Certified Medical Coder - Risk Adjustment and OB/GYN Specialist

Marufa Khatun Lamia CPC, CCS

**** ******** ** *** *

Grand Island, NY 14072

Cell: 516-***-****

Email: ***********@*****.***

OBJECTIVE:

Highly skilled and certified professional coder with more than 3 years of experience in Risk Adjustment, Outpatient and OB/GYN coding. Expertise in ICD-10-CM/ICD-10-PCS, DRG assignment HCPCS and CPT coding systems, medical record review, and compliance with coding guidelines. Proven ability to improve coding accuracy, reduce claim denials, and ensure adherence to coding regulations.

SKILLS:

• Proficient in ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding systems.

• Familiarity with Medical Terminology, Anatomy, Impact of Coding on the Revenue Cycle, Medicare, Medicaid, HIPAA Laws & Regulations.

• Familiarity with HCC coding, medical charts review, compliance, coding audits, EHR systems, DRG assignment, OB/GYN coding.

• Knowledge of APC’s, Revenue codes, OPPS, medical billing and reimbursement procedures,

• Detailed-goal oriented team player with exceptional communication, organized, multitasking, time management, problem solving and critical thinking skills.

• Ability to work under fast- paced, stressful conditions to meet deadlines.

• Proficiency in Microsoft office.

• Speak fluently in English, Bangla and Hindi.

PROFESSIONAL EXPERIENCE:

Niagara Falls Memorial Medical Center [ 533 10TH St Niagara Falls, NY 14301] Coding Specialist/ Outpatient Coder (Current Employed since January 20th, 2025) Responsibilities: Accurately coded outpatient and OB/GYN services using ICD-10-CM, CPT & HCPCS coding systems.

* Reviewed medical records to ensure proper coding and compliance.

* Achieved a coding accuracy rate of 95%

* Reduced claim denials by 95% through accurate coding and documentation.

* Collaborated with healthcare providers to resolve coding issues and improve documentation. * Stayed updated on coding guidelines and regulations.

* Performed coding audits to identify and correct coding errors.

* Provided coding education to healthcare providers and staff.

* Assisted in the implementation of new coding software and systems. The CSI Companies (OPTUM) remote Medical Coding Specialist. {Employed August 7 2023 to January 18th, 2025}

Responsibilities: My job primarily requires the evaluation of medical charts for the appropriate ICD-10 CM code(s) as it relates to Risk Adjustment and HCC coding. Medical Terminology, anatomy and physiology knowledge are an essential requirement for performing my job duties. In addition, a comprehensive ability to distinguish diagnosis

(ICD10 CM) related documentation from procedural coding (CPT) related documentation, and the ability to perform ongoing analysis of medical charts is a necessary requirement. Maintaining 95% accuracy.

JPM Physical Therapy, P.C. [219-49 Jamaica Ave, Queens Village, NY 11428] Medical Receptionist (Employed: June 6, 2023 - August 4, 2023] Responsibilities: Greeting Patients: Welcoming patients as they arrive and making them feel comfortable. Scheduling Appointments: Managing the appointment calendar, scheduling new appointments, and rescheduling as necessary.

Answering Phones: Handling incoming calls, addressing patient inquiries, and directing calls to the appropriate staff.

Patient Registration: Collecting and verifying patient information, including personal details, insurance information, and medical history.

Managing Records: Maintaining and updating patient records, ensuring confidentiality and accuracy.

Billing and Payments: Processing payments, handling billing inquiries, and managing insurance claims and authorizations.

Communication: Coordinating between patients, doctors, and other medical staff to ensure smooth operation of the office.

Administrative Tasks: Performing general office duties such as filing, faxing, and managing correspondence.

219-44 Hillside Avenue, Queens Village NY 11427 (Wendy’s) Customer service & Crew member

(April 2022- January 2023)

• Key responsibility: Greet customers upon arrival. Inform customers of any specials or promotions running out currently. Answer any questions the customers might have and take orders with accuracy. Repeat orders to customers to ensure they are correct. Accept payment and accurately supply change, when needed. Direct complaints and concerns to Manager.

• Special task: Maintained inventory, ensure food is delivered to the table hot and fresh, offer to refill drinks, check with customers to ensure their overall satisfaction. Thank customers for their business, invite them to return. Lead Teacher (May 2015 – June 2019)

British Standard School, Wari, Dhaka Bangladesh

Key responsibilities: Prepare classroom for class activities. Provide a variety of learning materials and resources for use in educational activities. Observe and evaluate student's performance and development. Assign and grade class work, homework, tests and assignments. EDUCATION:

June 2022- March 2023

Institute: The Roxbury Institute for Medical Management. Address: 175-20 Wexford Terrace, Suite 1 A, Jamaica States, New York 11432 Frank Chisena : ****************@*****.*** . Phone & Fax: 718-***-**** Medical Terminology (MM 100)

ICD-10 Coding (MM 210)

CPT Coding (MM 500)

Impact on Coding on the Revenue Cycle (MM 628)

Theory of Outpatient / Ambulatory Surgery Coding Billing & Computerized Billing (MM 700 & MM 805)

High School Equivalency Diploma (GED) [May 2017]

Awarded By: PI International Institute, Bangladesh GCE O-Levels & A-Levels [ 2009-2011]

Awarded By: British Council Dhaka, Bangladesh

CERTIFICATION: AAPC Certified Professional Coder (CPC) [April 2023] CERTIFICATION: AHIMA Certified Coding Specialist (CCS) [April 2026] REFERENCES: Furnished upon request.

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