Fahma Faisal

AAPC-Certified Medical Coder and Denial Analyst with 2+ years of hands-on experience in outpatient medical coding, claims reconciliation, denial analysis, resubmissions, and E/M level validation. Strong expertise in ICD-10-CM, CPT, HCPCS Level II, modifiers, and payer-specific coding rules. Well-versed in DHA, DOH, MOH, and HAAD insurance regulations with proven success in improving first-pass claim acceptance, audit accuracy, and revenue cycle efficiency.

Proficient in 3M, Cerner, SAP, and MS Office.

Medical Coder – Denial Analyst at Dynamed Healthcare Solutions Pvt. Ltd. (Burjeel Holdings Unit) (2023-03 – 2025-11)

• Managed outpatient billing, reconciliation, and denial resolution for multispecialty healthcare facilities.
• Analyzed, corrected, and resubmitted denied and rejected claims using ICD-10-CM, CPT, and HCPCS Level II codes.
• Ensured strict compliance with DHA, DOH, MOH, and HAAD coding and billing guidelines.
• Conducted coding audits and quality reviews to maintain near-100% coding accuracy.
• Reduced claim rejection rates by identifying root causes and implementing corrective actions.
• Collaborated with billing, AR, and insurance teams to improve turnaround time (TAT).
• Worked extensively with UAE insurers including Thiqa, Daman, NAS, ADNIC, FMC, Oman Insurance, Almadallah, NextCare, Aafiya, and MedNet.

UAE Claims Processing Exposure

• Processed HAAD and DHA claims for hospitals and clinics including Burjeel AUH, Burjeel Royal, Medeor AUH, Lifecare Mussaffah, LLH AUH, and Burjeel Day Care Surgery Center.
• Ensured payer compliance, accurate documentation, and timely submissions.

Southern Union Pharmaceuticals Pvt. Ltd. (2021-01 – 2022-12)

• Participated in pharmaceutical production and quality control projects including Azithromycin tablet and oral suspension.
• Maintained compliance with chemical safety, handling, and disposal protocols.

Meditrust Medicals (2021-01 – 2021-12)

• Verified prescriptions, dispensed medications, and assisted patients.

Hayath Hospital (2020-01 – 2020-12)

• Gained clinical exposure and foundational healthcare operations experience.

PG Diploma in Clinical Research – CLIN Launch

Certification in Medical Coding – Indus Education

B.Voc in Pharmaceutical Chemistry – University of Calicut

Higher Secondary & SSLC – Kerala State Board