Ami Shah, RHIA, CCS
Porter Ranch,CA
Summary
Inpatient Coder with extensive experience at UCLA Medical Center, specializing in diagnostic coding and patient data identification. Demonstrated success in maximizing reimbursement rates and ensuring compliance with coding regulations. Strong analytical skills and effective communication foster collaboration with healthcare teams to enhance coding accuracy.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Hospital Inpatient 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
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
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
Saint John's Hospital
Santa Monica, CA
10.1991 - 01.1995
- Maintained comprehensive knowledge of CPT and ICD-10 coding principles and regulations.
- Achieved high accuracy rate in daily production of completed reviews.
- Reviewed medical records for compliance with coding guidelines and billing standards.
- Verified proper coding and sequencing for diagnoses and procedures.
- Utilized ICD-9 and CPT coding systems for accurate patient documentation.
- Monitored updates in coding rules established by American Medical Association and CMS.
- Ensured thoroughness in reviewing patient records for accuracy and completeness.
- Applied industry changes to maintain compliance with third-party billing requirements.
Skills
- Patient data identification
- Reading comprehension
- Diagnostic coding
- CPT code modifiers
- ICD-9 and ICD-10 coding guidelines
- EPIC, MEDITECH, and Cerner systems
- 3M encoder and TruCode
- Optum eCAC encoder
- Inpatient records coding
- Continuing education in health information
- Registered health information administrator (RHIA)
- Microsoft Office proficiency
- Audit and edit coding errors
- Data abstraction and entry
- Coding error resolution
- Patient confidentiality management
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
Timeline
Hospital Inpatient 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
Saint John's Hospital
10.1991 - 01.1995
Similar Profiles
Ami ShahAmi Shah
Medical Coder at Change Healthcare/OPTUM InsightMedical Coder at Change Healthcare/OPTUM Insight
Ane MarcellusAne Marcellus
Sr. Business Operations Coordinator at Optum InsightSr. Business Operations Coordinator at Optum Insight
Jeremy CowlesJeremy Cowles
Business Systems Analyst III at Optum Insight/Change HealthcareBusiness Systems Analyst III at Optum Insight/Change Healthcare
Mia KalfaMia Kalfa
Assistant at Floor ConceptsAssistant at Floor Concepts
Omar MonroyOmar Monroy
Supervisor at Wag Hotels Inc.Supervisor at Wag Hotels Inc.