ANGELA MIELE, CPC
STATE_US
Summary
Certified Professional Coder with extensive experience in multi-specialty coding, including ENT, Urogynecology, and Emergency Medicine. Expertise includes medical coding, claims quality assurance, denial management, and root cause analysis, ensuring compliance with healthcare regulations while optimizing reimbursement processes. Proven ability to collaborate cross-functionally to support accurate coding practices and enhance operational efficiency. Proficient in ICD-10, CPT codes, HCPCS codes, and various coding software; recognized for reliability, precision, and a strong commitment to achieving results in dynamic environments.
Overview
17
17
years of professional experience
Work History
Medical Coding Specialist
Weill Cornell Medicine
02.2021 - Current
- Review ENT charge edits for E/M, surgery, speech therapy, and audiology services, 100 encounters per day.
- Conduct 100% charge review for Urogynecology (E/M, surgery, pelvic PT), 80 encounters per day.
- Perform 100% coding for Emergency Medicine professional services; 90 encounters per day.
- Query providers for documentation clarification and ensure coding compliance.
- Partner with revenue cycle analysts and department administrators to improve documentation and reimbursement.
- Support denial reviews, appeals, and internal coding audits.
Revenue Cycle Specialist, Revenue Integrity
Weill Cornell Medicine
06.2018 - 01.2021
- Conducted coding denial review for Gynecology, Dermatology, and Neurosurgery identifying root causes and determining appeal or corrected pathways.
- Utilized payer websites, Clearinghouses, and internal systems to interpret and apply payer-specific policies to denied claims.
- Submitted 25-35 appeals per week when clinical and policy support was present; corrected charges when appropriate to ensure clean resubmissions.
- Identified denial trends and collaborated with revenue cycle analysts to provide feedback on documentation gaps and evolving payer policies.
Billing and Coding Liaison
Medical Imaging of Manhattan, RadNet
03.2018 - 05.2018
- Assist patients with billing questions, act as liaison between clinical staff, company billing department, and front office.
- Daily review (30-35) of itemized statements given to private paying patients; check for accuracy, ensure required documentation (encounter forms and corresponding coding) was scanned into the EMR.
- Serve as a backup to front office staff when necessary; check-out patients, take payments, and schedule appointments.
Quality Assurance Supervisor
AFTRA Retirement Fund
04.2009 - 09.2017
- Led QA efforts for pre-payment audits of 1,300+ monthly claims ensuring accuracy and payment integrity.
- Leveraged audit findings to train examiners, address root causes, and implement process improvements across claims operations.
- Addressed provider / facility appeals regarding payment & denial within ERISA guideline; escalated medical necessity and complex/high dollar claim issues to Cost Containment and Physician Consultants.
- Collaborated with IT and business analysts to develop QA tools and support system enhancements through testing and feedback.
- Identified as key employee to support the run-off of claims operations for the AFTRA Health Plan.
Education
B.S. - Health Administration
Long Island University
Brookville, NYMedical Coding Certificate -
LaGuardia Community College
Long Island City, NYSkills
- Proficient in ICD-10 classification
- Patient confidentiality
- HIPAA compliance
- Denial analysis and mitigation
- Claims processing
- CPT coding proficiency
- Revenue cycle optimization
- Strong understanding of medical terminology
- Certified medical coder
- Appeals management
- Proficient in HCPCS Level II coding
- Coding error resolution
- Insurance coding (ICD-9 and CPT)
- Medical claims coding
Timeline
Medical Coding Specialist
Weill Cornell Medicine
02.2021 - Current
Revenue Cycle Specialist, Revenue Integrity
Weill Cornell Medicine
06.2018 - 01.2021
Billing and Coding Liaison
Medical Imaging of Manhattan, RadNet
03.2018 - 05.2018
Quality Assurance Supervisor
AFTRA Retirement Fund
04.2009 - 09.2017
B.S. - Health Administration
Long Island University
Medical Coding Certificate -
LaGuardia Community College