Sakena Momani, CPC
Wesley Chapel,FL
Summary
American Academy of Professional Coder (AAPC), Member in good standing.
- Certified Professional Coder, CPC.
- Certified Outpatient Coder, COC (pending)
Overview
3
3
years of professional experience
Work History
Medical Coder
Revenue Cycle Operation
03.2023 - Current
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Maintained up-to-date knowledge of coding guidelines and regulations, and policies ensuring compliance for coding.
- Ensured compliance with industry regulations and guidelines by staying up-to-date on the coding changes.
- Generated reports to identify coding trends and discrepancies. Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
- Reduced turnaround time for appeals by preparing comprehensive supporting documentation for denied claims.
- Verified signatures and checked medical charts for accuracy and completion.
- Enhanced revenue cycle performance by identifying and correcting under-coded claims, ensuring maximum reimbursement for services rendered.
- Researched and resolved medical record discrepancies.
- Mentor for and assist in training team members on coding and billing in the RCO department as needed.
Claims Resolution Specialist 1
Revenue Cycle Operation
01.2022 - 03.2023
- Review medical records and patient charts to assign accurate ICD-10-CM, CPT, and HCPCS codes, in accordance with established coding guidelines.
- Utilize medical billing software to submit claims to various insurance providers, and track the status of submitted claims.
- Process invalid claims in accordance with set policies and guidelines for (Medicare, Medicaid and commercial payors).
- Use of Encoder Pro and knowledge of NCCI guidelines for the resolution of physician claims.
- Perform research and make determination of corrective actions to improve claim resolution.
- Collaborated with various departments for comprehensive claim evaluations, improving overall outcomes.
- Work special assignments when needed.
Education
Associate of Science - Medical Information: Medical Coder
Hillsborough Community College
Tampa, FL06.2020
Associate of Science - Physical Therapy Assistant
Polk State College
Winter Haven, FL05.2017
Skills
CPT
HCPCS
ICD-10-CM
Modifiers
Anatomy & Physiology
Medical claims coding
Regulatory guidelines
Claims Processing
Continuing education
Epic Systems
Training and mentoring
Timeline
Medical Coder
Revenue Cycle Operation
03.2023 - Current
Claims Resolution Specialist 1
Revenue Cycle Operation
01.2022 - 03.2023
Associate of Science - Medical Information: Medical Coder
Hillsborough Community College
Associate of Science - Physical Therapy Assistant
Polk State College