Work Preference
Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Websites
Languages
Timeline
Open To Work
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Hi, I’m

Mahboubeh Pourkhani

Medical Coder
Apple Valley,MN
Mahboubeh Pourkhani

Work Preference

Job Search Status

Open to work
Desired start date: 2 weeks notice

Desired Job Title

Senior CoderCoding Data SpecialistClinical Coding System AnalystMedical Coder

Work Type

Full TimePart Time

Location Preference

RemoteHybrid
Location: Apple Valley, MN
Open to relocation: Yes

Summary

Experienced Senior Medical Coder and Coding Auditor (RHIT, CCA) with strong expertise in coding compliance, payment integrity, and audit review. Skilled in ICD-10-CM, ICD-10-PCS, CPT, HCPCS, CMS, NCCI, and LCD/NCD guidelines. Proven ability to identify discrepancies, improve coding accuracy, and support denial prevention initiatives.

Overview

2
Certification
15
years of professional experience

Work History

Optum

Senior Coder
01.2024 - Current

Job overview

  • Conducted prepayment coding reviews and validated audits to ensure accuracy
  • Identified coding discrepancies, ensuring adherence to compliance guidelines
  • Supported payment integrity initiatives, enhancing compliance and accuracy.

Allina Health

Coding Data Specialist
01.2015 - 01.2024

Job overview

  • Ensured compliance with national coding guidelines and CMS requirements
  • Assigned ICD-10, CPT, and HCPCS codes to ensure accurate billing and compliance
  • Reviewed documentation to confirm medical necessity and adherence to LCD/NCD guidelines
  • Performed coding quality reviews to identify and resolve discrepancies, enhancing accuracy

Medica

Clinical Coding System Analyst
01.2013 - 01.2014

Job overview

  • Facilitated ICD-10 implementation and mapping from ICD-9 to ensure compliance with updated coding standards
  • Interpreted and coded claims processing policies to enhance accuracy and streamline workflows
  • Analyzed business requirements to optimize system functionality and enhance user experience.
  • Collaborated with cross-functional teams to design and implement software solutions aligned with organizational goals.
  • Conducted system testing and troubleshooting to ensure reliability and performance of applications.

Imam Hospital, Tehran
Tehran

Medical Coder
01.2002 - 01.2004

Job overview

  • Assigned ICD-9-CM and CPT codes, ensuring accuracy and compliance with coding standards
  • Reviewed medical records for accurate coding and compliance with regulations.
  • Collaborated with healthcare providers to clarify documentation and improve coding accuracy.
  • Trained junior coders on coding guidelines and industry best practices.

Education

Saint Paul College

Health Information Technology from RHIT Program
01-2017

University of Tehran

Bachelor's Degree from Health Information Management

Skills

  • ICD-10 coding
  • Medical coding
  • Code review expertise
  • Error resolution
  • Medicare regulations
  • EHR systems
  • Epic
  • 3M coding software
  • Optum Encoder
  • Microsoft Office

Affiliations

Member of AHIMA and MHIMA

Certification

  • RHIT – AHIMA (2017)
  • CCA – AHIMA (2012)

Websites

Languages

Languages: English, Farsi

Timeline

Senior Coder

Optum
01.2024 - Current

Coding Data Specialist

Allina Health
01.2015 - 01.2024

Clinical Coding System Analyst

Medica
01.2013 - 01.2014

Medical Coder

Imam Hospital, Tehran
01.2002 - 01.2004

University of Tehran

Bachelor's Degree from Health Information Management

Saint Paul College

Health Information Technology from RHIT Program

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