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RCM & Revenue Strategist

Muhammad Afaq Naeem

Senior Medical Coder, Biller, and AR Specialist with 5+ years of expertise in US Healthcare. Specialized in end-to-end Revenue Cycle Management (RCM), HIPAA compliance, and complex CMS-IDR case handling under the No Surprises Act.

0+

Years Exp

0%

HIPAA Compliant

NSA

IDR Expert

Services & Expertise

Full-Cycle Billing

Expert charge entry, eligibility verification, and claim scrubbing for Medicare, Medicaid, and Commercial payers.

Precision Coding

Advanced ICD-10, CPT, and HCPCS coding for ER, inpatient, and surgical encounters (Specializing in POS 21, 22, 23).

AR & Denial Mgmt

Aggressive follow-ups on 30/60/90+ aging reports and expert management of out-of-network CMS-IDR disputes.

Professional Journey

Senior AR Executive (Acting ATL)
F&A Global, Lahore
Jan 2025 - Present
  • Managing high-value AR accounts to resolve underpaid claims effectively.
  • Performing insurance follow-ups via calls and payer portals for complex denials.
  • Filing CMS-IDR appeals under the No Surprises Act (NSA) for out-of-network disputes.
  • Analyzing aging reports to prioritize high-value recoveries.
Senior Medical Coder
F&A Global, Lahore
Dec 2023 - Jan 2025
  • Applied critical CPT modifiers (25, 59, 26, 90, 91) to maximize provider reimbursement.
  • Specialized in ER procedures (99281-99285) and complex surgical coding (e.g., Cholecystectomy).
  • Handled Radiology (71045, 74177) and Lab (85025, 80053) coding with 100% accuracy.
  • Mentored junior coders and reviewed peer clinical documentation.
Senior Billing Executive
Physicians Revenue Group (PRG)
Jan 2021 - Nov 2023
  • Managed full-cycle medical billing and eligibility verification for professional POS 11.
  • Ensured accurate EOB/ERA posting and reconciled patient accounts.
  • Reduced front-end claim rejections through aggressive claim scrubbing.

Clinical Specialties

Emergency Room (ER) Inpatient Hospital Billing Surgical & Procedure-Based Billing Outpatient & Physician Practices Orthopedics Radiology Gastroenterology (Colonoscopy) Ophthalmology

Software Stack

eClinicalWorks
AdvancedMD
CollaborateMD
Medix / ROVER
Payer Portals

Education & Certs

BBA - Virtual University (In Progress) CPC - AAPC (In Progress) HIPAA Certified (2023)

Let's Optimize Your Revenue

Open for RCM leadership roles, consultancy, and global collaborations.