Khaled Hany

Results-driven Medical Billing & Coding Specialist with hands-on experience managing full-cycle Revenue Cycle Management (RCM) for US-based primary care providers. Currently working directly with providers at AllCare.ai, a California-based primary care startup, processing 30+ claims daily in eClinicalWorks. Specialized in complex chronic care billing including CCM, RPM, BHI, AWV, TCM, telehealth E/M services, and home health.

Clinical background as a PharmD candidate and licensed pharmacist provides a decisive advantage in accurate ICD-10-CM/CPT code selection and documentation auditing. Skilled in identifying coding errors, recovering lost revenue, and ensuring CMS compliance. Fully remote-capable and experienced supporting US providers across time zones.

Open to applying primary care expertise to adjacent specialties including behavioral health and psychiatric billing.

Medical Biller & Coder at AllCare.ai (2026-01 – Present)

California-based primary care startup providing telehealth and in-home care services to US patients.

• Serve as the sole RCM specialist managing end-to-end billing and coding for 4 US-based providers (NPs and MDs), processing 30+ claims daily in eClinicalWorks with full accountability for claim accuracy and revenue capture.
• Specialize in high-complexity chronic care and preventive billing codes: CCM (99490–99491), RPM (99454, 99457, 99445, 99470), BHI (99484), AWV (G0438/G0439), TCM (99495–99496), telehealth E/M services, and home health claims.
• Identified and corrected systemic Place of Service (POS) code errors including incorrect use of POS 12 (home) instead of POS 13 (assisted living) and POS 10 (telehealth in patient's home) instead of POS 02 (telehealth off-site) directly reducing claim denials and improving reimbursement accuracy.
• Proactively identified underutilized billing opportunities including Transitional Care Management (TCM), Advanced Care Planning (ACP codes 99497/99498), Cognitive Assessment (99483), Complexity Code (G2211) with POS 12 according to new CMS updates starting Jan 2026, and G0444 depression screening, resulting in increased revenue capture for the practice.
• Applied CMS transmittals and policy updates (including Transmittal R3873CP and MLN MM13004) to ensure ongoing compliance and correct code application across all providers.
• Conducted regular documentation audits, flagging discrepancies between clinical notes and submitted codes to protect the practice from audit risk and overpayment.
• Managed complete A/R cycle: claim submission, real-time status tracking, payer follow-up, denial analysis, appeals, and payment posting.

Medical Scribe at LuminaCare (2025-06 – 2025-12)

US-based healthcare provider utilizing GEHRIMED EHR for clinical documentation.

• Documented real-time clinical encounters for US-based providers using GEHRIMED EHR, transcribing SOAP notes, medication reconciliations, assessments, diagnoses, and care plans with high accuracy.
• Developed comprehensive knowledge of clinical workflows, medical terminology, and documentation standards that directly inform current coding and billing accuracy.
• Supported provider productivity by ensuring documentation was complete, compliant, and audit-ready, reducing physician administrative burden.

Clinical Pharmacist at Nasaeem Hospital (2025-05 – 2025-05)

• Dispensed medications and reviewed prescriptions for clinical accuracy, drug interactions, and contraindications.
• Counseled patients on medication regimens, adherence, and adverse effects, building a strong foundation in pharmacology and clinical assessment directly applied to ICD-10-CM and CPT coding.
• Collaborated with physicians and clinical staff, strengthening understanding of diagnostic and treatment workflows critical to accurate medical billing.

Doctor of Pharmacy in PharmD – Future University in Egypt (FUE) | In partnership with University College Cork (UCC), Ireland (2026-06)