Humaira S.

Medical Billing | CPC Medical Coder | Revenue Cycle Management (RCM) | AR Follow-Up | Pharmacy Billing Expert | Denial Expert | Medical Biller | ICD-10 / CPT Coding | Surgery Coding & Billing | Legal Medical Records Support | Healthcare Virtual Assistant I am a Registered Pharmacist and AAPC Certified Professional Coder (CPC) with 7+ years of experience in the US healthcare system, specializing in Medical Billing, Medical Coding, Pharmacy Billing, Revenue Cycle Management (RCM), and Healthcare Virtual Assistance. I help providers, clinics, pharmacies, and medical billing companies increase revenue, reduce denials, and maintain compliance through accurate coding, clean claim submission, efficient billing workflows, and reliable administrative support. I have managed end-to-end Revenue Cycle Management, including patient eligibility verification, prior authorizations, charge entry, claim submission, rejection resolution, payment posting, AR follow-up, denial management, appeals, and healthcare administrative/virtual assistant tasks. I also have experience as a Billing & Coding Supervisor managing 40+ team members, providing training, audits, and workflow optimization. ⭐ Why Clients Hire Me ✔ AAPC CPC Certified Medical Coder ✔ Pharmacist with strong clinical knowledge ✔ 7+ Years US Healthcare Experience ✔ End-to-End Revenue Cycle Management Expert ✔ Medical Coding Auditor & CPC Trainer ✔ Denial Management & AR Recovery Specialist ✔ Multi-Specialty Coding Expert ✔ HIPAA-Compliant & Detail-Oriented 🏥 Medical Coding & Auditing Expert Expert-level coding using ICD-10-CM, CPT, and HCPCS across multiple specialties: ✔ Family Medicine ✔ Inpatient & Outpatient Coding ✔ Internal Medicine ✔ Pediatrics ✔ Urgent Care ✔ Mental Health ✔ Cardiology ✔ Pulmonology ✔ Orthopedics ✔ Pain Management ✔ Gynecology ✔ Plastic Surgery ✔ Neurology ✔ Anesthesia ✔ Plastic Surgery ✔ Radiology ✔ Laboratory ✔ Home Health ✔ Physical Therapy ✔ Ophthalmology ✔ maxillofacial Surgery ✔ Primary Care Services Include: ✔ CPT / ICD-10 Coding ✔ E/M Coding (2021–2025 Guidelines) ✔ Surgery Coding ✔ Chart Audits ✔ Documentation Review ✔ Coding Compliance ✔ Coding Error Correction 💊 Pharmacy Billing & Prescription Management As a Registered Pharmacist, I also have hands-on experience in pharmacy billing and prescription workflow management. ✔ Submit pharmacy claims to commercial insurance, Medicare, and Medicaid ✔ Resolve rejected claims including COB issues, eligibility errors, and NDC denials ✔ Handle Prior Authorizations (PA) through platforms like CoverMyMeds ✔ Coordinate with physicians, pharmacies, and insurance providers ✔ Manage prescription refill requests and expired prescriptions 💰 Revenue Cycle Management (RCM) Specialist Complete Medical Billing Services from Start to Payment ✔ Patient Insurance Verification ✔ Prior Authorization ✔ Charge Entry ✔ Claim Submission (Electronic & Paper) ✔ Clearinghouse Rejections ✔ Payment Posting ✔ AR Follow-Up ✔ Denial Management ✔ Appeals Filing ✔ Underpayment Recovery I focus on clean claim submission and faster reimbursements. 📊 Denial Management & AR Recovery Expert Strong experience resolving: ✔ Coding Denials ✔ Medical Necessity Denials ✔ Authorization Denials ✔ Timely Filing Denials ✔ Bundling Issues ✔ Modifier Errors ✔ Rejections & Resubmissions I prepare strong appeals supported by documentation and payer guidelines. 📋 Medical Documentation & Virtual Scribe ✔ SOAP Notes ✔ Medical Documentation ✔ Chart Review ✔ EMR Updates ✔ Medical Summaries Ensuring accurate documentation that supports coding and billing. 🧾 Medical Billing Software Expertise Experienced with: • eClinicalWorks (ECW) • AthenaHealth • AdvancedMD • Practice Fusion • Office Ally • CareCloud • Kareo • Nextech • ModMed • DrChrono 🏥 Specialties Experience Extensive E/M Coding & Billing Experience in: 🏥 Specialties Experience ✔ Family Medicine ✔ Internal Medicine ✔ Pediatrics ✔ Urgent Care ✔ Mental Health ✔ Cardiology ✔ Pulmonology ✔ Orthopedics ✔ Pain Management ✔ Gynecology ✔ Neurology ✔ Anesthesia ✔ Radiology ✔ Laboratory ✔ Home Health ✔ Physical Therapy ✔ Ophthalmology ✔ Maxillofacial Surgery ✔ Primary Care 👩‍💼 Leadership & Training Experience ✔ Billing & Coding Supervisor (40+ Team Members) ✔ CPC Exam Trainer ✔ Coding Quality Audits ✔ Workflow Optimization ✔ Staff Training 🎯 What Makes Me Different ✔ Clinical + Coding Expertise (Pharmacist + CPC) ✔ Strong Documentation Knowledge ✔ Coding Accuracy Focused ✔ Revenue Growth Oriented ✔ Fast Communication ✔ Reliable Delivery I don't just submit claims — I help practices improve revenue and reduce denials. 📩 Let's Work Together If you need an experienced Medical Billing Specialist, CPC Medical Coder, Pharmacy Billing Expert, AR Follow-Up Specialist, or Full Revenue Cycle Management Professional, I’m ready to support your practice. I focus on clean claims, faster reimbursements, and reduced denials. 📩 Send me a message to discuss your project