Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Barbara Gatian

Akron,OH

Summary

CPC Certified coder. Knowledgeable administrative professional with expertise in medical records management, coding and data entry. Proven ability to review and document clinical data, ensuring accuracy and compliance. Well-versed in ICD-10, CPT and HCPCS coding systems. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Trauma Registrar position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Trauma Registrar

Summa Healthcare
11.2023 - Current
  • Performs all coding,data collection, abstraction,and entry of all trauma patients into the Trauma Registry.Assigns ICD-10,ISS,AIS,eE-Codes and Trauma scores.
  • Collects,abstracts, and accurately enters trauma patients information in the trauma registry in a timely manner. Completes final entry of patient data no longer than 60 days post discharge
  • Assist in the preparation for the America College of Surgeons Level 1 trauma center verification.
  • Provided crucial support to hospital leadership in the development of a comprehensive, evidence-based approach to trauma care that reduced patient mortality rates and improved overall outcomes.
  • Participated in ongoing professional development opportunities related to trauma registries, ensuring up-to-date knowledge on industry standards and best practices.

Coordinator /Senior Medical Coder Bariatric Dept

Summa Health
07.2021 - 11.2023
  • Code and entered data, generated reports, and produced tracking documents.
  • Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
  • Coached employees through day-to-day work and complex problems.
  • Enhanced customer satisfaction by responding promptly to inquiries and addressing concerns professionally.
  • Tracked records, filed documents and maintained communication between clients to manage office activities.
  • Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
  • Enhanced operational workflows by maintaining well-organized documentation systems and updating records accurately as needed.
  • Gathered and organized materials to support operations.

Senior Claim Recovery Specialist

Summa Health
10.2021 - 01.2022
  • Insure correct coding guidelines prior to recovery
  • Improved client satisfaction through timely communication and resolution of account discrepancies.
  • Supported clients with compassionate, empathetic face-to-face counseling.
  • Negotiated payment arrangements with customers, resulting in increased revenue and reduced delinquencies.
  • Supported management in identifying opportunities for process improvement within the department''s operations.
  • Maintained coding detailed documentation on all case activities, ensuring compliance with industry regulations and company policies.

Coding /Medical Billing Analyst

Summa Health
12.2018 - 07.2021
  • Provided excellent customer service to both internal and external stakeholders, fostering strong relationships that supported smooth billing operations.
  • Conducted regular coding audits of billed services to identify discrepancies, rectify issues, and prevent future errors from occurring.
  • Improved patient satisfaction with transparent communication regarding financial responsibilities and payment options.
  • Maintained high levels of accuracy in data entry, reducing errors that could lead to denied or delayed payments.
  • Ensured timely submission of claims by adhering to strict deadlines and prioritizing tasks effectively.
  • Developed comprehensive reports on billing activities for management review, highlighting areas for improvement and success stories.
  • Mentored junior staff members in best practices for medical billing procedures, fostering a supportive team environment.
  • Audited and corrected billing and posting documents for accuracy.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.

Medical Coder /Payment Poster

PNC
01.2018 - 12.2018
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.

Senior Medical Coder/Medical Biller

Houston Methodist
10.2015 - 01.2018
  • Reduced claim denials by identifying and addressing common errors in the coding process.
  • Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
  • Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.
  • Implemented new technology solutions designed to improve efficiency in code selection processes.
  • Served as a liaison between coders, physicians, and other clinical staff to ensure accurate information exchange related to diagnosis codes and treatment plans.
  • Contributed to quality improvement initiatives by identifying areas for potential enhancement within the medical coding department.
  • Conducted regular audits of coded data, pinpointing inconsistencies or inaccuracies that could impact reimbursements or compliance measures.
  • Assisted in the development of internal coding policies, promoting consistency across the organization.

Medical Biller and Coder

Sugar Land Colorectal Clinic
02.2013 - 06.2017
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.

Medical Biller and Coder

SS&G
03.2007 - 10.2012
  • Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.

Office Medical Biller

Fairlawn Psychiatic Association
05.1997 - 10.2007
  • Managed accounts receivable aging report, identifying overdue balances for immediate follow-up actions towards timely debt recovery efforts.
  • Ensured compliance with industry regulations by keeping up-to-date on changes in billing practices and requirements.
  • Enhanced revenue collection rates through diligent follow-up on unpaid claims and denied services.
  • Assisted in the transition to electronic health records, ensuring a seamless integration of billing processes into the new system.
  • Increased patient satisfaction by effectively addressing billing inquiries and providing clear explanations of charges and payments.
  • Maintained strong relationships with insurance carriers, addressing any discrepancies or issues promptly for faster resolution.
  • Optimized workflow efficiency within the billing department by developing an organized filing system for invoices, reports, and correspondence.

Education

GED -

Cuyahoga Falls High School
Cuyahoga Falls, OH

Skills

  • Critical thinking abilities
  • Continuous learning mindset
  • Medical Terminology Familiarity
  • Clinical Documentation Review

Certification

CPC Certified professional Coder.

Languages

Spanish
Professional Working

Timeline

Trauma Registrar

Summa Healthcare
11.2023 - Current

Senior Claim Recovery Specialist

Summa Health
10.2021 - 01.2022

Coordinator /Senior Medical Coder Bariatric Dept

Summa Health
07.2021 - 11.2023

Coding /Medical Billing Analyst

Summa Health
12.2018 - 07.2021

Medical Coder /Payment Poster

PNC
01.2018 - 12.2018

Senior Medical Coder/Medical Biller

Houston Methodist
10.2015 - 01.2018

Medical Biller and Coder

Sugar Land Colorectal Clinic
02.2013 - 06.2017

Medical Biller and Coder

SS&G
03.2007 - 10.2012

Office Medical Biller

Fairlawn Psychiatic Association
05.1997 - 10.2007

GED -

Cuyahoga Falls High School

Similar Profiles

CREATE PROFILE
Barbara Gatian