Leena Abdelhafez
Saint Charles,IL
Summary
Solutions-oriented professional with 8 years combined experience in the health informatics profession. An analytical thinker with a strong academic background. Demonstrated talent of providing support in the health -pharmaceutical industry, medical coding, auditing, and data analysis fields. Proven ability to achieve high performance standards in coherence with company objectives. Registered Health Information Administrator (RHIA) Credential in progress.
Overview
7
7
years of professional experience
Work History
Health Educator
SERENITY HEALTH
06.2022 - 01.2025
- Works to provide holistic health and wellness educational content
- Covered topics addressing the multidimensional aspects of health comprising physical, emotional, mental, and spiritual components
- Other job responsibilities include putting together strategies to overcome issues and providing helpful resources, identifying areas and opportunities for growth and development, and providing plans to commit to lifestyle changes
Pharmaceutical Auditor
CLOUDMED
12.2021 - 04.2022
- Company Overview: Cloudmed was acquired by RC1 in the first quarter of 2022
- Responsibilities included: inpatient and outpatient pharmaceutical reporting audits CPT, HCPCS, modifier and charged units, medical records and UB04 review, and medication administration records validation
- Reported detailed rationale and supported evidence for recommendation and findings, analyzed data sets and trends, completed ongoing training for AI-based revenue intelligence platforms and technologies, and evaluated claim reimbursement potential based on coding assignment
- Utilized various platforms including Microsoft SQL, Optum, Access, and Epic
- Cloudmed was acquired by RC1 in the first quarter of 2022
IV/PA Specialist (Contract)
ALLIANCERX WALGREENS
09.2020 - 07.2021
- Worked to ensure that each patient’s healthcare benefits were covered for required medications
- Used ScriptMed, VMWare, Optum, and Epic platforms
- Some duties included insurance verification, medical billing oversight, proper ICD-10/CPT code placement, quality control, prior authorization procedures, and management of specific projects
- Aided and consulted with patients and healthcare professionals with specific needs, concerns, scheduling of medications/supplies, and worked with leadership for the de-escalation and resolution of pertinent issues (pharmaceutical supply, Medicaid/Medicare/private insurance contract review, and medical coding verification, etc.)
Health Information Technician/Medical Coder (Internship)
RICHLAND
01.2020 - 05.2020
- Maintained responsibility for the timely submission of technical and professional medical claims during work study
- Gained working knowledge of 3M Encoder for ICD-10 CM/PCS and CPT/HCPCS coding placement for both inpatient and outpatient records
- Collected HIM information from all hospital departments (cardiology, gynecology, surgery, E&M, etc.) and checked that charts were accurate
- Strove to ensure that all facets and requirements were completed in a compliant manner
Retail Associate
MEDTECH
12.2017 - 10.2019
- Oversaw a database and updated customer account information for a medical supply store
- Maintained data entry requirements by following established company procedures, and performed a variety of administrative, research, and document preparation tasks
- Other job responsibilities included: document transcription, assisting customers with orders, opening and closing the store, revenue review, project management, and database maintenance
Education
Bachelor of Science - Health Informatics and Management
ILLINOIS STATE UNIVERSITY
Normal, IL05.2023
Skills
- Computer information systems
- Data analytics
- Informatics
- Revenue cycle management
- Research methodologies
- 3M Encoder
- Epic
- Optum
- Microsoft Suites
- Access
- Excel
- SQL
- Work and database design
- Process improvement
- Data integrity
- Databases
- Remote working
- Organizational compliance
- Clinical documentation
- EMR/Epic development
- Interpersonal skills
- Dedicated
- Discerning
- Empathetic
- Calm
- Integral
- Introspective
- Clinical documentation
- EMR/Epic development
- Interpersonal skills
- Dedicated
- Discerning
- Empathetic
- Calm
- Integral
- Introspective
Timeline
Health Educator
SERENITY HEALTH
06.2022 - 01.2025
Pharmaceutical Auditor
CLOUDMED
12.2021 - 04.2022
IV/PA Specialist (Contract)
ALLIANCERX WALGREENS
09.2020 - 07.2021
Health Information Technician/Medical Coder (Internship)
RICHLAND
01.2020 - 05.2020
Retail Associate
MEDTECH
12.2017 - 10.2019
Bachelor of Science - Health Informatics and Management
ILLINOIS STATE UNIVERSITY
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