Mariyam Nazeer Ahmed Agha
About Candidate
I am a CPC-certified medical coding professional with over three years of experience in HCC, UAE medical coding, and revenue cycle management. I specialise in maintaining high coding accuracy, auditing medical records, and optimising claims processes to improve approval rates and reduce denials. With hands-on experience in ICD-10-CM, CPT, and HCPCS coding, along with tools like 3M and LT software, I bring both technical expertise and a detail-oriented approach. Additionally, my background in teaching and mentoring strengthens my communication skills, allowing me to contribute effectively to both team performance and quality improvement initiatives.
Location
Education
Completed a Master of Science in Zoology, with a strong focus on biological sciences, human anatomy, and research-based learning, building a solid foundation relevant to healthcare and medical coding.
Completed a Bachelor of Science in CZBt (Chemistry, Zoology, Botany), gaining fundamental knowledge in life sciences and developing analytical and scientific understanding applicable to healthcare domains.
Work & Experience
1. Audited 50–70 medical charts per day with consistent 95%+ coding accuracy, ensuring compliance with CMS and RADV IVA guidelines. 2. Identified and corrected coding discrepancies across multiple HCC categories. 3. Reviewed coders’ work and provided structured feedback.
1. Served dedicatedly, effectively communicating with healthcare providers to resolve 90% of approval requests on the first contact, enhancing patient trust and satisfaction. 2. Collaborated with billing and insurance teams to optimize the approval workflow, resulting in a 30% reduction in denied claims. 3. Analyzed approval metrics to identify trends and areas for improvement, leading to the implementation of targeted training and a subsequent 15% increase in approval efficiency
1. Supported insurance verification processes to ensure accurate data for claims. 2. Assisted in preparing and reviewing claims, optimizing coding and documentation. 3. Successfully contributed to maintaining 100% coding compliance with industry standards, minimizing audit risks. 4. Analyzed coding, reducing discrepancies by 12% for faster claim approvals. 5. Helped track claims through the adjudication process using software. 6. Assisted in payment reconciliation to ensure accuracy and address discrepancies. 7. Collaborated with the team to efficiently navigate insurance portals. 8. Assisted in monitoring key performance indicators (KPIs) for revenue cycle performance evaluation.
1. Achieved 98% accuracy in medical record reviews, enhancing patient risk adjustment scores (HCC). 2. Maintained 95%+ coding accuracy, ensuring compliant claims across specialties. 3. Consistently met or exceeded coding turnaround time for timely billing. 4. Collaborated effectively to surpass team quality and productivity standards. 5. Identified and corrected missed diagnosis, enhancing patient care and billing accuracy. 6. Integral role in Project Aetna and AI, reducing errors by 15% and boosting efficiency.
