NOUSHAR SHIHABUDDIN
MEDICAL CODING/ADMINISTRATION
Sharjah
Summary
A highly skilled coding professional with over 14 years of experience in healthcare, focusing on medical coding, claims management, and team leadership. Expertise in coding standards (ICD-10, CPT IR-DRG), reimbursement systems, and compliance management. Proven ability to manage coding teams, streamline operations, and enhance documentation accuracy, driving revenue growth and reducing claims rejections. Expertise in gathering data, compiling information, and preparing reports, auditing concepts and principles, analyzing complex medical records and identifying billable services while maintain quality and safety standards. Well versed with the latest as well as developing issues & trends in medical coding procedures requirements with adequate understanding of patient care charts & histories. Gained extensive knowledge of ICD9-CM, ICD10-CM, HCPCS II, CPT and DRG coding systems along with overall applicable reimbursement systems. Skilled with anatomy and physiology, advanced medical terminology, psychology and pharmacology etc.
Overview
11
11
years of professional experience
5
5
years of post-secondary education
2
2
Certifications
Work History
IP-CODER RCM
MEDICLINIC WELCARE HOSPITAL
04.2014 - Current
- Supervise a team of medical coders, ensuring accurate and timely assignment of DRG, ICD-10-CM, and CPT codes
- Monitor team performance, conduct regular audits, and provide feedback to ensure coding accuracy and compliance with DHA guidelines
- Collaborate with physicians and clinical staff to clarify documentation and improve coding quality
- Lead coding quality improvement initiatives, significantly reducing coding errors and claim rejections
- Train and mentor coding staff, conducting workshops on the latest coding guidelines and compliance updates
- Support the resubmission team in resolving claim rejections, enhancing overall revenue cycle efficiency
- Excellent working knowledge of IR-DRG, sequencing of procedure, diagnosis codes and selection of Principal diagnosis and procedure codes in addition to an understanding of Peer Review Organization quality initiatives and reimbursement guidelines
- Reviewing and auditing all medical records/doctors documentation (Outpatient) for medical necessity /coding and validating e-claim batches
Education
Post -Graduation in Biotechnology -
Bangalore University
06.2004 - 04.2006
Bachelor Degree in Zoology - undefined
Kerala Uviversity
06.2001 - 03.2004
Skills
Team Supervision & Development
Compliance & Quality Assurance
Process Optimization & Improvement
Claims & Billing Management
Training & Mentorship
Data Analysis & Reporting
Problem Solving & Decision Making
IR-DRG
Claims & Billing
Medical Record Analysis
Reporting & Documentation
ICD 10 CM / CPT
Outpatient / In-patient Coding
Time Management
IP-CODER RCM
Certification
Certified Coding Specialist (CCS), American Health Information Management Association, Bangkok, 2013
Personal Information
- Date of Birth: 04/23/84
- Gender: Male
- Nationality: INDIAN
- Marital Status: MARRIED
References
References available on request.
Timeline
IP-CODER RCM
MEDICLINIC WELCARE HOSPITAL
04.2014 - Current
Post -Graduation in Biotechnology -
Bangalore University
06.2004 - 04.2006
Bachelor Degree in Zoology - undefined
Kerala Uviversity
06.2001 - 03.2004