MOHAMED YACOOB
Summary
Experienced and Certified Medical Coding Officer with 4.5 years of professional expertise in Medical coding, 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
5
5
years of professional experience
1
1
Certification
Work History
Senior Associate - Insurance
Medcare Hospitals & Medical Centres
10.2022 - Current
- Review and code outpatient medical records by applying ICD-10-CM, CPT, and HCPCS codes to ensure accurate clinical documentation and compliance with UAE standards.
- Utilize Mediware, TrakCare & NTIGRA (AI Tool) for claim processing and coding accuracy.
- Ensure accurate diagnosis and procedure mapping to support medical necessity and reflect the level of care provided.
- Maintain 98%+ coding accuracy through in claim processing.
- Support data integrity and coding accuracy by managing and updating patient information databases.
- Conduct coding audits to identify discrepancies and ensure documentation supports the assigned codes.
- Provide mentoring and support to junior staff and new coders, resolving complex coding queries.
- Allocate daily claims to team members, ensuring balanced workload and smooth operations.
- Regularly update knowledge with annual revisions to CPT, HCPCS, and ICD-10-CM coding systems.
- Analyze clinical notes and patient records to identify relevant information for coding.
Junior Executive – Coding
Global Healthcare Billing Partners Pvt. Ltd.
02.2021 - 05.2022
- Coded Emergency Department (ED), Facility, Ambulance, and Radiology services using Codify and Edpace tools.
- Assigned ICD-10-CM and CPT codes, including accurate E/M level assignment as per individual client guidelines.
- Reviewed EMRs from multiple US healthcare providers, including Cleveland Clinic, Mayo Clinic, Centra Health, and Trinity Health.
- Ensured all codes were assigned and sequenced correctly, maintaining compliance with official coding standards.
- Analyzed coded clinical data to validate disease classification and generate accurate information for reporting and reimbursement.
- Classified patient diagnoses and medical procedures into standardized codes using accepted classification guidelines.
- Evaluated medical records to determine essential diagnostic and procedural information for coding purposes.
- Collaborated with QA teams to resolve coding errors and ensure consistent billing quality.
- Maintained and updated databases of coded clinical information, ensuring the accuracy and completeness of patient data.
Education
Bachelor of Engineering - Medical Electronics Engineering
Sengunthar College of Engineering
Namakkal, India04-2019
Skills
- Knowledge of UAE Insurance Regulations
- Proficient in 3M, TrakCare, and CRS Software
- ICD-10-CM, ICD-10-PCS, CPT, HCPCS
- Medical Billing Compliance
- Medical Terminology
- Training and Mentoring
- Analytical Data Management
- Medical Claims Audit
Certification
- CCS - Certified Coding Specialist, AHIMA ID 235910
Feb 2020
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
Bachelor of Engineering - Medical Electronics Engineering
Sengunthar College of Engineering
Similar Profiles
MOHAMED YACOOBMOHAMED YACOOB
Senior Associate - Insurance at Medcare Hospitals & Medical CentresSenior Associate - Insurance at Medcare Hospitals & Medical Centres
MOHAMED YACOOBMOHAMED YACOOB
Medical Coder at Medcare Hospitals & Medical CentresMedical Coder at Medcare Hospitals & Medical Centres
Prathamesh VaidyaPrathamesh Vaidya
HR Business Partner at Medcare Hospitals & Medical CentresHR Business Partner at Medcare Hospitals & Medical Centres
ABHISHEK UTABHISHEK UT
SENIOR ASSOCIATE - INSURANCE OPERATIONS (SENIOR UNDERWRITING ASSISTANT) at ALLIANZ SERVICES PRIVATE LIMITEDSENIOR ASSOCIATE - INSURANCE OPERATIONS (SENIOR UNDERWRITING ASSISTANT) at ALLIANZ SERVICES PRIVATE LIMITED
Jeevan John JosephJeevan John Joseph
Senior Associate Insurance Operations at Allianz ServicesSenior Associate Insurance Operations at Allianz Services