Certified Medical Coding and Billing Professional with experience in assigning ICD-10, HCPCS, and CPT codes. Possessing a CPC certification and nearly 4 years of hands-on experience in healthcare reimbursement methodologies, I excel in ensuring compliance with federal and state regulations related to coding and billing. With a proven track record in managing medical records, conducting audits, and optimizing revenue cycle management processes, I demonstrate meticulous attention to detail and accuracy in code assignment. Proficient in EHR systems, including Simple Practice, Tebra and Therapy Notes, and skilled in Microsoft Excel for data analysis and Google Sheets. I effectively collaborate with multidisciplinary providers to enhance documentation and coding practices. Committed to quality assurance, I actively stay informed on changes in coding guidelines, ensuring adherence to the highest standards within the behavioral health landscape.
•Supervise and manage a team of medical billers, including hiring, training, and providing ongoing support.
•Conduct interviews and lead weekly team meetings to ensure effective communication and team performance.
•Oversee and track medical claim submissions, ensuring timely and accurate processing.
•Review and verify claims for accuracy before submission, and resolve denied or rejected claims.
•Perform occasional medical coding and manually enter payments as needed.
•Address patient billing inquiries, manage patient accounts, and process payments.
•Verify insurance benefits, including co-pays, coinsurance, and deductibles, and conduct insurance benefit checks.
•Ensure compliance with relevant laws, regulations, and HIPAA standards.
•Generate analytic reports on billing activities, collections, and outstanding accounts.
•Coordinate with healthcare providers and office staff to resolve billing issues and ensure accurate billing practices.
•Submit credentialing applications for new providers, and track and follow up on the credentialing process.
•Liaise with insurance companies and payers to ensure proper provider enrollment and credentialing.
•Address and resolve credentialing discrepancies and delays, and execute provider updates with insurers.
•Conduct practice audits and ongoing monitoring of provider credentials, including re-credentialing processes.
•Maintain up-to-date knowledge of coding guidelines, regulations, and payer policies.
•Worked remotely for 3.5 years, consistently demonstrating the ability to stay focused and deliver excellent
performance while managing tasks and maintaining productivity.
• Leveraged industry knowledge to exceed sales goals by 30%, enhancing overall customer experience through effective
communication and support.
• Managed register operations with a 98% accuracy rate in cash reconciliation, ensuring compliance with financial
standards and processes.
• Successfully implemented waste reduction strategies in food and beverage management, while maintaining quality
standards.
•Completed 13,000+ rides, ensuring regulatory compliance and exceptional service for disabled passengers.
•Improved on-time performance through efficient scheduling, enhancing customer satisfaction.
•Participated in national advertising campaigns to promote Lyft services.
• Conducted regular audits to maintain accurate stock levels, resulting in a 20% reduction in inventory discrepancies and
improved operational efficiency.
• Delivered comprehensive product education to customers, enhancing client satisfaction scores by 30%, indicative of
effective communication skills in promoting products.
• Managed inventory control processes for outgoing transfers and special orders, ensuring timely fulfillment of 95% of
customer requests.
• Supervised and developed a high-performing team of 25 employees, improving
• Conducted monthly audits of operations processes, resulting in a 15% reduction in discrepancies and improved
compliance with regulatory standards.
• Developed and implemented training programs for staff that enhanced performance evaluations, contributing to a 25%
increase in team productivity and reduced turnover rates.
• Managed payroll and operational budgets effectively, implementing financial controls that minimized shrinkage, ensuring
fiscal responsibility in daily operations.
• Collaborated with corporate headquarters to align marketing strategies
CPC - Certified Professional Coder