- Tech enthusiast, passionate about exploring the latest advancements and innovations
- Augmented Reality (AR) Development
- Backpacking and Hiking
- I participate in various sports activities for physical activity, camaraderie, and personal growth
- Passionate about balancing physical health with mental and emotional wellness
- I like trying new recipes and food trends
SHEZAN MOHAMMAD
Clinical Documentation Specialist
Ithaca,NY
Summary
Detail-oriented healthcare professional with an MBBS degree and dual certification as a Certified Professional Coder (CPC) and Certified Documentation Improvement Practitioner (CDIP). Skilled in clinical documentation integrity, medical coding, and compliance auditing, with a strong understanding of pathophysiology and healthcare reimbursement systems. Proven ability to bridge the gap between clinical care and health information management to optimize documentation accuracy, coding quality, and revenue cycle performance. Experienced in outpatient coding, DRG validation, and physician documentation support. Adept at working cross-functionally with physicians, coders, and compliance teams. Passionate about leveraging clinical expertise in non-clinical roles to drive data accuracy, regulatory adherence, and healthcare quality improvement. Seeking opportunities in CDI, medical coding, auditing, or health information analytics.
Overview
11
11
years of professional experience
18
18
years of post-secondary education
3
3
Certifications
3
3
Languages
Work History
Certified Medical Coder
Kai Shin Clinic
Ithaca, New York
05.2024 - 12.2024
- Reviewed and analyzed outpatient medical records to extract and assign accurate ICD-10, CPT, and HCPCS codes for diagnoses, procedures, and services rendered.
- Interpreted clinical documentation with attention to detail to ensure accurate code assignment and compliance with official coding guidelines and payer requirements.
- Maintained strict adherence to HIPAA regulations, safeguarding patient confidentiality while handling sensitive medical information.
- Enhanced coding accuracy and reimbursement outcomes by identifying documentation gaps and collaborating with providers for clarification when necessary.
- Contributed to ongoing QI by flagging coding inconsistencies and supporting audit readiness and compliance initiatives.
- Actively participated in clinic-sponsored conferences, workshops, and webinars to stay up to date on coding changes, payer guidelines, and industry best practices.
Medical Coder
Heartteam, LLC
Chicago, Illinois
06.2018 - 04.2022
- Assigned accurate ICD-10 and CPT codes based on clinical documentation, with a focus on cardiovascular and vascular testing.
- Reviewed medical records to process charge corrections in compliance with payer contracts, federal regulations, and hospital policies.
- Partnered with the Payment Resolution team to resolve coding-related denials and improve overall claims accuracy and reimbursement.
- Managed and submitted appeals promptly, ensuring alignment with payer-specific documentation and submission requirements.
- Conducted detailed analysis of post-billed denials, confirming coding accuracy and preparing effective appeals using clinical and coding expertise.
- Maintained a coding accuracy rate exceeding 95% while consistently meeting hospital productivity standards.
- Participated in process improvement initiatives to enhance denial prevention workflows and support revenue integrity.
- Proficient in Practice fusion, EPIC and Meditech EHR systems; leveraged clinical knowledge to ensure compliant code selection and accurate documentation review.
Research Assistant Volunteer
Rush University
Chicago, Illinois
12.2017 - 04.2018
- Provided comprehensive education to participants regarding study procedures, expectations, and informed consent, fostering adherence and understanding.
- Coordinated study appointments with research participants via phone and email to ensure timely and consistent engagement.
- Conducted study visits and procedures in strict accordance with clinical research protocols, ICH/GCP guidelines, and FDA regulations.
- Documented research activities, findings, and procedural outcomes in a clear, organized manner for future analysis and reporting.
- Actively contributed to lab meetings and research presentations, offering insights and updates on study progress.
Junior Resident Doctor
Laxminarayan Hospital
05.2014 - 05.2017
- Conducted comprehensive patient assessments, including history-taking, physical examinations, and diagnostic evaluation to develop accurate clinical impressions.
- Synthesized patient data and medical histories to formulate evidence-based treatment plans tailored to individual needs.
- Communicated effectively with patients and families to explain diagnoses, treatment options, and care goals with empathy and clarity.
- Documented clinical findings, assessments, and care plans thoroughly and accurately in the electronic medical record.
- Collaborated with multidisciplinary teams during inpatient rounds and outpatient visits to ensure coordinated, high-quality patient care.
- Engaged in ongoing medical education through case discussions, teaching sessions, and application of current clinical guidelines.
Education
MBBS - Medicine
Rajiv Gandhi University of Health Sciences
India 08.2007 - 04.2025
Skills
- ICD-10 coding expertise
- Cardiovascular coding expertise
- Certified training professional
- Expertise in HIPAA standards
- Proficient in coding practices
- Proficient in HCPCS classification
- NCCI compliance expertise
- Medical billing expertise
Professional Associations
American Academy of Professional Coders (AAPC)
Personal Information
Citizenship: US Citizen
Affiliations
American College of Physicians
American College of Professional Coders
American Health Information Management Association
Certification
CMC - Certified Medical Coder
Interests
Timeline
Certified Medical Coder
Kai Shin Clinic
05.2024 - 12.2024
Medical Coder
Heartteam, LLC
06.2018 - 04.2022
Research Assistant Volunteer
Rush University
12.2017 - 04.2018
Junior Resident Doctor
Laxminarayan Hospital
05.2014 - 05.2017
MBBS - Medicine
Rajiv Gandhi University of Health Sciences
08.2007 - 04.2025
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