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Nabeel A.

Coding, billing and Revenue Analyst / Auditor at UF Health

Palm Coast, FL

1

Office Hours

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About

Dedicated HealthCare Coordinator, who is successful at care determinations, interdisciplinary coordination, and team leadership. Strategic planner and analytical problem solver with ten years in the field. Experienced and proficient in directing patient care programs that are both high-quality and efficient. Motivated and knowledgeable about healthcare management, hospital practices, and regulatory compliance. Talent for overseeing multiple areas without sacrificing quality or service. Hardworking professional and passionate patient advocate.

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Kareo
Epic
Availity
Cerner
athenahealth
VitalWare
Work experience

Jul 2020 - Present

UF Health Jacksonville

Radiology Coding Analyst

Completes the coding edit work queues in EPIC using coding guidelines and approved coding references. Manage the program for high-quality, timely coding of diagnoses and procedures for inpatient and outpatient Radiology department, using ICD-10, CPT and HCPCS coding classification systems, to meet billing system requirements. Work closely with physicians, technicians, insurance companies, and other integral parties to uncover and discuss coding analysis results. Develop, modify, and execute company policies and procedures that affect immediate operations and may also have an organization-wide impact. Analyze issues where understanding situations or data requires in-depth knowledge of organizational objectives. Implement strategic policies while selecting methods and evaluation criteria for obtaining accurate results. Retrieve and collect physician background info from various resources for reporting. Analyze medical malpractice claims by identifying issues, events, diagnoses, and procedures that resulted in the action. Prepare summaries and assign the appropriate codes that apply. Review claims to formulate a synopsis of facts and collaborate with claims examiners regarding the outline as needed.

Jan 2020 - Present

Expedite Medical Billing

Medical Coder

Make corrections to draft reports sent for physician review and submit approved reports to management in a timely fashion. Interact with claims staff, attorneys, and physicians regarding reports on an as-needed basis.

May 2019 - Jan 2020

Kofinas Fertility Group

Medical Billing Specialist

Reviewing patient bills for accuracy and completeness, and obtaining any missing information. Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within the standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Calling insurance companies regarding any discrepancy in payments if necessary. Identifying and billing secondary or tertiary insurances. Reviewing accounts for insurance of patient follow-up. Researching and appealing denied claims. Answering all patient or insurance telephone inquiries pertaining to assigned accounts.

May 2018 - Aug 2019

American Red Cross of Northern New Jersey

Product Management Assistant

Store and distribute blood products/samples according to applicable FDA and Red Cross policies and procedures. Meet the quality, quantity production and distribution goals established by the department. Prioritize workload to meet production and customer requirements. Operate, maintain and perform quality control checks on equipment. Ensure adequate inventory of required supplies. Perform data entry and operate the computer programs associated with component production, labeling, storage, and shipping. Maintain accurate, legible and complete manufacturing department records. Ensure products/samples are suitable for release for distribution and are managed appropriately. Identify and quarantine products/samples that don’t meet quality requirements. Perform the disposition of unacceptable products/samples. Analyze and make decisions based on visual inspection and information provided from other departments to meet time requirements and quality standards. Perform good inventory management practices throughout the manufacturing and shipping process. Maintain accurate electronic and physical inventory locations for products/samples. Participate in training of staff. Perform review of manufacturing records. Remain flexible to work a variable schedule that includes weekends & holidays, to meet the needs of our hospitals. Drive for results and serve others with a high level of customer service. Take care of your team members, show up for every shift and give 100% while you’re there. Contribute to a friendly and fun environment. Team up with co-workers to keep our donors coming back again and again. Interact in a positive, proactive, and customer-focused manner with both internal and external customers, demonstrating care and compassion at all times.

May 2016 - Aug 2019

American Red Cross of Northern New Jersey

Disaster Service Preparedness Associate

Composed and drafted outgoing correspondence, and reports for managers. Gathered and analyzed data for studies and reports and made recommendations based on findings. Responded to citizens’ complaints and requests for information and services. Precisely completed appropriate claims paperwork, documentation and system entry. Developed annual budgets in collaboration with the financial director. Collaborated with members of the city staff, other public agencies and private organizations to achieve organizational goals. Involved in planning of disaster preparedness planning with several agencies in New Jersey.

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