Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tasnim Nisath

Troy

Summary

Certified and detail-oriented Senior Medical Coder with over 10 years of experience in ICD-10, CPT, and HCPCS coding across inpatient, outpatient, and physician settings. Demonstrated expertise in auditing, compliance, and revenue cycle optimization. Known for maintaining high accuracy, reducing denial rates, and ensuring adherence to federal and payer-specific regulations. Adept in using major EMR and coding software including Epic, Cerner, 3M, and Optum EncoderPro.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Senior Medical Coder

Toledo Hospital
05.2020 - Current
  • Coded complex inpatient and outpatient records with >98% accuracy across cardiology, orthopedics, and general surgery.
  • Conducted internal audits and provided feedback to junior coders, improving team accuracy by 15%.
  • Partnered with CDI and billing to reduce claim rejections by 22% over one fiscal year.
  • Utilized 3M Encoder and Epic to assign CPT, ICD-10, and HCPCS codes in compliance with CMS guidelines.
  • Assisted in the development of internal coding policies, promoting consistency across the organization.
  • Reduced claim denials by identifying and addressing common errors in the coding process.
  • Provided valuable feedback on coder performance following audits, fostering an environment of continuous improvement within the team.
  • Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.
  • Time management skills were utilized effectively to balance competing priorities under tight deadlines.
  • Collaborated with healthcare providers to ensure accurate documentation of patient diagnoses and treatments.

Medical Coding Specialist III

Central City Health
06.2016 - 04.2020
  • Reviewed E/M documentation for proper code assignment, achieving a 99% audit score for two consecutive years.
  • Supported risk adjustment/HCC coding initiatives that contributed to a $1.2M revenue increase.
  • Mentored and trained 5 junior coders on coding compliance and new payer updates.
  • Generated reports to identify coding trends and discrepancies.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Provided expert-level guidance on medical necessity criteria to healthcare providers, supporting appropriate utilization of services and resources.
  • Communicated with insurance companies to research and resolved coding discrepancies.

Medical Coder II

St. Francis Medical Center
07.2011 - 05.2016
  • Assigned diagnostic and procedural codes to >150 encounters weekly across multispecialty clinics.
  • Performed retrospective audits to ensure compliance with OIG and payer standards.
  • Collaborated with physicians to improve documentation, reducing ambiguous coding by 30%.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • 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.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.

Education

MBA - Business And Health Admisntration

Columbia
New York, NY
03-2025

Bachelor of Arts - NFS/Health Science

Wayne State University
Detroit, MI
05-2020

Skills

  • ICD-10, CPT, HCPCS Level II Coding
  • Risk Adjustment (HCC, RAF)
  • Outpatient & Inpatient Coding
  • E/M Leveling & Surgical Coding
  • DRG Validation & Auditing
  • Insurance Claims & Denial Management
  • Medical Terminology & Anatomy
  • HIPAA Compliance & Documentation Review
  • Epic, 3M Encoder, Cerner, Meditech
  • Coding Quality Assurance & Education

Certification

  • CPC-P - Certified Professional Coder-Payer
  • Certified Professional Coder (CPC) – AAPC
  • NCICS - Insurance and Coding Specialist
  • CRC - Certified Risk Adjustment Coder
  • CIC - Certified Inpatient Coder
  • CCS - Certified Coding Specialist

Timeline

Senior Medical Coder

Toledo Hospital
05.2020 - Current

Medical Coding Specialist III

Central City Health
06.2016 - 04.2020

Medical Coder II

St. Francis Medical Center
07.2011 - 05.2016

MBA - Business And Health Admisntration

Columbia

Bachelor of Arts - NFS/Health Science

Wayne State University

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