Angel Smith
Dallas,GA
Summary
Hardworking professional 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.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Coding Specialist
Marietta Eye Clinic
01.2021 - Current
- Worked effectively in fast-paced environments. Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Reviewed multiple claim from our 20+ locations including out ASC.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes. Generated daily reports to identify coding trends and discrepancies and Preliminary visits that need to be finalized by the Doctors.
- Monitored changes in coding regulations to provide recommendations for compliance. Resourcefully used various coding books, procedure manuals, and on-line encoders daily.
- Trained with coders to support growth and development and apply high-quality coding practices.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Followed up with medical staff regarding missing information in patient records.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewals
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Transcribed and entered patient medical information into electronic medical records systems.
- Sorted and distributed incoming and outgoing mail.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Passionate about learning and committed to continual improvement.
Patient Care Specialist
Atlanta Center for Reproductive Medicine
05.2019 - 11.2020
- Worked in a high level doctors office
- Checking in and checking out patients collecting payments, posting payments
- Charge posting scanning in paperwork
- Billing to insurance when appropriate
- Called Insurance companies to verify benefits for certain procedures
- Audited posting charges for the past months
- Researching patient accounts for balances.
Patient Support Representative
Reproductive Biology Associates
09.2017 - 05.2019
- Check out patients 50 to 100, go over patient insurance, make sure insurance is verified before the visit or when patient checks in.
- Prepare Bloodwork and Ultrasound Reports for missing charges for each Month
- Apply missing charges to patient accounts
- Performs research in patient refunds
- Performs Morning duties of checking daily schedules.
- Collecting Deposits from patients
- Established support or assistance in certain areas for our Business office
- Distributing office supplies to designated areas
Office Support Specialist
Woodhams Eye Clinic
01.2015 - 09.2017
- Provides administrative support or assistance in certain defined areas to supervisors or other personnel in the office
- Processes standard and electronic mail
- Prepares and composes correspondence, reports, and documents
- Creates and maintains standard and electronic files and records
- Performs research and data gathering activities and may prepare reports or summaries of information, Gathering Claims information on A/R report
- Operates office equipment such as printers, copy machines, fax machine, mail meter
- May serve as receiver of mail/correspondence for the practice; opens or reviews correspondence and determines proper disposition
- Answered incoming calls, greeting callers, providing information, transferring calls and/or taking messages as necessary
- Making Appointments and reverifying insurance and deposits for Surgery
- Checking in surgery patients and checking out office patients
- Verify Insurance for patients, Confirming Appointments
- Medical Records filing charts, pulling charts for the next day scanning patient demographics into EMR, EHR.
Assistant Manager
Moe's Southwest Grill
04.2012 - 01.2015
- Assists with the day to day running of the restaurant
- Deputizing in the absence of the General Restaurant Manager
- Advising senior managers on staffing needs and personnel issues
- Cultivate a positive working environment for all staff
- Keep accurate statistical information and records
- Organize work schedules and shifts, also appointing contract staff when needed
- Ensure that all equipment is used correctly, maintained, and cleaned properly
- Key Accomplishment: Helped to exceed store sales goals throughout employment to become one of the top selling restaurants in the company, leading to a promotion from Cashier to Assistant Manager.
Education
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
Tampa, FL10.2019
Certifications And Licenses -
AAPC Exam
Marietta, GA01.2021
Skills
- Microsoft Office Suite Applications (Word, Excel, PowerPoint, Outlook, Access, QuickBooks, 10keys
- EHR and EMR, Nextgen ModMED and Avility, Trizetto Clearinghouse
- 65/70WPM
- ICD -9/10-CM, HCPCS and CPT Able to follow current guidelines for CMS Coding Appeals and Insurance denials Procedural Coding for Cataract, yags, retina surgeries and other in office procedures
- Administrative Skills: Health insurance Claims processing, Medical office procedures including scheduling appointments, Verifying insurance, collecting co-payments, payment posting, computerized billing and coding Authorization for in office and outpatient procedures
Additional Information
- Authorized to work in the US for any employer
Certification
- CPC - Certified Professional Coder
- COPC - Certified Opthalmology Professional Coder
Timeline
Coding Specialist
Marietta Eye Clinic
01.2021 - Current
Patient Care Specialist
Atlanta Center for Reproductive Medicine
05.2019 - 11.2020
Patient Support Representative
Reproductive Biology Associates
09.2017 - 05.2019
Office Support Specialist
Woodhams Eye Clinic
01.2015 - 09.2017
Assistant Manager
Moe's Southwest Grill
04.2012 - 01.2015
Associate of Science - Medical Billing and Coding
Ultimate Medical Academy
Certifications And Licenses -
AAPC Exam
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