Usama Iqbal

Career objective; An ambitious candidate with team player mind set. career conscious with quality driven approach, seeking a position in established, learning and result oriented health companies, where I can transform my education, experience and acquired skills towards the continuous growth and augmentation of my career and organization.

Punctual●Organized●Flexible

-Inpatient/Outpatient Coding, Clinical Data Analysis and Claims Billing

-ICD 10, CPT, HCPCS and Knowledge of HIPAA & Patient Confidentiality

-Medical coding, Auditing and Claim Processing ,submission, Resubmission.

-Analyzing the Validates Medical Codes.

-Knowledge of the Electronic Claim Handling System.

-Knowledge of Processing & Adjudication of Medical and Hospital claims

-Handful Experience on Supercoder and Encoder pro Software.

-Demonstrated knowledge and expertise in regulatory healthcare compliance ,HAAD guidelines, medical necessity, and coding compliance.

-Healthcare, Insurance Reimbursements

-Administrative Support, Customer Services and Organization

-Fully command over Hospital Management Systems like Concept, Insta and ClinicPro.

-Microsoft Office (Word & Excel)

Career information; 

- Ayub Teaching Hospital, Abbottabad. Pakistan

- lnternship (House Officer) September 2010- September 2011

• Conducting daily ward rounds.
• Obtaining the histories and performing clinical examination.
• Discussing patient problems with seniors.
• Holding OPD and managing the patients.
• Attending weekly journal clubs case presentation, short and long cases classes and clinical audits.

Medical Officer November 2011- December 2012

• Actively Checking patients in OPD, and referring the complicated cases to specialists.
• Preparing pre operative patients and managing post operative patients.
• Performed appendectomy under the supervision of seniors.
• Preparing discharged forms of post operative patients and scheduling for follow-up. 

Administrator Assistant January 2013- December 2015

• Assisting Direct, supervise and evaluate work activities of medical, nursing, technical, clerical, service, maintenance and other staff.
• Liaise with other departments to request for surgeries, imaging (CT, MRI), blood tests, audiology and speech language therapy
• Design letter templates for all standard procedures such as CT and MRI requests.
• Understand and adhere to emergency preparedness, fire safety and code policies/plans
• Plant, implement and administer programs and services including human resource, administration, training and coordination of medical, nursing and para-medical staff.
• Establish objectives and evaluative operational criteria of managed departments.
• Run quality checks on invoices for accurate coding and timely payment
• Arrangement of weekly Audit conferences, case presentations and seminars
• Transcription of medical dictations into written reports.
• Planning and delivering lectures on medical topics to students pursuing degrees in medicine, nursing, or other healthcare-related disciplines
• Conducting interactive discussions, case studies, and workshops to engage junior doctors and promote active learning
• Exemplify the vision of the Hospital

Insurance Coordinator, January 2016 - December 2019.

• Responsible for providing approvals on timely manner.
• Handle case management for high cost cases.
• Liaising with providers and clients for complicated cases.
• Resolved problems resulting from claim settlement.
• Performed audit of randomly selected claims to ensure quality processing.
• Made adjudication policies and procedures to make sure proper payment of claims.
• Provided timely customer service to members, providers, billing departments and other insurance companies on the subject of claims.
• Assigning codes to outpatient records using ICD 10 CM and CPT and any other designated, Coding classification system in accordance with the coding guidelines.
• Generation of invoices by the XML file & uploading in the billing system.
• Interprets medical information such as disease or symptoms, and diagnosis descriptions and procedures for a given visit in order to accurately assign and sequence the correct ICD 10 CM and CPT Codes.

Hospital Manager . January 2020- till June 2023

• Handling and managing emergency cases.
• Stabilize and treat patients who are experiencing acute health problems or traumatic injuries.
• Independently perform sutures of open wounds. 
• Training junior doctors regarding CPR and handing of MI, stroke.
• Managing whole emergency department of 30 beds along with minor OT.
• Managing pre and post operative patients.
• Handled OPD of daily 100 plus patients.
• Hiring of new staff members.

An ambitious candidate with team player mind set. career conscious with quality driven approach, seeking a position in established, learning and result oriented health companies, where I can transform my education, experience and acquired skills towards the continuous growth and augmentation of my career and organization.

MBBS

MBA essentials- Healthcare management

ACLS

BLS