Ashli White
Pontotoc ,MS
Summary
Competent Medical Coder with 13 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Optum Via Judge Group
10.2022 - Current
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Identified opportunities for process improvement, leading to more efficient workflow within coding department.
- Mitigated potential financial loss due to improper code assignments by staying informed on payer-specific requirements and trends in risk adjustment methodology.
- Supported quality initiatives by conducting regular audits, identifying areas of improvement, and providing targeted training.
- Strengthened interdepartmental relationships by participating in meetings, sharing insights from coding audits, and offering solutions for improved documentation practices.
- Streamlined workflow efficiency by collaborating with interdisciplinary teams, addressing documentation gaps and inaccuracies.
- Ensured compliance with CMS regulations and guidelines by staying up to date on industry standards and best practices.
- Upheld high standards of ethical practice when dealing with sensitive patient information or navigating complex billing issues.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Contributed to ongoing process improvements within the department by identifying inefficiencies or inconsistencies in current workflows and suggesting practical solutions.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Enhanced data accuracy by meticulously reviewing and validating medical records for risk adjustment coding.
- Achieved high levels of coder productivity by consistently meeting or exceeding established benchmarks for daily coding volume and accuracy rates.
- Established my reputation for excellence within organization through consistent delivery of accurate code assignments that adhered to established timelines and quality standards.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Cover Coordinator
Southern Motion
04.2022 - 10.2022
- Collected and analyzed business data from various departments to prepare reports and presentations for management
- Handled incoming and outgoing shipping and receiving activities
- Tracked records, filed documents and maintained communication between clients to manage office activities
- Maintained 95% accuracy while updating databases with product data and verifying quantity changes
- Received and responded to customer requests via letters, emails, telephone calls and in-person interactions
- Gathered and organized materials to support operations
- Inventoried and ordered office supplies to maintain availability of products.
Lead- Packing
Ashley Furniture Warehouse
08.2020 - 03.2022
- Reviewed outbound merchandise for errors or complications to protect employer reputation and boost customer satisfaction ratings
- Operated forklift and hand truck to transport shipments from shipping and receiving platform to storage and work areas
- Determined and resolved Bedding equipment problems through troubleshooting
- Updated Bedding procedures and measuring guidelines to reduce product and packaging waste
- Quickly and properly wrapped and boxed Mattress items, maintaining uniformity to meet fulfillment targets
- Maintained safety and efficiency while loading over 180 pounds of different size mattress products into packaging equipment
- Carried out day-to-day duties accurately and efficiently.
Billing Specialist
Family Care Medical Clinic
08.2019 - 06.2020
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Prepared billing statements for patients and verified correct diagnostic coding
- Reviewed patient records, identified medical codes and created invoices for billing purposes
- Communicated with insurance providers to resolve denied claims and resubmitted
- Precisely evaluated and verified benefits and eligibility
- Posted and adjusted payments from insurance companies
- Prepared billing correspondence and maintained database to organize billing information
- Communicated effectively and extensively with other departments to resolve claims issues
- Determined prior authorizations for medication and outpatient procedures
- Located errors and promptly refiled rejected claims
- Identified and resolved patient billing and payment issues
- Precisely completed appropriate claims paperwork, documentation and system entry.
Medical Coding and Billing Specialist
Digestive Health Specialist
08.2018 - 08.2019
- Reviewed clinic records and interpreted documentation of 150 patients daily to identify diagnoses and procedures
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others
- Applied charges and updated patient records by using Epic and Centricity
- Used Epic to assign procedure and diagnostic codes to patient records for billing purposes.
Medical Coding and Billing Specialist
Pulmonary Consultants
07.2015 - 07.2018
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records
- Coded inpatient charts at rate of 15-30 per day
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services
- Correctly coded and billed medical claims for various hospital and nursing facilities
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others
- Applied charges and updated patient records by using Centricity, PFM and Athena
- Used Athena and PFM to assign procedure and diagnostic codes to patient records for billing purposes
- Interacted with physicians and other healthcare staff to ask questions regarding patient services
- Resourcefully used various coding books, procedure manuals and on-line encoders.
Medical Receptionist and Coding
Jones Family Medical Clinic
07.2007 - 07.2015
- Coordinated patient scheduling of 50 patient daily, check-in, check-out and payments for billing
- Checked patient insurance, demographic and health history to keep information current
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
- Helped patients complete necessary medical forms and documentation
- Managed multi-line phone system and pleasantly greeted patients
- Transcribed phone messages and relayed to appropriate personnel
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass
- Completed patient referrals to other medical specialists
- Enhanced office productivity by handling high volume of callers per day
- Responded to correspondence from insurance companies to verify patient's coverage
- Adhered to strict HIPAA guidelines to protect patient privacy
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided
- Used NueMed Software to assign procedure and diagnostic codes to patient records for billing purposes.
Education
Associate of Applied Science - Health Information Technology
Itawamba Community College
Fulton, MS05.2007
High School Diploma -
Saltillo High School
Saltillo, MS05.2000
Skills
- Certified Medical Coder
- ICD-10 (International Classification of Disease Systems), Diagnostic Codes, CPT Code Modifiers
- Hospital Inpatient and Outpatient Records
- Pathology Reports
- Protected Health Information, Patient Rights
- Medical Records and Documentation
- Filing Appeals
- Coding Error Resolution
- 3M Encoder
- Medical Billing Processing
- Sequence Selection
- Insurance Billing
- Microsoft Office programs
- Charge Entry Competence
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA compliance awareness
- Claims Processing Efficiency
- CMS-1500 Form Completion
- Diagnostic Coding Accuracy
- Medical Terminology Familiarity
- Payment Posting Abilities
- Inpatient coding experience
- Documentation Review Expertise
- Medical Coding Expertise
- CPC registration
- E and M Coding Proficiency
- Modifiers Application Expertise
- Insurance coding (ICD-9 and CPT)
- Insurance Verification
- Inpatient records coding
- Medical Billing
- Attention to Detail
- Billing Procedures
- Records Scanning
- Patient Health Information Access
- Protected Health Information
- Epic Systems
Certification
CPC - Certified Professional Coder
Affiliations
- AAPC- American Academy of Professional Coders
- SHIMA- Student Health Information Management Association
- HOSA- Health Occupations Student of America
- AHIMA- American Health Information Management Association
- MSHIMA- Mississippi Health Information Management Association
- Who's Who Among America's High School Students
State
MS
City
Pontotoc
Zip
38863
References
- Nena Scott, MSEd, RHIA, CCS, CCS-P, Director, Coding Quality and Professional Development, Tupelo, MS, 38802, 662-210-2805
- Leigh Ann Straily, CPC, Digestive Health Specialist, 589 Garfield Street, Suite 201, Tupelo, MS, 38801, 662-231-7264
- Phil Jones, MD, Jones Family Medical Clinic, 1200 North Gloster Street, Tupelo, MS, 38804, 662-840-0990
- Ashlee Tackett, LPN, Jones Family Medical Clinic, 1200 North Gloster Street, Tupelo, MS, 38804, 662-419-1767
- Nicole Anderson, Ashley Furniture Industries, 206 Huey Drive, Pontotoc, MS, 38863, (662) 760-2902
Timeline
Certified Professional Coder
Optum Via Judge Group
10.2022 - Current
Cover Coordinator
Southern Motion
04.2022 - 10.2022
Lead- Packing
Ashley Furniture Warehouse
08.2020 - 03.2022
Billing Specialist
Family Care Medical Clinic
08.2019 - 06.2020
Medical Coding and Billing Specialist
Digestive Health Specialist
08.2018 - 08.2019
Medical Coding and Billing Specialist
Pulmonary Consultants
07.2015 - 07.2018
Medical Receptionist and Coding
Jones Family Medical Clinic
07.2007 - 07.2015
Associate of Applied Science - Health Information Technology
Itawamba Community College
High School Diploma -
Saltillo High School
CPC - Certified Professional Coder
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