PROFESSIONAL SUMMARY:

Certified Medical Coding Specialist with full understanding and command over ICD-9,
ADEEL KHAN ICD-10-CM, HCPCS and CPT coding. Highly skilled in analyzing and validating patient
information, diagnoses, procedures and coding them with highest level of specificity.
(CPC ®, R.Ph)
Distinguish combination of CPC and Pharm D is highly beneficial and my strength bench
mark in extracting information and assigning codes related to E/M, medicine, surgery,
radiology, pathology, podiatry, rheumatology, psychiatry, cardiology, anesthesiology,
Gynecology, DRG’S and PQRS.

PROFESSIONAL QUALIFICATIONS:
Contacts Details:  ICD-9, ICD-10, CPT and HCPCS Coding with high level of specificity.

 Operations Management in a fast-paced medical revenue cycle.
Contact +92-333-5752009 
Email Trailer991@gmail.com  Quality Assurance and Auditing to meet the core challenges in current fast
Address Islamabad, Pakistan  growing healthcare system.
  Strong Understanding of multiple Medical Billing software’s.
  Patient Confidentiality.
 Ability to work and communicate in a positive and cooperative manner.
Personal Details:
th WORK EXPERIENCE:
D.O.B 10 Feb 1991.
 
Nationality Pakistani  CERTIFIED MEDICAL CODER (Nov. 2014 to till date)
Marital Status Married MTBC (U.S based Medical Transcription and Billing Company)
Religion Islam
Core Responsibilities:
 Responsible for evaluating medical record documentation to ensure that
diagnostic and procedural codes accurately reflect and support the patient visit.

Certified Medical coder with 3+ years of  Interpret medical information, diseases, symptoms, diagnostic description and
experience.  procedure for a given visit in order to accurately assign ICD, CPT and HCPS.
Proven skills in providing accurate  Checking medical charts for accuracy and completion.

coding on  Clarifying information or diagnosis by communication with health care
The patient’s medical diagnosis and providers utilizing computer software to analyze data, Reviews bulletins,
Treatment based on received medical newsletters, and periodicals, and attend workshops to stay abreast of current
record with full understanding and issues, tends, and changes in the laws and regulations governing medical record
coding and documentation.
command over ICD-9, ICD-10-CM, 
HCPCS and CPT coding.  Develop and updates procedures manuals to maintain standards for correct
coding, minimize the risk of fraud and abuse, and optimize revenue recovery.

Achievements:
 Successfully handled multidimensional practices which results in syndicate
the rate of rejections and boost up revenue.

 Developed a unique Rule Based System in collaboration with different
departments to minimize the billing errors and streamline the workflow.

 Successfully conducted training on HIPPA policies regarding HPI in collaboration
with training department as Lead Trainer.

 Client satisfaction in radiology and podiatry (coding) resulting in increased
clients profile and revenue.

 Enthusiastically involved in training of billing department regarding medical
coding conventions and application.

 Developed a liaison between the program and staff involved in each
department, billing integrity plan. Works with professionals to identify and
 integrate best business practices.
 Worked on different projects related to claim denials and management.

 
Consultant Certified medical coder (Jan 2016 to till date)
Sol Cod (Medical Coding Solutions Company)

Core Responsibilities:
 To provide medical coding services and keep the coders under observation, up-to-date and train them to meet the
 challenges of workplace.
 Performs risk analysis, monitoring, and reporting of compliance activities.
 Submit procedure and diagnosis claims to insurance companies for reimbursement.
 To suggest updated, moderated and up to the mark solutions for minimizing the chances of error and claim rejections.
 To corresponds with insurance companies and healthcare professionals to resolve the coding related issues.
 To review claims data to ensure that assigned codes meet required legal and insurance rules.
Achievements:
 Successfully facilitate and lead the organization to the new heights of professionalism.

 Developed a system with the collaboration of IT and Medical coding department which results in smooth and more
 efficient transition of multiple acquisitions.
 Successfully satisfied a high number of providers related to their coding concerns.
 Established a team of professionals to meet the new challenges of health care system.

 
Assistant Certified medical coder (2013 to NOV 2014)
Sol Cod (Medical Coding Solutions)

Core Responsibilities:
 Responsible for evaluating medical record documentation to ensure that diagnostic and HCPCs codes accurately reflect
and support the patient visit.

 Reviews bulletins, newsletters, and periodicals, and attend workshops to stay abreast of current issues, tends, and
 changes in the laws and regulations governing medical record coding and documentation.
 ICD-9, HCPCS and pointer settings with high level of specificity.

Achievements:
 Successful takeover many practices for ICD-9 and pointer settings.
 Successfully eradicates the medical necessity related denials due to strong medical knowledge Background.
 Coded multiple specialties with minimum error rate.

Education:

 2016 Certified Professional Coder (CPC®)

AAPC-Member ID: 05100457

 2013 Doctor of Pharmacy (Pharm-D)
Hamdard University Karachi, Islamabad campus.

Professional skills:

 MS office.
 Cerner.
 NextGen,
 Brax.
 MIS.

Affiliations:
 AAPC international member.
 PPC (Pakistan pharmacy council).