Experience

artwing.

• United Arab Emirates
• Advertising Services
• 1 - 100 Employee

• Search Engine Optimization Manager

  • Sep 2023 - Present

  Karāchi, Sindh, Pakistan



Jackson Health System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Senior Auditor -- Internal Audit

  • 2017 - Present

  Los Angeles County, California, United States Lead and perform operational, risk and control based reviews and assessments of various cross functional units for the nation’s third largest teaching hospital with net revenue of $1.3B; Assist in the development annual risk-based audit work plans that address the impact of risks on strategic initiatives of the organization; Assist in drafting and reviewing Internal Audit departmental policies and procedures; Document risks, system processes, and subsequently design and… Show more Lead and perform operational, risk and control based reviews and assessments of various cross functional units for the nation’s third largest teaching hospital with net revenue of $1.3B; Assist in the development annual risk-based audit work plans that address the impact of risks on strategic initiatives of the organization; Assist in drafting and reviewing Internal Audit departmental policies and procedures; Document risks, system processes, and subsequently design and perform audit tests to ensure efficiency and effectiveness of controls; Conduct operational and compliance audits to evaluate the effectiveness of internal controls and continuity within clinical and non-clinical processes; Identify and assist in the development of enhancement over key financial and operational areas for KPI’s and PIO’s; Continual documentation and preparation of process flows, and audit testing work-papers; Effective communications with stakeholders regarding audit results and recommendations; Provide objective advisory service to management for system implementations and process improvements from a control expert perspective as part of the Process Life Cycle (“PLC”) design; Collaborate with external auditors (KPMG) to perform interim and year-end financial and single audit testing. Show less



Jackson Health System

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Compliance auditor/trainer

  • 2013 - 2016

  Miami/Fort Lauderdale area Perform audits of clinical and finance departments by reviewing patient billing documentation in order to determine appropriateness of charges and reimbursement. Ensures adherence with all laws, guidelines and regulations that directly or indirectly relate to billing procedures. Worked closely with risk management department and senior physician leadership to investigate complaints related to employees and or clients’ misconducts that can impact service delivery and potentially increase… Show more Perform audits of clinical and finance departments by reviewing patient billing documentation in order to determine appropriateness of charges and reimbursement. Ensures adherence with all laws, guidelines and regulations that directly or indirectly relate to billing procedures. Worked closely with risk management department and senior physician leadership to investigate complaints related to employees and or clients’ misconducts that can impact service delivery and potentially increase organizational liability. Analyzed and interpret billing financial data, verify validity, occurrence, and existence, to determine accuracy and consistency. Prepared Compliance audit reports; communicate findings and corrective action plans to management. Created and implemented checklists and template request lists, emails, and tracker documents to help standardize the Compliance audit function. Trained current staff and all incoming employees in general and specific compliance education Assisted the departments in the development of policies and procedures. Conducted meetings to discuss and/or resolve issues relevant to coding, chart documentation and reimbursement guidelines. Interpreted and set guidelines from HIM-10 Manuals, Memoranda Bulletins, and ICD-9 and 10. Developed a systematic methodology for reporting and ensuring charge-back to departments for inappropriate charges, lack of medical documentation and non-adherence to the correct coding guidelines. Reviewed professional journals and provide summary data for distribution and implementation. Keep appraised of reimbursement related procedural changes and inform appropriate staff of new procedures. Show less



Parkway Regional Medical Center

• Quality Assurance Analyst

  • 2009 - 2012

  North Miami Beach Quality Assurance Analyst Promoted to manage data intake and reports created in the Quality Assurance System. Maintained productivity standard for the department. Assured accuracy and implemented consistency in assign work description. Investigated and resolved denial management reports in accordance with the hospital policies. Analyzed and assured funding including (State and Federal funding). Verified patients records including reviewed, audited and corrected accounts… Show more Quality Assurance Analyst Promoted to manage data intake and reports created in the Quality Assurance System. Maintained productivity standard for the department. Assured accuracy and implemented consistency in assign work description. Investigated and resolved denial management reports in accordance with the hospital policies. Analyzed and assured funding including (State and Federal funding). Verified patients records including reviewed, audited and corrected accounts errors Registration Representative Obtained demographic, financial information and created electronic records. I verified insurance including (State and Federal) for outpatient and inpatient admissions; verified prescriptions and referrals with the physician. I tactfully handled staff and customer complaints in registration. Reviewed account information and analyzed pertinent documentation for proper payment reimbursement Child Care Worker I incorporated a variety of activities including social and physical development for a classroom of 12 children ages 4-5. I supported teaching team in promoting and fostering high self esteem as well provided instructions on art work, play, hygiene, and communication techniques. I maintained a positive, motivated learning environment with loving home like nurturing. Show less