MOHAMED YACOOB
Al Karama, Dubai
Summary
Knowledgeable Medical Coding Officer with overall 5 years of Talented Professional at Healthcare sector and having 2 years of UAE experience with Proficient skills at Submission and Resubmission. Hardworking to reduce the rejection at Initial level by reviewing and correcting claims with justified diagnosis codes to supports service provided. Confident Medical Coder adheres to providing highest quality of work for the Organization.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Medical Coder
Medcare Hospitals & Medical Centres
10.2022 - Current
- Work experience in OP Submission & Rejection Analysis and Good knowledge in OP Resubmission.
- Experience in Mediware, TrakCare & NTIGRA (AI Tool).
- Knowledge of different insurance guidelines such as Nextcare, Al Madallah, Al Buhaira, NAS, Neuron, etc.,
- Co-ordinate with MRD & Billing team to submit a claim within submission TAT.
- Maintained a high level of productivity 100% and quality 98% while consistently meeting deadlines for claim submissions.
- Visit each facilities (among 16 in Dubai) directly to ensure the correct billing process and eligibility checking.
- Conducted internal audits to identify and rectify errors before Submission.
- Provided training for Customer Service Executive's with Audit findings to reduce technical rejection.
- Reduced rejection percentage by 2% with Pre-submission Audit.
- Prepared Rejection reports User Wise and Doctor Wise on Monthly basis
- Prepared PPT's for Top Rejected CPT's and Top Denial code wise and Provide training to all facility biller has to avoid those rejections.
Junior Executive – Coding
Global Healthcare Billing Partners Pvt. Ltd.
02.2021 - 05.2022
- Worked as ED Professional and Facility coder
- Used Codify and Edpace tools to assign procedures and diagnostic codes to medical records for billing purposes
- Coded EMR from various clients, including Cleveland Clinic, Mayo Clinic, Centra Health, Trinity Health, and others.
- Assign correct ICD-10-CM and CPT codes and the exact E/M level assignment depends on client guidelines.
Medical Coder - Associate
Sutherland Healthcare Solutions Pvt. Ltd.
03.2020 - 01.2021
- Worked as ED Professional coder
- Coded the procedures performed for Ambulance, Emergency Department, and Radiology services
- Ensure all codes are assigned and sequenced correctly based on EMR.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Junior Biomedical Engineer
Trimed Solutions India Pvt. Ltd.
12.2018 - 11.2019
- Manage daily Breakdown calls and Troubleshoot repaired equipment.
- Provide Quality Assurance Calibration for Medical Equipment to avoid errors.
- Managed regulatory compliance processes for medical devices, ensuring adherence to industry standards and best practices.
- Trained healthcare professionals on proper usage of biomedical equipment , improving overall patient care standards.
Education
Bachelor of Engineering - Medical Electronics Engineering
Sengunthar College of Engineering
Namakkal, India04.2019
Skills
- UAE Insurance Guidelines
- 3M, TrakCare, CRS, NTIGRA (AI Tool)
- ICD-10-CM, CPT, ICD-10-PCS, HCPCS
- Medical Billing Guidelines
- Rejection Analysis
- Medical Terminology
- Biomedical Equipments
- Communication
- MSOffice ( Word, Excel, PPT, Outlook)
- Time Management Capabilities
- Diagnostic Coding Accuracy
Certification
- CCS - Certified Coding Specialist, AHIMA ID 235910
Feb 2020
- Operation & Maintenance of Diagnostic Ultrasound Scanners, Sl No. 45200
Jan 2018
Personal Information
Nationality
Indian
Passport No
X9710491
VISA Status
Residence VISA
Languages
English
Bilingual or Proficient (C2)
Tamil
Bilingual or Proficient (C2)
Hindi
Intermediate (B1)
Timeline
Medical Coder
Medcare Hospitals & Medical Centres
10.2022 - Current
Junior Executive – Coding
Global Healthcare Billing Partners Pvt. Ltd.
02.2021 - 05.2022
Medical Coder - Associate
Sutherland Healthcare Solutions Pvt. Ltd.
03.2020 - 01.2021
Junior Biomedical Engineer
Trimed Solutions India Pvt. Ltd.
12.2018 - 11.2019
Bachelor of Engineering - Medical Electronics Engineering
Sengunthar College of Engineering
- CCS - Certified Coding Specialist, AHIMA ID 235910
Feb 2020
- Operation & Maintenance of Diagnostic Ultrasound Scanners, Sl No. 45200
Jan 2018
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