Musarrat Khalil CPC (A)
Katy,TX
Summary
Hardworking and reliable Medical Coder with strong ability in HCC Coding. Offering Coding and Billing. Highly organized, proactive and punctual with team-oriented mentality.
Overview
19
19
years of professional experience
Work History
HCC Coder
Optum UHC
Wayne, PA
05082023 - Current
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Analyzed data from various sources including electronic health records databases, insurance websites, in order to identify potential errors in the coded data sets.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Maintained high accuracy rate on daily production of completed reviews.
- Categorized health services and assigned specific DX code to each one.
- Assisted in the development of coding guidelines and policies.
- Verified that all necessary information is accurately documented in the patient's record prior to assigning a code.
- Assigned diagnosis codes based on provider documentation while adhering to established coding guidelines and conventions.
Medical Biller
PFS Group
Houston, TX
05.2016 - 04302023
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Performed insurance verification, pre-certification and pre-authorization.
- Coordinated communications between billing personnel and insurance carriers.
- Reconciled financial accounts using Epic software.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Reviewed and verified benefits and eligibility with speed and precision.
Machine Operator
Parpak Inc
Houston, TX
10.2004 - 11.2013
- Helped achieve team goals by rotating production lines and daily duties to meet demand.
- Produced quality products by palletizing, packaging and assembling finished items.
- Attached identification labels to finished packaged items or stamped lot number and shipping destination information on containers.
- Reduced health and safety risks with strict adherence to safety protocols and PPE requirements.
- Organized pallets and secured materials with plastic wrap to prepare for movement to skids.
- Monitored production line, watching for pile-ups or jams.
- Verified production orders prior to starting set-up.
- Utilized fastening equipment to fasten, package and stack materials and products.
- Measured and weighed items to meet quality standards and prevent waste.
Education
Medical Coding - Medical Insurance Coding
American Academy of Professional Coder (AAPC)
Houston, TX08.2017
Medical Billing - Medical Insurance Billing
Sanford-Brown College - Houston
Houston, TX08.2016
Bachelor of Arts - Civics, Social Studies, General History
Karachi University
Pakistan06.2000
Skills
- HIPAA Compliance Certification
- Commercial and Private Insurance
- Multitasking and Organization
- Medical Terminology
- Services Rendered Documentation
- Billing Data Verification
- Billing and Invoicing
Timeline
Medical Biller
PFS Group
05.2016 - 04302023
Machine Operator
Parpak Inc
10.2004 - 11.2013
HCC Coder
Optum UHC
05082023 - Current
Medical Coding - Medical Insurance Coding
American Academy of Professional Coder (AAPC)
Medical Billing - Medical Insurance Billing
Sanford-Brown College - Houston
Bachelor of Arts - Civics, Social Studies, General History
Karachi University
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