Zia Soroush

Innovative, hardworking, and dynamic professionals seeking a position offering opportunities for new professional and personal challenges in a company that brings their best every day. Adept at building strong relationships with customers, clients, and colleagues. Dedicated, results-oriented team player with a can-do attitude driven to learn and improve upon current processes.

• AHIMA, Membership
• CAHIIM, Membership
• DA, CPR, OSHA and Dental X-RAY CERTIFICATION

• Coding and Billing
• Navigate various classification systems including ACB and DEF.
• Apply classification system, methodologies and approaches to validate the use and reliable data stratification.
• Identify and report required changes to the revenue cycle based on payor requirement.
• Apply diagnostic and procedural coding knowledge to support reimbursement methodologies and payment systems.
• Medical Records and Data Management
• Retrieve clinical (diagnosis codes) and statical data.
• Process release of information according to standards policies and HIPAA requirements.
• Work with data dictionaries, templates, flow sheets, and forms align with requirements and parameters.
• Use software packages, that allow for the analysis and presentation of the data, including SPSS and Tableau.
• Healthcare Fraud and abuse
• Identify potential and actual privacy and security risks and steps to mitigate vulnerabilities and the risk of unauthorized access.
• Analyze data and reports to identify trends and patterns of fraud or abuse.
• Monitor clinical documentation integrity metrics and compare results to identify data trends.