Shihana Thahir
Bolingbrook,IL
Summary
Experienced and meticulous Registered Health Information Administrator (RHIA) with a proven track record of 9+ years in outpatient and hospital coding. Possessing a comprehensive understanding of HIPAA policies and procedures, excelling in navigating the complexities of ICD 10-CM and CPT coding. Expertise extends to licensing, reimbursement, and accreditation standards, ensuring compliance and optimal financial outcomes.
Overview
12
12
years of professional experience
2
2
Certification
Work History
Coding Lead
Advocate Aurora Healthcare
07.2019 - Current
- Responsible for providing day-to-day work direction to coding staff including assigning, monitoring, and reviewing progress and accuracy of work
- Responsible for collection and coding of routine to complex physician charges and patient data including hospital-based surgery center surgical procedures to ensure that claims are submitted to insurance payers in most compliant, efficient, and expeditious manner possible
- Resource and role model to coders, which includes training/orienting and giving input on performance
- Detect, report, and act as resource to assist in resolving billing compliance issues
Outpatient Coding Supervisor
Advent Health Tampa
01.2024 - 10.2024
- Collaborated with other department supervisors to develop comprehensive coding policies and guidelines, ensuring consistency across the organization.
- Maintained up-to-date knowledge on ICD-10-CM/PCS codes as well as CPT-4 procedural codes through ongoing education efforts and certifications renewals when applicable.
- Assisted in recruitment efforts for new coding staff members, interviewing candidates and providing recommendations for hiring decisions.
- Ensured adherence to organizational policies regarding patient privacy and confidentiality while handling sensitive medical information during the coding process.
- Promoted a positive work environment by addressing coder concerns promptly and effectively while fostering open lines of communication among team members.
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Conducted internal audits of coded records to identify potential compliance issues or areas requiring additional training for coders.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
Risk Adjustment Coder
DuPage Medical Group/Boncura Health Solutions
12.2015 - 06.2019
- Responsible for maintaining and monitoring Quality Assurance auditing plan for outpatient and inpatient clinical data
- Responsible to improve quality of coding documentation in medical record and HCC database
- Chart review for proper diagnosis to mapped HCC's from multi-specialty charts and hospital charts
Billing MANAGER
Jabri Medical
10.2012 - 06.2017
- Oversee daily billing functions, including medical coding, charge entry, claims, payment posting, and reimbursement management
- Accurately compare with EHR system and input procedure and diagnosis codes into billing software to generate claims
Medical Biller
Prime Health Associates
10.2012 - 08.2014
- Performed processing functions necessary to ensure timely and accurate commercial and Medicare/Medicaid insurance billing
- Ensured security and confidentiality of patient's information
- Reconciled accounts receivable ledger to verify payments and resolve variances
- Prepared billing statements and invoices for customer purchases and recorded transaction date, price and fees to support accuracy
Education
Master of Business Administration -
03.2022
GPA: 4.0
Bachelor of Science - Health Information Management
05.2018
Associate of Science - Health Information Technology
05.2016
Skills
- Records review
- Medical billing code accuracy
- Team management
- Supervision
- MS Office
- Process improvement
- Project organization
- Business operations
- Communications
- Team building
- Operational improvement
- Problem resolution
- HIPAA
- ICD 10
- CPT / HCPC
- Risk Adjustment
- Proficient and experience in EMR system including EPIC
- Proficient and experience in EMR system including Athena
- Proficient and experience in EMR system including Practice Fusion
- Proficient and experience in EMR system including AlertMD
- Proficient and experience in EMR system including AllScript
Certification
- Registered Health Information Administrator (RHIA), American Health Information Association (AHIMA), 2018
- Registered Health Information Technician (RHIT), American Health Information Association (AHIMA), 2016, Superseded
- Certified Coding Associate (CCA), 2014, Superseded
- Certified Family Practiced Coder (CFPC), AAPC, 2020
Credentials
- MBA
- RHIA
- CFPC
Timeline
Outpatient Coding Supervisor - Advent Health Tampa
01.2024 - 10.2024
Coding Lead - Advocate Aurora Healthcare
07.2019 - Current
Risk Adjustment Coder - DuPage Medical Group/Boncura Health Solutions
12.2015 - 06.2019
Billing MANAGER - Jabri Medical
10.2012 - 06.2017
Medical Biller - Prime Health Associates
10.2012 - 08.2014
University of Phoenix - Master of Business Administration,
Rasmussen College - Bachelor of Science, Health Information Management
Joliet Junior College - Associate of Science, Health Information Technology
- Registered Health Information Administrator (RHIA), American Health Information Association (AHIMA), 2018
- Registered Health Information Technician (RHIT), American Health Information Association (AHIMA), 2016, Superseded
- Certified Coding Associate (CCA), 2014, Superseded
- Certified Family Practiced Coder (CFPC), AAPC, 2020
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