MOHAMED ALTHAF
Abu Dhabi,UAE
Summary
A highly organised and dedicated professional with a strong background in medical coding, holding a CPC credential from AAPC. Demonstrates expertise in ICD10, CPT, and Consumables billing and coding, with detailed understanding of inpatient and outpatient day care claim processing. Proficient in using coding software such as Cerner, SAP and INSTA, along with code finding tools like 3M and Codify. Possesses sound knowledge of medical terminology and anatomy, coupled with the ability to interact effectively with healthcare staff to ensure quality documentation. Skilled in navigating insurance policies within the UAE, obtaining approvals in complex scenarios, and adhering to HAAD and Daman adjudication rules. Thrives in challenging environments while maintaining a positive attitude and commitment to excellence.
Overview
8
8
years of professional experience
2020
2020
years of post-secondary education
Work history
REVENUE AUDITOR
BURJEEL HOLDINGS
2024.12 - 2026.01
- Responsible for auditing IP, day care claims in revenue Perspective
- Developing Audit strategies to ensure high quality claim submission
- Scoring facility’s Based on the Various levels of Audit
- Publishing weekly Audit reports to respective facility and departments
- Ensuring Bill Entry Compliance by Auditing Consumables, High cost drugs
in-patient coder/Insurance administrator
NMC ROYAL WOMENS HOSPITAL, ABU DHABI, UAE
Abu Dhabi
2020.12 - 2023.01
- Working as in-patient coder/Insurance administrator
- Responsible for IP claims coding, billing and assisting approvals.
Medical Coding Auditor
AHALIA Hospital, ABU DHABI, UAE
Abu Dhabi
2018.01 - 2020.01
- Working as Coder/Auditor in Hospital setting
- Responsible for OP Claims and Dental Claims coding/Billing and auditing
- Training for the Doctors related to the current coding and documentation strategies
- Attended TASNEEF audit
Medical Coder - GC
Dynamed Healthcare
2017.10 - 2018.12
- Worked as a Coding Group Coordinator for well-known hospitals and medical centers in UAE
Education
CPC -
AAPC
BSc. - Microbiology
Calicut University
2012.01 - 2015.01
Skills
- Good level of Patient, listening skills
- Ability to multi-task
- Management skills
- Highly organized and dedicated with positive attitude
- Ability to execute assignments with right blended intelligence and diligence
- Thrive to work in challenging Environment
- Sound Knowledge in ICD10, CPT, HCPCS coding , Holding CPC credential from AAPC
- Detailed understanding In Inpatient, Outpatient coding
- Knowledge in DENTAL claim coding and documentation
- Detailed exposure to day case Surgery coding and billing
- Experience in Coding software’s SAP, INSTA
- Expertise in code finding software’s 3M, Encoder pro, Find a code
- Understanding in insurance policies and regulations in UAE firm
- Able to obtain approvals in complex scenarios
- Sound Knowledge in medical terminology and anatomy
- Proficiency in HAAD and Daman Adjudication rules
- Interacting with physicians and other healthcare staff to Ensure quality of documentation
INTERESTS
Travelling, Cinema
DECLARATION
I hereby solemnly declare that the information made by me above is correct and complete to the best of my knowledge and belief. Yours faithfully, Muhammed Althaf
DUTIES & RESPONSIBILITIES
- Responsible for maintaining live status and allocation of daily Claims
- Training new joiners and conducting training sessions to Team for ensure the quality
- Claims auditing
- Completing the coding and billing for the required daily target with proper quality for within TAT
- Communicating with insurance company’s regarding rejections and approval denials
Timeline
REVENUE AUDITOR
BURJEEL HOLDINGS
2024.12 - 2026.01
in-patient coder/Insurance administrator
NMC ROYAL WOMENS HOSPITAL, ABU DHABI, UAE
2020.12 - 2023.01
Medical Coding Auditor
AHALIA Hospital, ABU DHABI, UAE
2018.01 - 2020.01
Medical Coder - GC
Dynamed Healthcare
2017.10 - 2018.12
BSc. - Microbiology
Calicut University
2012.01 - 2015.01
CPC -
AAPC