Certified Medical Coder with 5+ Years Experience

Shaheda Taher

***-** ************ ***. ******** Hill, NY 11418 Phone: 347-***-****.Email: ************@*****.***

QUALIFICATION

CPC Certified Professional Coder (AAPC). Over five years of experience as a medical coding professional in a variety of clinical settings.

Perform audit coding of disease and injury diagnoses, acuity of care, and procedures

References used for coding include the current International Classification of Diseases (ICD-10), Clinical Modification; American Medical Association Physicians' Current Procedural Terminology (CPT); Health Care Common Procedure Coding System (HCPCS) Risk adjustment data validation, RAVD a program run by the CMS .

Knowledge of medical terminology, anatomy, Epic, 3M, Uds, Cure Md, Oracle, Gemstone, Dcd

EXPERIENCE

08/2024-02/2025 Amergi Revenue Cycle Services

07/2019 -11/2019 OPTUM HEALTH (CONTRACT)

Maintains required levels of performance in both coding accuracy and productivity .

Consistently stays up to date with current coding guidelines and standards

Review pended chart requests from vendor and work both internally and externally to assist in obtaining charts using Icd-10 coding guideline .

Proven track record of risk adjustment coding accuracy

10/2018-04/2019 CHANGE HEALTH-(CONTRACT)

Abstract diagnostic data and report ICD-10 codes and other information – as applicable to the project – from electronic and handwritten medical records in accordance with established CMS and client-specific guidelines for Risk adjustment coding.

Ability to consistently meet established minimum quality standards in a heavy production environment

Analyzed provider documentation with an eye toward compliance with CMS rules and regulations to capture risk adjusting (HCC) diagnoses.

2016-Present JAMAICA HOSPITAL - HIM Coder

New York, NY

Codes and abstracts inpatient or outpatient hospital, ambulatory/ER, or professional services, using EPIC and UDES software and coding books, as

appropriate for current work assignment.

Assigns the correct ICD codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record.

Qualified to determine if medical records are in support of individual patient risk adjustment score accuracy.

Follow CMS HCC coding guidelines.

Review medication list to verify if there is a correlating condition and if conditions are still being treated

2015-2016 NYU-Pathology Coding- Billing Coordinator

New York, NY

Primarily code from final surgical or procedural operative reports signed by the provider. Review the complex and problematic coding that needs research and reference checking medical records and accurately codes the primary or secondary diagnoses and procedures using ICD-9-CM and/or CPT coding conventions.

Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to outpatient diagnoses and procedures

Communicate with nursing and ancillary services personnel for needed documentation for accurate coding. Provide real-time feedback to surgical or procedural providers as it pertains to proper coding and clinical documentation of services performed.

Provide education and training to physicians and other providers on coding and clinical documentation.

2014-2015 CENTER FOR COMPREHENSIVE HEALTH PRACTICE -Coder

New York, NY

Code inpatient and/or outpatient diagnoses and procedures using current ICD-9 CM and/or CPT-4 classifications

Follow hospital coding guidelines and regulatory rules in governing corresponding coding decisions

Review and abstract relevant clinical data/medical records to select and sequence the appropriate ICD-9-CM diagnosis

Encoder Tutors new coders for compliance with ICD-9 classification EDUCATION

2014- Medco consultant NY- Billing and coding course

2009 - The Manhattan Institute of NY- Medicare, Medicaid, Commercial billings, Collection of various insurances.

2000 - Harcourt High School- High School Diploma LICENSURE/CERTIFICATION Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)

Certified Risk Adjustment (CRC) 2019

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