About
Healthcare-focused Data Analyst with hands-on experience in medical claims processing and adjudication, leveraging strong knowledge of ICD-10, CPT, HCPCS, and Revenue Cycle Management (RCM). Skilled in Root Cause Analysis (RCA), denial management, and payment integrity analysis to identify financial variances and process gaps. Proficient in Advanced Excel (Power Query, Pivot Tables, XLOOKUP) and Power BI (DAX, KPI dashboards) for data modelling, reporting, and performance tracking. Seeking to advance into a Healthcare Data Analyst role where I can apply analytics, business analysis, and domain expertise to drive operational efficiency, improve claim accuracy, and support data-driven decision-making.
Skills & Expertise (15)
Work Experience
Claims Specialist
Wellcove-CHCS
May 2024 - Apr 2026
Processed adjudicated high-volume medical claims using ICD-10, CPT, and HCPCS coding standards in compliance with HIPAA and CMS guidelines. Analyzed claim denials, underpayments, and overpayments to identify financial variances and improve payment accuracy. Utilized Advanced Excel (Pivot Tables, XLOOKUP, Power Query) for data reconciliation, trend analysis, and performance tracking. Developed Power BI dashboards (DAX, KPI reporting) to monitor claim turnaround time (TAT), denial rates, and quality metrics. Conducted Root Cause Analysis (RCA) to reduce recurring claim errors and enhance first-pass resolution rate.
Education
Medical Coding - AAPC
2023 - 2024 · Afghanistan
Bachelor of Pharmacy - SPPU
2018 - 2022 · Afghanistan
HSC - SPPU
- 2018 · Afghanistan
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Open to Relocation