Elaheh Derakhshan

MS in BHIS, RHIT

Cell: 949-***-**** E-mail: ad38tg@r.postjobfree.com LinkedIn Profile: ElahehDerakhshan1390

Objective

Seeking a position as a medical collection supervisor/ billing and coding in a professional environment where my knowledge and skills in medical coding and billing can be used in the revenue cycle management or coding department to help exceed the performance objectives of the department.

Summary of Skills and Qualifications

Essential Medical Coding and Billing Skills

Strong knowledge of ICD-10-CM, ICD-10-PCS, and HCPCS coding systems

Strong comprehension of HIPAA requirements

Skilled in working with Experity and familiar with Epic

Skilled in billing military payers (Tricare, TriWest VA, CHAMPVA, and Tricare for Life)

Experienced in billing Medicare, Medi-Cal, and commercial insurance plans (PPO/HMO)

Experienced in Account Receivable

Profonde knowledge of healthcare billing and reimbursement methods

Strong understanding of insurance plans and coverages

EMR experience and Data management

Working knowledge of CMS regulatory guidelines

Interpersonal and Communication Skills

Highly organized, proactive with the ability to interact efficiently in a teamwork environment

Offering empathy, dependability, adaptability, and problem-solving

Having a positive attitude for feedback

Making clear communication using appropriate tools

Computer Skills

Proficient in Microsoft Office (Word, Excel, PowerPoint)

Skilled in Power BI and Tableau, data visualization skills

Proficient in data analytics and biostatistics

Education and Related Course Work

University of Illinois at Chicago (UIC) Chicago, Illinois Master of Science, Biomedical Health Information Science December 2022

GPA: 3.67

Saddleback College Mission Viejo, California Associate of Science, Health Information Technology May 2020

GPA: 3.76 Advanced Clinical Coding Course

Al Zahra University Tehran, Iran

Bachelor of Arts, Psychology 1996

Awarded and honored as the best student in Child Psychology GPA: 3.81

Experience

Mission Hospital Orange, California Data management and outpatient coding April 2020– Aug 2021

Consolidated clinical data of Mission Hospital, St. Jude Medical Center, and St. Joseph Orange hospitals in Orange County during their merger

Medical coding (CPT coding for outpatient setting in the hospital)

Marque Urgent Care Irvine, California

Medical Biller / Coder August 2021 – Current

Supervising eligibility and benefits verification to send the claims to correct payers

Initiating provider inquiries to ensuring accuracy of the claims

Auditing Coding of medical records to ensure clean charts are billed out

Processing patient statements, EOBs, RAs, and Denials for further investigations

Answering and resolving patient billing inquiries

Sending Medical Records requested by payers via fax, payer portal, or mail

Accurately apply payments to patient accounts and make adjustments

Affiliations and Certificates

RHIT

Member of American Health Information Management Association (AHIMA) and California Health Information Association (CHIA)

Basic Life Support (BLS) and CPR certificate from the American Heart Association

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