Sabika Zaheer

Sabika Zaheer Certified Medical Coder (CPC) Experienced CPC with over 7+ years in the leading US healthcare industry. Specialties include accurate ICD-10-CM, CPT, HCPCS coding; home healthcare coding and Medical Billing. Proficient in utilizing electronic health records (EHR) and various coding software platforms. Experience Virtual Medical Assistant- Remote Medical Assistants LLC (Remote) Jan 2025 - Present Experienced Virtual Medical Assistant specializing in PIP billing, denial appeals, CPT coding, and payer compliance in a remote healthcare setting. Prepare and submit detailed appeals for denied PIP (Personal Injury Protection) claims. Ensuring adherence to state payment regulations and insurer-specific guidelines. Analyze HCFA and review EOBs to justify medical necessity and secure proper reimbursement. March 2023 - Dec 2024 Medical Coder (Remote) Safehands, Compassionate, NR, 7 SKY, MI, USA I work as a medical coder with several home health agencies based in Michigan, USA. In this role, I emphasize the importance of patient-centered care, understanding that patients often achieve the best outcomes when nursing or therapy services are provided in the comfort and familiarity of their own homes. Conduct coding and QA for SN and PT home health services at Safe Hands Agency, ensuring regulatory compliance and maximizing reimbursement. Proficient in OASIS-E form completion to meet regulatory standards. Communicate effectively with team members to ensure timely and accurate OASIS-E form completion, facilitating smooth process. Aug 2021 - Feb 2023 Certified Medical Coder (Remote) Expert Medical Billing IN, USA Expert Medical Billing, with a remarkable 98% clean claim rate, enhances practice revenue while prioritizing patient care through personalized RCM solutions. Review medical documentation to accurately assign ICD-10-CM, CPT, and HCPCS codes for pain management, hand and foot surgeries, and E&M office visits. Ensure coding accuracy and completeness to maximize revenue and minimize denials. Stay up-to-date with changes in coding guidelines and regulations. Identify opportunities for process improvements to enhance revenue management. Oct 2018 - July 2021 Team Lead Medical Coding MTBC- CareCloud ISB, PK CareCloud, Inc. leads in healthcare technology, offering tailored cloud solutions to 40,000+ providers across 50 states in the US, covering 70+ specialties. Worked as a team leader in group projects, delegating tasks and providing feedback Demonstrated leadership skills in managing projects from concept to completion Reviewed medical documentation to accurately assign ICD-10-CM, CPT, andHCPCS codes for radiology, E&M office visits, pain management, and surgeries Provided correct DX pointers to avoid payment delays and suggested appropriate methods for maximizing revenue using Encoder Pro Expert licensed version Ensured compliance with medical coding policies and guidelines (LCD) Audited claims for accuracy and completeness to ensure maximum reimbursement Education Quaid-i-Azam University ISB, Pakistan Oct 2012- July 2017 Pharm D HEC Rank #1 University in Pakistan & #=315 in QS World University Rankings 2024 Skills AXXESS Home Health AthenaOne & AthenaHealth EPIC Cerner & Kareo DRChorono EClinicalWorks (ECW) TalkeHR Leadership Analytical & Research Skills Compliance Knowledge Problem-Solving Attention to Detail Time Management EHR & EMR Proficiency Others Languages: English (Fluent); Urdu References available on request Available Immediately Freelance Experience Freelance Medical Coding & Billing Specialist, Upwork May 2024 - Present Provide end-to-end medical coding and billing services for multiple healthcare providers across specialties including rheumatology, radiology, gynecology, primary care, surgery, and home health. Accurately code CPT, HCPCS, and ICD-10, ensuring documentation compliance with current CMS and payer guidelines. Handle prior authorizations, insurance eligibility verification, claim submission, follow-up, and denial management. Work with various EHR and EMR systems to maintain accurate patient records and billing data. Perform medical transcription and scribe duties, accurately documenting patient encounters in EHR/EMR systems. Offer consultations to healthcare providers on coding accuracy, revenue cycle optimization, and compliance with CMS and payer guidelines. PUBLISHED ARTICLES International Journal of Research In Hospital and Clinical Pharmacy (2021) Cross Sectional Assessment Of Knowledge, Attitude And Practice Towards Hepatitis C In Twin Cities Population Of Pakistan International Journal of Pharmaceutics & Pharmacology (2018) Advancements in Oral Medications To Treat Hepatitis C Scholar Journal of Applied Sciences and Research (2018) Comparative Study of Treatments of Children with ADHD with Medication Alone vs. Medication with Cognitive Behavioral Therapy PERSONAL PROJECTS Project on SLE Project on Intestinal Obstruction in Peads Certification Certified Professional Coder-CPC from AAPC Aug 2021 Home Health & Hospice Sevices Apr 2023 HIPPA June 2025