Barbara Sikora
Lakewood Ranch,FL
Summary
CERTIFIED PROFESSIONAL CODER
Quality focused with extensive knowledge of medical coding and billing guidelines. Knowledge of office administration. Motivated with a strong work ethic and determination to complete tasks in a timely manner. Excellent interpersonal communication skills. Team player with a positive attitude.
Overview
3
3
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder Specialist
MedBill Solutions Inc.
Bohemia, NY
11.2015 - 02.2018
- Assigned, verified, and confirmed diagnosis codes, procedures codes and modifiers.
- Followed up with insurance companies and unpaid, rejected or denied claims, resolving issues and resubmitting claims
- Entered patient insurance, demographic and health information into software and confirmed records
- Reviewed account information to confirm patient and insurance data is accurate and complete
- Verified patient insurance eligibility and benefits
- Ensured submitted data accurately reflects service provided based on documentation
- Thoroughly reviewed remittance codes from EOB
- Precisely completed appropriate claims paperwork, documentation and system entry.
Coder/Receptionist
Premiere Cardiology
Bay Shore, Smithtown, NY
04.2021 - 10.2021
- Managed multiple tasks and met time-sensitive deadlines.
- Resolved customer problems and complaints.
- Scanned information and documents into EMR
- Utilized medical software to schedule new and follow up appointments
- Communicated with staff and doctors working in different medical facilities, including hospitals ED
- Informed patient about process of their procedures, such as: nuclear tests, echos, and devices monitoring their heart work.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
Cardiology Professional Coder ("Contract")
Stony Brook Medicine
Commack, United States
01.2022 - 03.2022
- Reviewed, analyzed and assured final diagnoses and procedures as stated by practicing providers are valid and complete.
- Accurately coded office and hospital procedures for providers to ensure proper reimbursement.
- Supplied correct CPT and HCPCS codes on all procedures and services performed.
- Assigned correct ICD-10-CM diagnosis codes to highest level of specificity
- Followed ICD-10-CM diagnosis code sequencing
- Followed NCD, LCD, NCCI legal requirements
- Determined final diagnoses and procedures stated by physician or other health care providers are valid and complete
- Performed comprehensive review for patient record to assure all included information are correct
- Worked on edits and denials using IDX, Cerner, Encoder Pro, Codify and GEEMS software
Vascular Professional Coder Outpatient Surgery Dep
Stony Brook Medicine
Stony Brook, NY, United States
09.2022 - 10.2022
- Reviewed and correctly coded patient medical reports for various hospital departments, e.g. ED and ICU
- Interpreted patient documentation to identify diagnoses and procedures, added modifiers as appropriate
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Verified signatures and checked medical charts for accuracy and completion
- Resolved discrepancies and coding related issues
- Reviewed and corrected rejected claims from various third-party carriers
- Ensured compliance for coding rules and regulations
Education
American Academy of Professional Coders (AAPC)
Online Training And Course11.2020
Associate of Applied Science - Advanced Coding For The Physician Office
Stony Brook University, SBU
Stony Brook, NY2015
Associate of Science - Medical Billing, Medical Coding, Health Insurance
Branford Hall Career Institute
Bohemia, NY2014
Skills
- Attention to details
- Time management and prioritization
- Self management
- Motivated and organized
- Critical thinking
- Problem solving
- Strong background with ICD-10 CM, CPT and HCPCS
- Proficiency with EMRs
- HIPAA regulations
Certification
- Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC). December, 2020
Timeline
Vascular Professional Coder Outpatient Surgery Dep
Stony Brook Medicine
09.2022 - 10.2022
Cardiology Professional Coder ("Contract")
Stony Brook Medicine
01.2022 - 03.2022
Coder/Receptionist
Premiere Cardiology
04.2021 - 10.2021
Medical Biller and Coder Specialist
MedBill Solutions Inc.
11.2015 - 02.2018
American Academy of Professional Coders (AAPC)
Associate of Applied Science - Advanced Coding For The Physician Office
Stony Brook University, SBU
Associate of Science - Medical Billing, Medical Coding, Health Insurance
Branford Hall Career Institute
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