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
