Caitlyn Fresquez
Marceline,MO
Summary
Adept at enhancing revenue cycle management and ensuring HIPAA compliance, I significantly improved medical coding accuracy at Stoney Mesa Family Practice and Delta Health. With a commitment to continuing education and proficiency in AthenaHealth, I led training for junior coders, boosting productivity and reducing claim denials. My expertise lies in diagnostic coding accuracy and effective communication. Medical Billing and Coding Specialist with eight (8) years of billing and five (5) years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Certified Professional Coder/Certified Profess Coder/Medical Billing Supervisor
Stoney Mesa Family Practice
03.2020 - Current
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Enhanced revenue cycle management by identifying under-coded services and submitting accurate claims for reimbursement.
- Verified signatures and checked medical charts for accuracy and completion.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Certified Professional Coder
Delta County Memorial Hospital
09.2016 - Current
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information was protected at all times.
- 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 a more efficient workflow within the coding department.
- Provided comprehensive training for junior coders, resulting in increased productivity and skill development.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
Education
CPC -
Career Step
04.2019
High School Diploma -
Cedaredge High School
Cedaredge, CO05.2013
Skills
- Diagnostic Coding Accuracy
- HIPAA compliance awareness
- Clinical Documentation Review
- Continuing Education Commitment
Certification
- CPC - Certified Professional Coder
- CBCS - Certified Billing and Coding Specialist
- RH-CBS - Rural Health Coding & Billing Specialist
Timeline
Certified Professional Coder/Certified Profess Coder/Medical Billing Supervisor
Stoney Mesa Family Practice
03.2020 - Current
Certified Professional Coder
Delta County Memorial Hospital
09.2016 - Current
CPC -
Career Step
High School Diploma -
Cedaredge High School
- CPC - Certified Professional Coder
- CBCS - Certified Billing and Coding Specialist
- RH-CBS - Rural Health Coding & Billing Specialist
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