Airaj Waheed's Email Addresses & Phone Numbers

📖 Summary

Healthcare Revenue/Compliance Manager, who has held administrative roles, earned an MBA degree in Hospital Administration, Finance and understands hospital operations and administration activities. Offer excellent qualifications in revenue cycle operations, strategic business planning and direction, physician relationships, market analysis, process improvement plans, department management, staff recruiting and development. Have experience in budget management, healthcare industry trends, and legislation monitoring. Also successful in cost saving initiatives, brand development, employee relations along with years of experience as a Clinical Documentation Specialist, where I have incorporated my Medical Degree and my Masters in Business Administration to know the financial stability of clinical medicine and hospital administration and finance. Additional Value:  Played a principal role in billing/coding business start-ups and hospital CMI financial turnaround.  Leverage understanding of the goals of clinicians and hospital administrators and unite them towards common objectives. Recognized for constantly serving as a patient advocate and a champion of patient and healthcare quality.  Very accomplished in consulting with high level healthcare executives regarding marketing strategies.  Extremely cognizant of physician market trends, competitive strategies, and criteria that play a fundamental role in the success of hospitalsDirector of Finance/Interim CFO @ From March 2015 to Present (10 months) Revenue Cycle Manager @ From October 2014 to March 2015 (6 months) Revenue Cycle Operations/Senior Lead CDS @ • Facilitate improvement in the quality, completeness, and accuracy of clinical documentation, by obtaining appropriate clinical documentation through extensive interaction with physicians, health care team members, and health information management and coding staff to ensure that the complete and accurate level of services provided was documented so that appropriate reimbursement was received for patients. • Incorporated Medicare/Medicaid revenue bundle system payment with ACO payment for the hospital and healthcare provider by submitting billing/coding inquires which could follow the process and account for any issues which would cause a barrier from keeping steady stream of revenue. • Worked closely with Hospital HIM department to keep track of claims or unaccountable claims within the system to make sure all accounts were collected and addressed denied claims by various insurance companies. • Worked closely with the clinical documentation department as well as the HIM department using the 3M system and EMR system to determine patient’s high DRG codes and CMI’s for coding and billing purposes to make the highest revenue for the hospital by revenue cycle operations and patient’s account using ICD 9 and 10 system • Exhibit a sufficient knowledge of clinical documentation requirements, DRG assignment, and clinical conditions or procedures. • Attend weekly meetings with CFO and CMO on financial aspects related to patient care and clinical medicine. • Demonstrate knowledge of DRG payer issues, documentation requirements and referral procedures. • Improve the overall quality and completeness of clinical documentation using clinical documentation enhancement guidelines for selected patient populations. • Recommend quality and/or performance improvement initiatives designed to increase productivity, compliance, and improve revenue cycle operations. From July 2012 to September 2014 (2 years 3 months) Chief Financial Officer Fellowship/ Revenue Cycle Operations @ • Worked closely with Chief Medical Officer on increasing DRG and CMI. • Incorporated Medicare/Medicaid revenue bundle system payment with ACO payment for the hospital and healthcare provider by submitting billing/coding inquires which could follow the process and account for any issues which would cause a barrier from keeping steady stream of revenue. • Worked closely with Hospital HIM department to keep track of claims or unaccountable claims within the system to make sure all accounts were collected and addressed denied claims by various insurance companies. • Worked closely with the clinical documentation department as well as the HIM department using the 3M system and EMR system to determine patient’s high DRG codes and CMI’s for coding and billing purposes to make the highest revenue for the hospital by revenue cycle operations and patient’s account using ICD 9 and 10 system. • Worked closely with case management and CDS to help with payers and billing in order to close out accounts for a higher reimbursement rate and implemented a higher CMI system for the hospital. • Assisted and worked with department managers and patient care executives to implement financial plans, productivity benchmarks, and to monitor progress toward financial goals. • Reconciled balancing accounts on a monthly basis, monthly financial statements, and bi-weekly productivity reports. • Worked as a physician liaison to incorporate a better working environment and making sure physicians’ needs and concerns were taken care of. • Attended daily meetings with Administration regarding the financial aspects of daily operations. Assisted on daily activities (spreadsheets and presentations) and in developing financial goals and objectives for the hospital. From July 2012 to January 2013 (7 months) Master of Business Administration (MBA), Health/Health Care Administration/Management, Finance @ Benedictine University From 2013 to 2014 Doctor of Medicine (MD) @ St. Matthew School of Medicine From 2004 to 2010 Bachelor of Science (B.S.), Biology, General @ The University of Texas at Arlington From 1999 to 2004 Airaj Waheed is skilled in: Healthcare, Microsoft Office, Hospitals, Customer Service, Microsoft Excel, Strategic Planning, Healthcare Management, Clinical Research, Microsoft Word, Project Management, PowerPoint, Public Speaking, Healthcare Information Technology, Process Improvement, clinical documentation