LADY FATIMA BELTRAN, PHRN,USRN,CPC
Abu Dhabi
Summary
Detail-oriented professional with expertise in ICD-10 and CPT coding, medical records review, and claims auditing. Proficient in revenue cycle management and skilled in using software such as Health Object, CERNER, INSTA Pragmedic, Meditex, and Dok32. Demonstrates strong analytical thinking and prioritisation aptitude with a proactive learning attitude. Career goal includes advancing within the healthcare administration field to optimise operational efficiency.
Overview
1
1
Certification
7
7
years of professional experience
Work history
Medical Coder
Bascom Palmer Eye Institute
Abu Dhabi
01.2026 - Current
- Review patient medical records and assign accurate ICD-10, CPT, HCPCS, and DOH-compliant codes for ophthalmology services
- Collaborated with physicians to resolve documentation deficiencies and clarify coding requirements.
- Ensured adherence to DOH Abu Dhabi regulations, insurance requirements, and coding guidelines.
- Monitor updates to coding guidelines, payer policies, and healthcare regulations
- Enhanced revenue cycle management via efficient identification of billable services.
- Kept patient information confidential following Data Protection Act guidelines.
- Ensured timely submission of codes for prompt reimbursement.
Medical Coder
HealthPlus Fertility Center
Abu Dhabi
05.2024 - 12.2025
- Review OP and bundle claims related to IVF
- Assist in resubmission process for denied claims Assign accurate ICD-10, CPT, HCPCS, and DOH-compliant codes for IVF, ART, obstetrics, gynaecology, laboratory, and surgical procedures.
- Review and validate clinical documentation for fertility treatments including IVF, ICSI, IUI, egg retrieval, embryo transfer, embryo freezing, and cryopreservation procedures.
- Review rejected claims, identify coding-related denials, and prepare appeals for resubmission.
- Coordinate with fertility specialists, embryologists, nurses to resolve coding and documentation queries.
- Ensure compliance with DOH Abu Dhabi regulations, payer guidelines, and insurance requirements.
Senior Medical Coder
Samaya Specialized Center
Abu Dhabi
07.2019 - 04.2024
- Abstract health record and assign correct codes ICD 10, CPT and HCPCS; ensuring all investigations/procedures were billed accordingly for every encounter;
- Process pre-authorization requests; Verify and finalize claims for daily submission (IP and OP encounter) in compliance with the HAAD Adjudication Rules and contractual terms and price agreement
- Verify the accuracy and completeness of documentation in patients' electronic medical records (EMRs), and promptly address any discrepancies through appropriate queries
- Developed internal policies enhancing clinical documentation for cataract and strabismus surgery, ensuring compliance and accuracy in coding
- Managed denial appeals for rejected claims, addressing pre-authorization and claims-level issues to maximise revenue recovery
- JAWDA Data Certification Tasneef representative
- Liaised with doctors, coders, and transcriptionists to implement coding updates and provide training, improving overall coding accuracy
Education
Medical Coding -
Edoxi Training Institute
Dubai, United Arab Emirates 10 2018 - 12 2018
BS Nursing -
Pamantasan Ng Cabuyao
Cabuyao, Philippines 6 2003 - 4 2007
Skills
- ICD-10 Coding
- CPT Coding
- Medical Records Review
- Claims Auditing
- Revenue Cycle Management
- Medical terminology
- Software Experience: Health Object, CERNER, INSTA Pragmedic, Meditex, Dok32
- MS Office
- Analytical Thinking
- Prioritisation aptitude
- Proactive learning
Certification
- CPC 04/2019
AAPC Member ID # 01712075
AAPC Exam score: 92%
- Registered Nurse, State of Illinois, Active
- Registered Nurse, Philippines, Active
LANGUAGES
English
Advanced
Danish
Beginner
References
References available upon request.
Timeline
Medical Coder
Bascom Palmer Eye Institute
01.2026 - Current
Medical Coder
HealthPlus Fertility Center
05.2024 - 12.2025
Senior Medical Coder
Samaya Specialized Center
07.2019 - 04.2024
BS Nursing -
Pamantasan Ng Cabuyao
6 2003 - 4 2007
Medical Coding -
Edoxi Training Institute
10 2018 - 12 2018