Cooking, Gardening, Exercising, Reading
Billing & Coding Manager, RCM (Accounts Receivable)
Bariatric Surgery Center
01.2015 - Current
- Facilitated communication between coders, billers, clinicians, and administrative staff for seamless information exchange across departments.
- Ensured compliance with relevant regulations by staying current on updates related to ICD-10-CM/PCS guidelines, CPT codes, HCPCS Level II codes, modifiers usage rules.
- Implemented ongoing training initiatives to keep staff up-to-date on industry trends and best practices in medical coding.
- Led regular code review sessions to maintain high-quality output and identify areas for further development.
- Resolved complex billing issues by conducting root cause analysis and working closely with stakeholders involved.
- Improved coding efficiency by implementing new software tools and providing training for team members.
- Developed comprehensive documentation to ensure consistency in coding practices across the team.
- Performed coding quality reviews and tracked, trended and managed coding quality performance.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.