Yasmin Khaligh

**Expert Coding and Billing for Otolaryngology Services:** We specialize in precise coding and billing for otolaryngology, ensuring accurate surgery coding to minimize denials. Our dedicated team manages patient accounts, coordinates insurance claims, and proactively resolves coding issues. **Core Responsibilities:** 1. **Transcribing Patient Records:** Convert records into an insurance-approved coding system for smooth transactions. 2. **Processing Claims:** Handle and submit claims for timely reimbursement. 3. **Analyzing Medical Records:** Review records to identify documentation deficiencies. 4. **Auditing Clinical Documentation:** Ensure that documentation accurately reflects the services rendered. 5. **Identifying Discrepancies:** Detect and address discrepancies and billing concerns proactively. 6. **Resolving Issues:** Research and implement plans to correct discrepancies and prevent coding errors. 7. **Training Staff:** Support onboarding, training, and mentoring staff members to promote excellence. This version is more concise while still conveying the essential information. Let me know if you need further adjustments!InsertRetry

Acknowledge Grammarly gen AI use

• Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
• Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
• Verified accuracy of procedure codes to ensure proper reimbursement levels.
• Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.

• Improved revenue generation through strategic payment arrangements, account acquisitions, and diligent follow-up on delinquent accounts
• Prepared and distributed weekly billing statements to patients, organized credit card statements, and managed medical claims submissions
• Advised and instructed staff on medical coding best practices, significantly enhancing the team’s effectiveness in claims management

• Oversaw inpatient and outpatient coding activities, including insurance claim appeals and EOB analysis, utilizing the Epic EHR system for seamless patient data management
• Achieved additional compensation by appealing improperly processed claims and supervising the resolution of underpayments and other insurance discrepancies
• Maintained meticulous records of patient referrals, history, and coding templates, contributing to efficient, compliant patient care workflows

• Ensured accurate, timely processing of all invoices and patient financial records, with rigorous adherence to coding standards
• Collaborated closely with insurance providers to swiftly resolve billing issues, demonstrating strong analytical skills in verifying provider credentials and financial transactions
• Actively contributed to the integrity of the general ledger, strengthening internal controls and financial accuracy