Faisal Bakhateeb

Experience

• 

  TransDyne IT Services

  Sept 2005 - Oct 2007

  Medical Language Specialist

  • Receiving dictations from the physicians from U.S. and also other healthcare professionals regarding patient assessment, workup, therapeutic procedures, clinical course, diagnosis, prognosis etc. in order to document patient care and facilitate healthcare services. Converting recorded audio into electronic data and further scrutinized for grammar & clarity. • Distinguish between homonyms, and recognize inconsistencies and mistakes in medical terms, referring to dictionaries, drug references, and other sources on anatomy, physiology, and medicine. • Decide which information should be included or excluded in reports. • Identify mistakes in reports, and check with doctors to obtain the correct information. • Return dictated reports in printed or electronic form for physicians' review, signature, and corrections, and for inclusion in patients' medical records. • Review and edit transcribed reports or dictated material for spelling, grammar, clarity, consistency, and proper medical terminology. • Transcribe dictation for a variety of medical reports such as patient histories, physical examinations, emergency room visits, operations, chart reviews, consultation, and/or discharge summaries Show less

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  Al Salama Hospital - مستشفى السلامه

  Jun 2013 - Oct 2018

  Coding Manager

  • Review health records and computer generated reports to identify all services and procedures performed by physicians are billed correctly.• Verify appropriate ICD-9-CM/ICD-10 diagnosis codes and to evaluate the Medical Record for documentation consistency and adequacy. Ensure that the final diagnosis accurately reflects the care and treatment rendered to the patients. Review the records for compliance with established third party reimbursement agencies.• Analyze provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code, Procedure codes and HCPCS codes.• Compute the DRGs for the IP cases with the appropriate ICD and CPT codes.• Identify the services and procedures provided, but not adequately documented in the personal health information (PHI) record and also advice the physicians of documentation deficiencies.• Analyzing the authorization requests prior to sending it to the insurance companies for approvals. To solve the queries of insurance companies by providing the required information and reports which insurance companies are requesting to approve the requests sent.• Analyzing and resolving claim rejections and denials (Remittance Advice- Resubmission) related to coding.• Participating in reconciliation and remittance meetings with various Insurance Companies (Payers). Show less

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  TASNEEF-RINA Business Assurance

  Oct 2018 - now

  Take part in the process of Certifying Healthcare Providers for JAWDA Data Certification that includes: Conducting KPI audits for General and Specialized Hospitals, Homecares, LTCs & Day Surgery Centers. Check if the facilities have implemented, are maintaining, and are continually improving the documented policies for JAWDA key performance indicators, data collection, calculation, validation, and submission management system, including the processes needed and their interactions, for each applicable KPI to ensure the process is in accordance with the requirements. Involved in the data validation of the submitted data as per the applicable KPI profile of DOH. Conduct ADHOC KPI audit for every facility in the scope of KPI data submission and check the validity of the submitted data to DOH. Involved in the Injury and Poisonous Notification System (IPNS) to DOH for DOH Licensed facilities to evaluate the process being followed and identify any gaps in reporting of accurate data. Involved in clinical coding process for DOH-licensed facilities which includes different activities starting from the reception till submission as well as resubmission. Checking the processes to assess the establishment of policies based on JDC standards and regulatory requirements set by DoH as per the Coding manual, Claims & Adjudication Rules, and normative references and adherence to it. The process of adherence check is to understand the deficiencies and gaps in the RCM system. Interact with physicians, medical coders, and other relevant nominated staff regarding internal policies, documentation standards, billing, procedures, and regulations. ➢ Ensures strict confidentiality of all the evidence that includes Patients’ protected health information. ➢ Under indirect supervision, review and audit coded medical records and supporting documents to ensure accuracy and efficiency as well as compliance with Department of Health (DoH) coding regulations and guidelines. Show less

  • JDC Team Leader

    Mar 2023 - now

  • Lead Auditor

    Jan 2023 - now

  • Auditor

    Oct 2018 - Jan 2023