Gul Mairaj

Medical scribe

Fiverr

Jul 2025 - Present • 10 mos

Supported providers during patient visits by entering orders, updating records and tracking follow-up requirements. Prepared and organized patient charts prior to visits, ensuring all relevant medical history, lab results and imaging were readily available. Transcribed physician dictations into clear, concise and compliant medical records. Maintained strict confidentiality of patient information in accordance with HIPAA regulations. Communicated effectively with healthcare providers and staff to ensure accurate and timely documentation. Reviewed and edited clinical documentation for completeness, accuracy and compliance. Assisted with coding support by identifying relevant diagnoses and procedures for billing purposes.

Certified Medical coder

Upwork • Período integral

Feb 2022 - Present • 4 yrs 3 mos

Assigned accurate ICD-10-CM, CPT and HCPCS codes for patient encounters across internal medicine,podiatry, psychotherapy and cardiopulmonary rehabilitation. Reviewed clinical documentation to ensure proper code selection, billing accuracy and compliance with coding guidelines. Coded evaluation and management (E/M) services for internal medicine visits, including chronic care management and follow-ups. Applied appropriate procedure and diagnosis codes for podiatry services, including wound care, debridement and foot/ankle treatments. Coded psychotherapy sessions, including mental health evaluations and therapy services ensuring compliance with documentation standards. Assigned codes for cardiopulmonary rehabilitation services, including therapy sessions, progress monitoring and treatment plans. Audited medical records to identify coding discrepancies and supported providers in improving documentation accuracy.