Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Languages
Timeline
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MOHAMED YACOOB

Al Karama

Summary

Experienced and Certified Medical Coding Officer with 6 years of professional expertise in the healthcare sector, including 3 years of UAE coding. Proficient in Claims Submission and Resubmission, dedicated to reducing rejection rates at the initial level by reviewing and correcting claims with accurate diagnosis codes that fully support the services provided. Consistently delivers high-quality work, ensuring optimal outcomes for the organization.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Senior Associate - Insurance

Medcare Hospitals & Medical Centres
10.2022 - Current
  • Work experience in OP Submission Good knowledge in OP Resubmission & Rejection Analysis.
  • 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 facilities 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 a Monthly basis
  • Prepared PPT's for Top Rejected CPT's and Top Denial code wise and Provided 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
04.2019

Skills

  • Knowledge of UAE insurance regulations
  • Proficient in 3M, TrakCare, and CRS software
  • ICD-10-CM, CPT, ICD-10-PCS, HCPCS
  • Medical billing compliance
  • Rejection analysis
  • Medical terminology
  • Training and Mentoring
  • Team supervision

Certification

  • CCS - Certified Coding Specialist, AHIMA ID 235910

Feb 2020

Personal Information

Languages

English
Bilingual or Proficient (C2)
Tamil
Bilingual or Proficient (C2)
Hindi
Intermediate (B1)

Timeline

Senior Associate - Insurance

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

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