w
wajidhassan734

Wajid H

@wajidhassan734

Healthcare RCM Medical Billing Specialist

Pakistan
Urdu, English
About me
Experienced Lead Compliance Analyst specializing in Revenue Cycle Management (RCM), healthcare regulations, and data security. I help medical practices maintain strict HIPAA & CMS compliance, eliminate risks, and optimize revenue workflows. My expertise covers data analytics, resolving compliance gaps, and streamlining RCM operations. Additionally, I use Canva to turn complex data into clear visual presentations. With an MSc in Biochemistry, I blend analytical rigor and strong leadership to drive operational excellence. Let's connect to protect and optimize your practice's cash flow!... Read more

Skills

w
wajidhassan734
Wajid H
Offline • 
Average response time: 1 hour

See my services

General Assistance
I will review medical claim denials and assist with appeals
From$15 / projectMore details
General Assistance
I will be your US medical biller for claims and ar follow up
From$15 / projectMore details

Portfolio

Work experience

CareCloud

CareCloud

Full-time • 11 yrs 6 mos

Lead Compliance Analyst

Apr 2022 - Present • 4 yrs 6 mos

Conduct regular audits and investigations to identify potential weaknesses and non-compliance situations. Draft plans for improving compliance practices to address risks in the Medical Billing Process. Provide HIPAA training to new and existing users, ensuring Billing and Coding departments adhere to HIPAA, Hi-tech, CPT coding, and CMS policies. Investigate and compile breaches of PHI and handle inbound/outbound faxes related to compliance cases.

Senior Compliance Analyst

Apr 2022 - Present • 4 yrs 6 mos

Maintains effective compliance communication programs and promotes awareness of Standards of Conduct. Participates in audits assessing documentation accuracy against federal regulations including HIPAA and HITECH. Acts as an independent review body to resolve organizational compliance concerns. Conducts unannounced mock surveys and inspections to identify corrective actions and ensures compliance with information security responsibilities.

Lead Account Manager

Oct 2019 - Apr 2022 • 2 yrs 6 mos

Ensured quality and accuracy in the entire billing process while communicating with New Jersey Management regarding practice issues. Resolved complex medical claims-related issues and monitored client complaints. Managed daily workflows including FTP/Scanning and SSC messages. Conducted daily update meetings with the team to keep them informed on insurance carrier rules, billing guidelines, and regulatory changes.