Summary
Overview
Work History
Education
Skills
Languages
Certification
PROFESSIONAL STATEMENT
Timeline
Generic
KAJA MOHAIDEEN CIC,CPC,CCS

KAJA MOHAIDEEN CIC,CPC,CCS

Umm Al Quwain,UAE

Summary

Revenue cycle management professional with 14 years of diverse experience in multiple domains of RCM business functions looking to take the next step in career progression. Past roles have helped build experience in clinical coding, Denial management, and Clinical documentation improvement. Having excelled in every prior position, producing results and growth that have exceeded expectations

Overview

14
14
years of professional experience
4
4
years of post-secondary education
1
1
Certification

Work History

Senior clinical coding Representative

Emirates Health Services
Umm Al Quwain, UAE
01.2015 - Current
  • Oversees and leads workflow for the facilities including allocation, ensuring encounters completion, assisting other coders with coding clarification
  • Monitor query process, physician response rate, CC/MCC Capture rate, and case mix index
  • Prepare and submit monthly coding data to the hospital directors
  • In coordination with the HIMS team responsible for the clinical documentation improvement initiatives in the HIMS department
  • Orientation to new joiners of the coding department about the coding process at the facility
  • Performs and facilitates retrospective inpatient coding and queries the physicians to ensure the diagnosis and procedures accurately reflect the care and treatment rendered to the patients
  • Identifying gaps and opportunities in the clinical documentation process by conducting audits, and facilitating CDI education for providers.

Achievements:

• Successfully implemented physician query process in the facility by assisting in physician education, formatting query templates, and monitoring the process.

• worked along with the hospital quality department to improve key quality metrics to achieve JCI accreditation

Senior Medical Coding Analyst

Optum
Hyderabad, India
08.2013 - 12.2015
  • Performing an audit for coders, providing education to the coders, and analyzing audit data on their individual coder's performance
  • Educate team regarding new coding updates and sharing client updates
  • Participate in client calls and understand the quality requirements from a coding operation perspective and identify a method to achieve the quality targets and implement them in the operation team
  • Provide inputs to the training team on quality data to enhance the training curriculum.

Achievements:

• Trained a batch of new coders on the coding process and client specification and helped them achieve coding accuracy


Quality Analyst

e4e healthcare solution
Chennai, India
10.2012 - 08.2013
  • Performed auditing for coders and provided education based on the client's guidelines
  • Analyzing the error trend and performing the focus audit, process audit, and retro audits
  • Training the coders with low accuracy percentages to meet the desired accuracy
  • Responsible for interacting with the client every week to their concerns and feedback
  • Performing ED medical records assigning CPT& ICD codes and maintaining accuracy.

Achievements:

• Awarded as best employee in the project

Medical coder senior Representative

Dell International Services
Coimbatore, India
02.2011 - 09.2012
  • Performing Lead coder responsibilities, Analyzing medical reports of patients, coding appropriate codes to all patient records by using ICD, HCPCS, and CPT
  • Responsible for the workload distribution, conducting the refresher session between the audit team, and performing random audits for quality analysts.

Achievements:

• Awarded as Employee of the Year for quality

Medical coder

Omega Healthcare Management Pvt. Ltd
Bangaluru, India
12.2009 - 01.2011
  • Analyzing medical reports of patients, coding appropriate CPT and HCPCS procedures and ICD-9-CM diagnoses codes
  • Performing Electronic Health Records (EHR) in different software's IDX, Citrix, and Encoder Pro expert
  • Attended coding training on Anatomy and Physiology, pathology, general medicine, operative procedures, and emergency services.

Achievements:

• Attended coding training class, Passing out with an A Grade

Education

Bachelor of Pharmacy -

Tamil Nadu Dr. M.G.R. Medical University
Chennai India
01.2003 - 04.2007

Skills

  • Documentation Accuracy
  • Clinical knowledge
  • Coding Knowledge
  • Clinical coding audits
  • Medical terminology
  • Regulatory Compliance
  • Soft skills Word Excel PowerPoint


Languages

English
Proficient (C2)
Tamil
Native
Hindi
Intermediate

Certification

Certified Inpatient Coder (2016)-AAPC


Certified Professional Coder (2013)-AAPC


Certified Coding Specialist (2019)-AHIMA

PROFESSIONAL STATEMENT

I believe that I have qualifications that include a specialized education, a consistent work ethic, and a strong dedication to supporting healthcare vision. I'm capable of handling patient medical records, filing insurance claims, performing medical coding tasks, instructing patients on the protocol, and collecting and preparing medical information for recordkeeping. I understand the importance of patient confidentially and legal safeguarding. I appreciate opportunities that aim to advance my career within the healthcare entity. Thank you for your time and consideration.

Timeline

Senior clinical coding Representative

Emirates Health Services
01.2015 - Current

Senior Medical Coding Analyst

Optum
08.2013 - 12.2015

Quality Analyst

e4e healthcare solution
10.2012 - 08.2013

Medical coder senior Representative

Dell International Services
02.2011 - 09.2012

Medical coder

Omega Healthcare Management Pvt. Ltd
12.2009 - 01.2011

Bachelor of Pharmacy -

Tamil Nadu Dr. M.G.R. Medical University
01.2003 - 04.2007
KAJA MOHAIDEEN CIC,CPC,CCS