ADDISON MCNEAL
Gainesville,GA
Summary
Medical Billing and Coding Specialist with 3 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Specialty E&M Medical Coder
Piedmont Hospital
11.2022 - Current
- Ensured optimal reimbursement for outpatient accounts by accurately assigning CPT codes and modifiers, and applied LMRP/NCD/LCD guidelines to meet medical necessity requirements.
- Verified signatures and checked medical charts for accuracy and completion.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records..
- Experience in Critical care and Pulmonary
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Surgical Medical Coder
The Longstreet Clinic
07.2021 - 10.2022
- Ensured optimal reimbursement for outpatient accounts by accurately assigning CPT codes and modifiers, and applied LMRP/NCD/LCD guidelines to meet medical necessity requirements.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Experience in General Surgery, OB/GYN, Family medicine, Acute care
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Education
ASSOCIATE DEGREE - HEALTH INFORMATION MANAGEMENT TECHNOLOGY
LANIER TECHNICAL COLLEGE
05.2021
Skills
- Successful working relationships with assigned providers
- Medicare guidelines and billing requirements
- CPC (Certified Professional Coder)
- Knowledge in multiple specialties
- Trained in EPIC
- Highly skilled in Microsoft Word and Excel
- Medicare insurance regulations
- Statement analysis
- Data entry and management
- Code assignment research
Certification
Certified Professional Coder, AAPC
Timeline
Specialty E&M Medical Coder
Piedmont Hospital
11.2022 - Current
Surgical Medical Coder
The Longstreet Clinic
07.2021 - 10.2022
ASSOCIATE DEGREE - HEALTH INFORMATION MANAGEMENT TECHNOLOGY
LANIER TECHNICAL COLLEGE