Shifa bano Shaikh
@shifabanoshaikh
Certified Medical Coding Specialist with 7+ years specializing in ICD-10, CPT/HCPCS, and HCC risk adjustment.
What I'm looking for
I’m a Certified Medical Coding Specialist with 7+ years of healthcare coding experience, focused on high-volume, high-accuracy claim processing. I specialize in ICD-10, CPT, and HCPCS coding, with strong expertise in E/M, OP, and ED facility coding and HCC (Risk Adjustment).
In my current Senior Coding Specialist role, I work as ND QA on HCC and coding/auditing workflows. I process and support coding and processing of 4000+ claims per month, maintaining coding accuracy above 98% while ensuring compliance with CMS and HIPAA guidelines.
I also bring a coaching mindset—assisting with training new coders, resolving coding-related issues, and supporting quality through audit work and report writing. Across my experience (Gebbs Healthcare Pvt Ltd, Omega Healthcare, and Inventurous Knowledge Solutions), I’ve reviewed medical records to assign accurate codes, worked on radiology coding projects, and helped teams improve documentation and claim outcomes.
Experience
Work history, roles, and key accomplishments
Senior Coding Specialist
Corla Health Pvt Ltd
Apr 2023 - Present (3 years 2 months)
Processed and audited 4,000+ claims per month for HCC risk adjustment and E/M, OP, and ED facility coding, maintaining 98% coding accuracy and ensuring CMS/HIPAA compliance. Supported ND QA, report writing/presentation, and training new coders while resolving coding issues.
Senior Coding Specialist
Omega Healthcare
Jun 2022 - Jan 2023 (7 months)
Reviewed medical records to assign accurate ICD-10 and HCC risk adjustment codes for E/M and OP coding, and supported E/M and HCC coding projects. Prepared and submitted claims using a practice management system and assisted freshers with coding guidelines and workflow.
Coding Specialist
Inventurous Knowledge Solutions (IKS)
Apr 2021 - Jun 2022 (1 year 2 months)
Worked as ND QA on E/M IP and OP coding projects and conducted audit work to maintain coding quality. Maintained patient records in line with HIPAA regulations and supported ongoing coding quality efforts.
Junior Medical Coder
Gebbs Healthcare Pvt Ltd
Feb 2019 - Apr 2021 (2 years 2 months)
Joined as a fresher, completed medical coding training, and was promoted to Junior Medical Coder after 9 months. Worked on radiology coding projects from February 2019 to April 2021.
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Shifa bano hasn't added their education
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