Amanda S. Ledbetter
Shelby,North Carolina
Summary
Dedicated and hardworking Registered Nurse who applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Works well with diverse patient populations and fosters trusting relationships to improve outcomes. Efficiently coordinate with healthcare professionals to advance patient care.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Registered Nurse
Atrium Health Pain Management (Full-time)
2018.01 - Current
- Provided direct patient care.
- Administered medications via oral, IV, and intramuscular injections and monitored responses.
- Organized and managed care of patients undergoing various therapies and procedures.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
- Evaluated patient histories, complaints, and current symptoms.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Audited charts and reviewed clinical documents to verify accuracy.
- Educated family members and caregivers on patient care instructions.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
Registered Nurse/Senior Medical Coding Specialist
Carolina Family Care (Part-time)
2005.04 - Current
- Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
- Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
- Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
- Educated family members and caregivers on patient care instructions of chronic diseases (DM, HTN, etc).
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Performed triage on incoming patients, evaluated patient histories, complaints, and current symptoms.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Correctly coded and billed medical claims for outpatient physician office.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Verified signatures and checked medical charts for accuracy and completion.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Maintained accuracy, completeness, and security for medical records and health information.
- Followed up with medical staff regarding missing information in patient records.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Verified insurance of patients to determine eligibility.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on regular basis.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in medical records.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Medical Administrative Assistant
Boiling Springs Medical Associates (Full-time)
2001.12 - 2005.04
- Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.
- Supported office staff and operational requirements with administrative tasks.
- Conducted insurance verification and preauthorizations and managed patient charts.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Collaborated with healthcare professionals to maintain high-quality care across departments.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Registered patients and completed associated paperwork for accurate records.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Reconciled daily payments received and prepared deposits for smooth office finances.
- Prepared and processed patient referrals and transfer requests.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Greeted patients and provided required paperwork to facilitate services.
- Captured and entered professional charges.
- Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
- Checked documentation for accuracy and validity on updated systems.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Certified Nursing Assistant
Carolina Care (Full-time)
1999.05 - 2005.04
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
- Utilized therapeutic communication, empathy and active listening skills to encourage and develop positive relationships with patients.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Changed linens in rooms, keeping spaces fresh and clean for patient health and satisfaction.
- Documented patient information and care activities in health record.
- Upheld infection control and prevention policies across different patient-facing areas.
- Transported patients between rooms and appointments or testing locations.
Education
No Degree - Nursing
University of North Carolina At Wilmington
05.2025
Associate Degree in Nursing - Nursing
Cleveland Community College
05.2021
High School Diploma -
Burns High School
05.1999
Skills
- Certified Professional Coder
- Certified Professional Medical Auditor
- Direct Patient Care
- Strong Clinical Judgment
- Care Plan Development
- MISYS EMR, QuickBooks, Practice Fusion, EPIC, Canopy, ECW, all Current Microsoft Office Systems
- Medical Claims Coding
- Insurance Claims Analysis
- Coding Error Resolution
- Medical Billing Processing
- Attention to Detail
- HIPAA Compliance
Certification
BLS/ACLS
CPC
CPMA
RN-North Carolina License
Timeline
Registered Nurse
Atrium Health Pain Management (Full-time)
2018.01 - Current
Registered Nurse/Senior Medical Coding Specialist
Carolina Family Care (Part-time)
2005.04 - Current
Medical Administrative Assistant
Boiling Springs Medical Associates (Full-time)
2001.12 - 2005.04
Certified Nursing Assistant
Carolina Care (Full-time)
1999.05 - 2005.04
No Degree - Nursing
University of North Carolina At Wilmington
Associate Degree in Nursing - Nursing
Cleveland Community College
High School Diploma -
Burns High School
BLS/ACLS
CPC
CPMA
RN-North Carolina License
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