Shereen K. Email & Phone Number

Park Ridge, Illinois, United States

• Reviewed patients' medical records & proficiently assigned appropriate diagnostic & procedural codes based on the provider documentation and meeting daily quota of over 100 claims daily.• Analyzed & validated medical codes for services rendered, ensuring compliance with coding guidelines & regulations; minimized errors & improved revenue cycle efficiency by streamlining coding processes.• Collaborated with healthcare providers to clarify documentation & resolve coding discrepancies.

Park Ridge, Illinois, United States

• Examined insurance claims denied by insurance companies by investigating the denial reason(s) & resolved errors in coding by reviewing/ researching local or national coverage determination & other insurance policies to ensure medical necessity. • Analyzed medical records, provider documentation, & billing codes to determine where errors occurred in the claim submission process & suggest claim edits for office coders to review. • Maintained detailed records of denial reasons, resolutions, & identified trends in claim denials, helping healthcare providers improve their billing processes & reduce future denials.• Assisted with compliance audit team by gathering and analyzing medical records; relayed findings from audit errors to coding team, ensuring higher compliance and accuracy in coding.

Niles, Illinois, United States

• Collect & review referrals/ pre-authorizations to submit billing data & medical claims to insurance companies.• Ensure the client’s medical information is accurate & up to date in database.• Examine client bills for accuracy & request for missing information from various departments.

Chicago, Illinois, United States

• Provided high quality service to an average of 20 clients daily through inbound inquiries.• Guided clients through system, assisted with implementation, written communication, and troubleshooting. • Accurately documented notes in CRM database including steps taken toward resolution.

Northbrook, Illinois, United States

• Organized all projects related to the IT department to ensure company resources were utilized appropriately. • Assigned work to IT department and followed up on outstanding work on bi-weekly basis.• Managed monthly expense reports and yearly budget for IT department.

Chicago

• Successfully installed automation tools on servers for the configuration management team to reports.• Met internal audit’s deadline by coordinating the renewal of department’s policies so that department is in compliance with its standards.• Assisted automation team in creating testing environments to ensure quicker results from infrastructure testing.

Bachelor Of Science - Bs, Information Technology

During my time at DePaul University, I gained a strong foundation in computer systems, software development, networking, databases.

Master Of Science - Ms, Health Information Management

Health Informatics and Data Management emphasized the critical aspects of healthcare data governance, including the collection, storage.