Arshad Ahmed
Chicago,IL
Summary
Dynamic Inpatient Coder with CCS and extensive Trauma 1 and 2 experience who has worked exclusively in Inpatient facilities. Seeking to gain further experience and education within similar settings, or to gain new experience within different settings-always up for a challenge! Expertise in services including, but not limited to: Trauma, Thoracic Surgery, Vascular Surgery, Neurosurgery, Spinal Fusions, Transplants (heart, lung, liver, renal), General Surgery, Plastics, Surgical Oncology (ex. Whipple Procedure), Cardiac Surgery, Cardiac Cath lab procedures, Nephrology, and Urology.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Inpatient Quality Analyst
GeBBS Healthcare Solutions
01.2020 - 01.2023
- Performed thorough medical record review to abstract medical diagnoses and procedures utilizing ICD-10-CM and PCS coding classification systems and varying coding systems/EHRs to meet financial, third party and federal/state regulatory standards
- Expertise in MS-DRG(Medicare Severity Diagnosis Related Groups) assignment.
- Skilled in optimizing DRG grouping based on the severity of illness (SOI) and risk of mortality(ROM)
- Maintained excellent client satisfaction by flexibility in working within multitude of healthcare networks with varying compliance standards, while simultaneously achieving quality as well as accuracy as required by client wishes along with Coding Guidelines
- Demonstrated capacity to code within various types of coding systems, now experience includes Fusion CAC system
- Comprehensive OBGYN, newborn, and pediatric coding training; trained and demonstrated ability to abstract charts within Epic as required by CMS Core Measures
- Demonstrated capacity to switch from one facility to another upon client request, demonstrated coding competency at all 5 facilities within client's network rapidly
- Gained client trust by communicating and taking instruction with openness and great attitude while easily managing to learn and work within multiple and varying health information systems
- Managed system conversion and maintained minimal downtime during updates
- Conduct Quality Audits of Inpatient and Outpatient medical records to ensure accurate coding in compliance with regulatory standards(CMS, AHIMA).
- Review and Analyze coding performed by medical coders, identifying discrepancies and providing feedback for improvement.
- Provide training and support to coding staff on best practices and coding updates.
Inpatient Coder
AGS Health
05.2018 - 01.2020
- Performed thorough medical record review to abstract medical diagnoses and procedures, utilizing ICD-10-CM and PCS coding classification systems along with 3M and 3M 360 Encoder to meet financial, third party and federal/state regulatory standards
- Regularly coded multimillion-dollar and/or extended length of stay charts
- Reviewed and interpreted medical information, physician treatment plans, courses, and outcomes to determine appropriate ICD/PCS codes for diagnoses and procedures
- Collaborated closely with clinical documentation specialists to identify opportunities for improved documentation that would lead to more accurate coding outcomes.
- Optimized efficiency of team operations by developing departmental policies, procedures, and guidelines related to inpatient coding processes.
- Maintained compliance with industry standards and regulatory guidelines through continuous education on updates to ICD-10-CM/PCS codes and Coding Clinic guidance.
- Abstracting data elements to satisfy statistical requests by facility, health system, medical staff, and to fulfill CMS Core Measure requirements
- Extensive experience with trauma, transplant, oncology, vascular surgery, plastic surgery, neurosurgery, and complex orthopedic surgery
- Managed system conversion and maintained minimal downtime during updates
- Used classification manuals to gain additional knowledge of disease and diagnoses processes
- Acted as a subject matter expert on inpatient coding by consulting with other departments within the organization on code assignments and documentation requirements.
Education
Master of Science - Information Technology
University of Cumberlands
Williamsburg, United States05.2024
Bachelor of Science - Genetics
Bhavans Vivekananda College of Science
Hyderabad, India05.2018
Skills
- Proficient with Microsoft Office Pro Suite, 3M, Epic EHR, Sunrise, Fusion, eValuator, and AllScripts Health Information Systems
- Excellent Written and Oral Communication Skills
- Excellent knowledge of ICD-10, HIPPA, CMS, PCS, and all other Health Care Industry Standards
- Experience in Risk Mitigation, Loss Prevention Practices, Strategic Planning, and Quality Improvement
- Identified Risks, Constructed and Communicated Potential Solutions with Supervisors during Auditing Training
- Adept at Quickly Understanding and Mastering New Applications and Programs
- Working Knowledge of Claims Processing, Insurance Workflow, Cost Benefit Analysis, ROI Analysis, APR DRGs and MS DRGs
- Compliance with coding guidelines (CMS, AHIMA)
- Quality Control and auditing
- Expertise in (MS‑DRG) Complication and Comorbidity (CC)/Major Complication and Comorbidity (MCC)
- Communication with healthcare providers
Certification
CCS
Certified Coding Specialist
Issued November 19, 2019
by American Health Information Management Association (AHIMA)
Timeline
Inpatient Quality Analyst
GeBBS Healthcare Solutions
01.2020 - 01.2023
Inpatient Coder
AGS Health
05.2018 - 01.2020
Master of Science - Information Technology
University of Cumberlands
Bachelor of Science - Genetics
Bhavans Vivekananda College of Science