Ashley Elliott

• Pro Fee Coder for Outpatient Primary Coding(ICD-10,CPT,HCPC II)
• Experienced in E/M coding
• Helped with job shadowing for new incoming coders on best practices for PCAC
• Works on spreadsheet for supervisor with pended accounts for missing documentation
• Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
• Utilized electronic health record systems to extract relevant clinical data for accurate coding.
• Provide documentation feedback to physicians
• Query physicians in regard to diagnosis leveling clarification on certain diagnosis and failed medical necessity
• Maintained updated knowledge of coding requirements, through continuing education and certification renewal.

• Processed medical claims accurately, ensuring compliance with insurance guidelines and regulations for Medicare, Medicare Advantage and MaineCare
• Worked secondary claims along with any late charge claims for denials
• Bundled 1500's and UB accounts for all payers
• Maintained up-to-date knowledge of coding standards, enhancing accuracy in billing submissions.
• Posted and adjusted payments from insurance companies.
• Communicated effectively and extensively with other departments to resolve claims issues.

Receives insurance authorization for all CT, MRI and surgeries for the office

• Worked all insurance denials ensuring procedures and orders had Prior Authorization under the patients insurance guidelines
• Coordinated patient referrals to ensure timely access to specialized care.
• Collaborated with healthcare providers to resolve referral-related issues efficiently.
• Batch entry for the office with entering the correct evaluation and management charge
• Scheduled patients for appointment and consultations
• Coordinated patient referrals to ensure timely access to specialized care.