Audra Brown
North Palm Beach,FL
Summary
Accurate professional performs all aspects of medical billing, including coding, charge entry, transmission, correction, and resubmission. Brings several years of experience in working hand-in-hand with front office to validate proper information for claims processing. Working directly with doctors to get their charges, resolving billing issues, and reviewing claim denials. Known for stringent quality checks and prompt resolution of discrepancies, contributing to overall efficiency and productivity in healthcare administration tasks.
Overview
31
31
years of professional experience
Work History
Medical Coding and Billing Specialist
Urology Group Of Florida
Lake Worth, FL
10.2006 - Current
- Reviewed medical records for accurate coding and billing procedures.
- Processed insurance claims using advanced coding software and systems.
- Collaborated with healthcare providers to resolve billing discrepancies effectively.
- Assisted patients with billing inquiries and payment options professionally.
- Analyzed coding data to identify trends and improve operational processes.
- Researched denied claims to determine the cause of denial and corrected errors as needed.
- Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
- Submitted claims electronically to insurance companies in accordance with regulations.
- Conducted audits of medical records to identify missing or incorrect documentation that could affect accurate coding and billing.
- Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
- Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
- Maintained detailed accounts receivable aging reports on a daily basis to ensure timely payments from patients and insurance companies.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Have access to local hosptial computer systems for medical records, authorizations and HPI.
Medical Billing/Coding
Palm Beach Surigical Associates
Lake Worth, FL
09.1994 - 09.2006
- Posted all office charges.
- Posted all surgical cases.
- Posted all payments from patients and insurance companies.
- Coded general and vascular surgery cases from operative reports.
- Worked on patient accounts and the accounts receivable.
Education
Some College (No Degree) - Court Reporting/Medical Transcription
The Career Center
West Palm Beach, FLSkills
- ICD-10 coding
- CPT coding
- insurance claims processing
- medical record auditing
- claims denials analysis
- Payment posting
- medical transcription
- policies and procedures
- attention to detail
Upcoming Courses
- Getting my CUC (Certified Urology Coding Certificate)
- Getting my CPC
Timeline
Medical Coding and Billing Specialist
Urology Group Of Florida
10.2006 - Current
Medical Billing/Coding
Palm Beach Surigical Associates
09.1994 - 09.2006
Some College (No Degree) - Court Reporting/Medical Transcription
The Career Center
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