Anne Whalley
Indianapolis,IN
Summary
Certified Medical Coder with 20+ years experience in hospital inpatient/outpatient surgery coding and pro-fee billing. Certified in ICD-9 and ICD-10. Familiar with commercial and private insurance carriers.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
Amergis (Maxim Healthcare Staffing)
01.2021 - Current
- Streamlined billing processes for improved efficiency by maintaining up-to-date knowledge of coding guidelines and procedures.
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
- Promoted a collaborative work environment through effective communication and teamwork among fellow Medical Coding Specialists.
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
Coding Specialist
Solutions Healthcare Management
01.2013 - 11.2020
- Working in Cerner PowerWorks software and AS-400
- Strictly following all federal and state guidelines for release of information
- Examining Cardiology diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered
- Optimized revenue cycle management by accurately assigning codes for diagnoses and procedures according to established guidelines.
Medical Billing Specialist
Dermatology Inc
09.2006 - 01.2013
- Consistently ensured proper coding, sequencing of diagnoses and procedures
- Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues.
Medical Billing Specialist
Westview Hospital Physicians
09.2004 - 09.2006
- Contacted Insurance companies to discuss payment issues via telephone, fax and e-mail
- Worked with patients to resolve issues with their accounts
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
Medical Billing Specialist
Zotec Solutions
09.2002 - 09.2004
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
- Resolved and clarified patient account issues
- Contacted Insurance companies to discuss payment issues via telephone, fax and e-mail
- Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
Education
Certificate of completion - Medical/Dental Office administration
Professional Career Institute
Indianapolis, IN05-2002
Bachelors of Musical Arts - Music Education
Bowling Green State University
Bowling Green08-1991
Skills
- Medical terminology understanding
- Computer proficiency
- Posting Payments
- Written and verbal communication
- ICD-10 proficiency
- Procedural coding accuracy
- HIPAA compliance
- Medical coding certification
- Professional ethics
- Outpatient coding experience
Certification
American Academy of Professional Coders (AAPC),COC, Certified Outpatient Coder, CPC, Certified Professional Coder, CPB, Certified Professional Biller, CPMA, Certified Professional Medical Auditor
Timeline
Medical Coding Specialist
Amergis (Maxim Healthcare Staffing)
01.2021 - Current
Coding Specialist
Solutions Healthcare Management
01.2013 - 11.2020
Medical Billing Specialist
Dermatology Inc
09.2006 - 01.2013
Medical Billing Specialist
Westview Hospital Physicians
09.2004 - 09.2006
Medical Billing Specialist
Zotec Solutions
09.2002 - 09.2004
American Academy of Professional Coders (AAPC),COC, Certified Outpatient Coder, CPC, Certified Professional Coder, CPB, Certified Professional Biller, CPMA, Certified Professional Medical Auditor
Certificate of completion - Medical/Dental Office administration
Professional Career Institute
Bachelors of Musical Arts - Music Education
Bowling Green State University
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