Saima Khurram

Medical Coding

AAPC - Certified Professional Coder (CPC)

• Review and/or coding of any professional services including but not limited to surgeries, encounters, and diagnostic services for appropriate use of CPT, ICD-10-CM, HCPCS, and Modifier usage/linkage coding where needed for handwritten/missing diagnoses
• Review and assist in updates of coding dictionaries/encounter forms/charge slips as needed for accuracy of CPT, HCPCS and ICD-10-CM Coding
• Answers and responds accurately and timely to questions on the telephone, voice mail, e-mail, Coding Hotline and/or Coding Website as appropriate
• Reviews and analyzes rejected claims and patient inquiries of professional services, and recommends appropriate coding corrections via paper or electronic submission
• Reports regularly on daily activity, productivity, and findings of reviews/rejections/education via electronic file or database, e-mail, paper, or other means as required by manager

Physician/Provider Education:

• Confers regularly with physicians/care providers, clinical or ancillary managers, coders, or other staff through departmental staff meetings, one-on-one meetings, and/or daily interactive communication to respond to and educate providers on specific departmental and clinic wide coding issues and updates including but not limited to the coding hotline and/or the coding website
• Involves in new physician/care provider orientation as well as provide follow-up reviews and education for the new physician/care provider if applicable for the area of responsibility

Education & Professional Development:

• Researches and stays updated and current on CMS (HCFA), AMA and Local Coverage Determinations (LCD’s), or Local Medical Review Policies (LMRP's) to ensure compliance with coding guidelines

• Communicates new guidelines to providers through physician/care provider and/or departmental meetings
• Stays current on quarterly CCI Edits, bi-monthly Medicare Bulletins, Medicare's yearly fee schedule, Medicare Website, and specialty newsletters
• Makes guidelines available via, paper, on-line access, web access, or any other means provided by manager

Statement and Goals into daily activities

• Maintains courteous and effective interactions with colleagues and patients
• Demonstrates an understanding of the job description, performance expectations, and competency assessment
• Demonstrates a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards
• Participates in departmental and/or interdepartmental quality improvement activities
• Participates in and successfully completes Mandatory Education
• Maintains minimum certification requirements for coding
• Performs all other duties as needed or directed to meet the needs of the department