

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• Applied HIPAA privacy and security regulations while handling patient information. Communicated with insurance representatives to complete claims processing or resolve problem claims.

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• Performed insurance verification, pre-certification and pre-authorization.

• Coordinated communications between billing personnel and insurance carriers.

• Reconciled financial accounts using Epic software. Contacted insurance providers to verify insurance information and obtain billing authorization.

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Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.

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Reviewed account information to confirm patient and insurance information is accurate and complete.

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• Reviewed and verified benefits and eligibility with speed and precision. Machine Operator, Parpak Inc, Houston, TX

• Helped achieve team goals by rotating production lines and daily duties to meet demand.

• Produced quality products by palletizing, packaging and assembling finished items. Attached identification labels to finished packaged items or stamped lot number and shipping destination information on containers.

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Reduced health and safety risks with strict adherence to safety protocols and PPE requirements.

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• Organized pallets and secured materials with plastic wrap to prepare for movement to skids.

• Monitored production line, watching for pile-ups or jams.

• Verified production orders prior to starting set-up.

• Utilized fastening equipment to fasten, package and stack materials and products.

• Measured and weighed items to meet quality standards and prevent waste. 08/2017

Medical Coding, Medical Insurance Coding

American Academy Of Professional Coder (AAPC), Houston, TX 08/2016

Medical Billing, Medical Insurance Billing

Sanford-Brown College - Houston, Houston, TX

06/2000

Bachelor Of Arts, Civics, Social Studies, General History Karachi University, Pakistan

Education And

Training

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