Adreda Hill, CPC
Chattanooga,TN
Summary
Certified Medical Coder with comprehensive knowledge in health information management and medical billing processes. Solid understanding of medical terminology, coding, ICD-10-CM, and CPT principles. Known for accuracy in data entry and ability to handle confidential patient information responsibly. Demonstrated success in streamlining operations for increased efficiency within previous healthcare settings. Detailed oriented, self-starter, possessing excellent collections, reimbursement, and managerial skills specializing in the medical industry
Overview
19
19
years of professional experience
Work History
Medical Coder/Outpatient
ReveNew Cycle Management
Chicago, IL
07.2019 - Current
- Interpreted information from electronic health records to determine appropriate coding for specialized treatments.
- Ensure correct E/M level assignment by adhering to AMA standards.
- Classified medical conditions using the most accurate ICD-10-CM codes.
- Applied diagnosis and procedure codes with accuracy using ICD-10-CM, CPT®, and HCPCS.
- Applied coding standards to guarantee correct code classification.
- Collaborated with physician offices to secure clarification of diagnoses, CPT codes, HCPCS.
- Resolved inconsistencies in medical records by engaging with healthcare providers to refine documentation.
- Reviewed EPIC coder claim edits.
- Resolved payer denials and communicated effectively with revenue cycle teams.
Executive Assistant
Dr. Saundra Williams
Chattanooga, TN
04.2012 - 07.2019
- Scheduled patient appointments, managed billing processes, and controlled accounts receivables consistently.
- Engaged in clinical processes across multiple healthcare environments.
- Input statement information, reconciled accounts and resolved discrepancies.
- Coordinated communications between patients, billing personnel and insurance carriers.
BILLING/CODING COORDINATOR
JACKSON PARK HOSPITAL
Chicago, IL
03.2010 - 04.2012
- Facilitated accurate reimbursement processes for diverse insurance types such as Medicare, Medicaid, HMOs, and supplemental policies.
- Applied expertise in processing clinic visits, outpatient surgeries, and inpatient/outpatient hospital services through standardized coding systems.
- Evaluated denial cases and modified billing codes for accurate compensation.
- Reviewed EOBs to ensure accurate payments and adherence to contractual terms.
- Conducted thorough evaluation of recurring issues in billing reports.
Trauma/General Surgery Outpatient Coder
Wish Center
Downers Grove, IL
10.2006 - 01.2010
- Assigned appropriate ICD-10 codes based on diagnosis, procedures, services rendered and other information in the patient record.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Conducted periodic audits of medical records and coded data to ensure accuracy of diagnoses and procedure codes assigned.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Identified appropriate modifiers to be applied to claims for optimal reimbursement.
- Performed chart reviews as necessary to verify accurate coding assignments.
Education
Bachelor of Science - Business
University of Phoenix
Tempe, AZ04-2023
AAPC Certification - Physician Coding
CPC SOLUTIONS
Illinois05.2006
Certified Medical Biller and Coder - CPT, ICD, Medical Terminology
ATTC Business School
06.1998
Skills
- ICD-10-CM coding
- ICD-10-PCS
- HCPCS coding
- Revenue cycle management
- Diagnostic coding
- Records management
- Computer Proficiency: Microsoft Office
- Communication
Healthcare Forms
- CMS-1500
- UB-04
Billing Software Systems
- Medical Manager
- Medisoft
- IDX
- DOCS
- HBOC/STAR
- Florida Share Systems
- MD Serve
- Paragon
- Nebo
- Medi
- 3M Coding
- Encoder
- WebMB
- ECARE
References
References available upon request.
Timeline
Medical Coder/Outpatient
ReveNew Cycle Management
07.2019 - Current
Executive Assistant
Dr. Saundra Williams
04.2012 - 07.2019
BILLING/CODING COORDINATOR
JACKSON PARK HOSPITAL
03.2010 - 04.2012
Trauma/General Surgery Outpatient Coder
Wish Center
10.2006 - 01.2010
Bachelor of Science - Business
University of Phoenix
AAPC Certification - Physician Coding
CPC SOLUTIONS
Certified Medical Biller and Coder - CPT, ICD, Medical Terminology
ATTC Business School
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