Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Credentials
Timeline
Generic

Ami Shah

Porter Ranch,CA

Summary

Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.

Efficient [Desired Position] with robust background in medical coding. Proficient in accurately coding patient records and ensuring compliance with healthcare regulations. Demonstrated expertise in utilizing coding software and maintaining detailed documentation.

Overview

35
35
years of professional experience
1
1
Certification

Work History

Medical Coder

Change Healthcare/OPTUM Insight
10.2017 - Current
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Reviewed inpatient/outpatient records and interpreted documentation to identify diagnoses and procedures
  • Resourcefully used various coding books, procedure manuals, and on-line encoders
  • Monitored changes in coding regulations to provide recommendations for compliance

Contract Inpatient Coder

Pena4, Inc.
10.2023 - 03.2025
  • Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
  • Coded complex cases working for COOPER UNIVERSITY as a contract coder thru Pena4.
  • Maximized reimbursement rates by expertly navigating complex payer requirements and accurately selecting the appropriate codes for each patient encounter.

Coding Instructor

Code-Med, Inc
07.2016 - 10.2017
  • Taught diverse student population by employing various learning styles and abilities
  • Impartially evaluated papers, projects and homework assignments of students, delegating grading to teaching assistants when appropriate
  • Evaluated and supervised student activities and performance levels to provide reports on academic progress
  • Built strong rapport with students through class discussions and academic advisement
  • Applied innovative teaching methods to encourage student learning objectives
  • Assessed students' progress and provided feedback to enhance learning
  • Conducted engaging in-class discussions to facilitate learning and encourage participation
  • Graded quizzes, tests, homework, and projects to provide students with timely academic progress information and feedback
  • Created positive and safe learning environment for students by setting and enforcing classroom code of conduct
  • Reviewed program materials and coordinated updates to keep department materials relevant and accurate

Coder

Code-Med Inc
10.2001 - 07.2016
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Resourcefully used various coding books, procedure manuals, and on-line encoders
  • Correctly coded and billed medical claims for various hospital and nursing facilities
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures

Coding Supervisor

UCLA Medical Center
01.1999 - 04.2001
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Resourcefully used various coding books, procedure manuals, and on-line encoders
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
  • Correctly coded and billed medical claims for various hospital and nursing facilities
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others
  • Performed on-site coding audits to determine accuracy and compliance with coding guidelines
  • Trained and mentored junior coders to support growth and development and apply high-quality coding practices
  • Utilized electronic medical record systems to store, retrieve and process patient data
  • Input data into computer programs and filing systems
  • Maintained accuracy, completeness, and security for medical records and health information
  • Verified accuracy of patient information in medical records
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes

Medical Coder

UCLA Medical Center
01.1995 - 01.1999
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
  • Resourcefully used various coding books, procedure manuals, and on-line encoders
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records
  • Monitored changes in coding regulations to provide recommendations for compliance
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others

Medical Coder

St. John's Hospital
09.1991 - 01.1995
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
  • Resourcefully used various coding books, procedure manuals, and on-line encoders
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others
  • Verified signatures and checked medical charts for accuracy and completion
  • Monitored changes in coding regulations to provide recommendations for compliance

Medical Coder

Rush Presbyterian St. Luke's Medical Center
10.1989 - 06.1991
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
  • Resourcefully used various coding books, procedure manuals, and on-line encoders
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others
  • Verified signatures and checked medical charts for accuracy and completion

Education

Bachelor of Science - Medical Records Administration

University of Illinois At Chicago
Chicago, IL
06.1989

Skills

  • Patient Data Identification
  • Reading Comprehension
  • Diagnostic Codes
  • CPT Code Modifiers
  • ICD-9 &10 CM PCS and CPT coding guidelines
  • EPIC & MEDITECH & Cerner abstracting systems
  • 3M Encoder
  • TruCode
  • Optum eCAC encoder
  • Inpatient records coding
  • Continuing education
  • Registered health information administrator (RHIA)
  • Microsoft Word
  • Microsoft Excel
  • Microsoft PowerPoint
  • Audit & Edit SDS/ED/Ancillary/Modifier errors for Coding & billing
  • Inpatient Coding
  • Data Abstraction
  • 3M Encoder
  • Data Entry
  • Coding Error Resolution
  • Maintain Patient Confidentiality

Accomplishments

  • Supervised team of 3 staff members as an Outpatient Supervisor while working at UCLA medical center.

Certification

  • CCS - Certified Coding Specialist
  • RHIA - Registered Health Information Administrator

Credentials

  • RHIA
  • CCS

Timeline

Contract Inpatient Coder

Pena4, Inc.
10.2023 - 03.2025

Medical Coder

Change Healthcare/OPTUM Insight
10.2017 - Current

Coding Instructor

Code-Med, Inc
07.2016 - 10.2017

Coder

Code-Med Inc
10.2001 - 07.2016

Coding Supervisor

UCLA Medical Center
01.1999 - 04.2001

Medical Coder

UCLA Medical Center
01.1995 - 01.1999

Medical Coder

St. John's Hospital
09.1991 - 01.1995

Medical Coder

Rush Presbyterian St. Luke's Medical Center
10.1989 - 06.1991

Bachelor of Science - Medical Records Administration

University of Illinois At Chicago
Ami Shah