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SUZAN KARIM

Expertise In: Cardiology

Name : SUZAN KARIM
Experience : 10
Specialty : Cardiology
Location : Sterling Heights,MI
Description :

SUZAN KARIM is a Medical coding and billing expert. She has a Solid aptitude, processing skills, and proficient with medical terminology.

Skills:

  • Medical record analysis, understanding the procedure performed and the reason for which it was done.
  • Proficient in medical terminology. Proficient in ICD-9, CPT and HCPCS. 
  • Experience of Medicare and various other payer coding, billing, and reimbursement guidelines.

Experience:

  • Detail oriented quality focused, organized, analytical, and proficient at researching and solving problems.
  • Daily use of numerous coding software programs.
  • Use of 10-key, medical terminology, ICD-9 and CPT.
  • Reading of the entire operative report to ensure that all codes are abstracted and documentation is submitted for billing.
  • Addresses billing/coding related inquires.
  • Interacts with other healthcare professionals and physicians regarding coding issues.
  • Responsible for attending meetings and in services to enhance coding knowledge, compliance skills, and maintenance of credentials.
  • Mentors more junior team members.
  • Verify accuracy of billing data and revise errors.
  • Operate software system for billing, posting, and claims research.
  • Obtain and/or enter such documents as authorizations, financial Agreements, and other such ancillary documents as may be necessary.
  • Maintain detailed records as required.
  • Resolve discrepancies in accounting records.
  • Interact with staff, clients, payer and Agencies to answer questions, obtain information, and resolve issues.
  • Monitor aging reports and take such steps as necessary to guarantee payment of claims.
  • Coordinate and collect necessary information from staff or payers for claim adjudication.
  • Participate in take-back, overpayment, and refund process.
  • Recognize problem accounts and notify appropriate staff or supervisor to assist in problem resolution.
  • Anticipate insurance trends and advise supervisor of changes.
  • Responsible for identifying billable claims and submitting insurance claims Handle the tasks of completing insurance data for patient claims as well as review and adjust account balances
  • Perform responsibilities of analyzing billing components and posting payments in billing databases
  • Handle the tasks of creating, organizing, updating and maintaining data spreadsheets by using medical billing software
  • Responsible for ensuring correct claims payments through confirmation from providers
  • Manage a classroom of 30 - 35 students.
  • Instruct classes according to an approved course syllabus using accepted and effective teaching methods.
  • Excellent knowledge and experience in medical terminology, Medical Law and ethics, Anatomy and Physiology; Cardiology, Lymphatic, blood; Respiratory, Digestive, Urinary; Endocrine, Reproductive and Nutrition.
  • Immense ability to interact effectively and professionally with students & faculty.
  • Strong evaluation, communication, computation, problem solving and decision-making skills.   
  • Validate the billing coding, and Resolve discrepancies in accounting records.
  • Maintain detailed records for the billing.
  • Interact with staff, clients, payer and Agencies to answer questions.
  • Monitor aging reports and take such steps as necessary to guarantee payment of claims.
  • Recognize problem accounts and notify appropriate staff or supervisor to assist in problem resolution. 

Affiliations/Certifications:

  • Certificates:
  • Presently pursuing-Billing and coding certificate
  • Presently pursuing e- Thomas certificate
  • Presently pursuing Educational Commission for Foreign Medical Graduates                      

Education:

  • College of medicine
  • Bachelors with concentration in medicine and surgery