Mushfira basheer

• Extreme knowledge with regard to Medical Coding guidelines, medical claims processing, resubmission, reconciliation and auditing.

• Have a profound ability to mediate the insurance companies and talk about queries regarding claims

• Knowledge regarding pathology, radiology, surgery, and medicine related to coding

• Profound knowledge regarding biology, anatomy, medical terminology, disease management, and pharmacology

• Possess skills with regards to allotting codes and achieving the information while describing the analysis documented

• Acquainted with computers and can work on Microsoft Excel, Word, Emails, and Internet.

• Excellent Knowledge in Medical coding and high skills in resubmission and reconciliation .

• Transcribes dictated reports accurately within established standards

• Performs all clerical duties related to medical transcription

• Maintain ongoing personal education to ensure continuous quality improvement  Transcribes and/or edits dictated correspondence and reports.

• May create, maintain, and retrieve patient medical records

• Keeps apprised of any changes in Account Specifics for accounts worked

• Achieve and maintain a 98.5% QA Score

• Submission ,Resubmission of OP, IP and DRG claims.

• Reconciliaton

• Medical Coding

• Analyze the rejection claims; sort out the rejection as per denial reason, sending the rejected claims for the respected doctors for justifying the claims if necessary and follow up with the doctors within the specified time and Preparing rejected claims for resubmission.

• Identifying incomplete documentation by examining the coding procedures.

• Identifying incorrect codes and poor documentation.

• Updating recent rejection trends to Coders.

• Interacting with physicians and assistants to ensure accuracy.

• Perform audits and reviews of clinical documents, physician billing records, administrative data, and coding records.

• Reading and analyzing patient records.

• Keeping track of patient data over multiple visits.

• MaintaIning patient confidentialityand information security.

• Resubmission of claims by correction of medical, administrative and coding errors when needed.

• Work to decrease the risk of insurance fraud.