Calandra Rowland
Belmont ,NC
Overview
19
19
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Charlotte Gastroenterology & Hepatology
- Current
- 1
- Responsible for accurately assigning CPT, ICD-10, and HCPCS codes to medical procedures, diagnoses, and services related to gastroenterology
- 2
- Assignments included Inpatient
- Outpatient procedures ASC
- Pathology
- Laboratory
HCC Coder
Change Healthcare
11.2022 - 11.2023
- Performance of the job functions and tasks per patient chart
- Complete and accurate risk adjustment coding of the assigned chart(s) according to the ICD-10-CM Official Guidelines
Medical Coder
Metrolina Nephrology Associates
09.2021 - 08.2023
- Transforms healthcare diagnoses, procedures, medical services, and equipment into universal medical alphanumeric codes, which are applied during the medical billing process
Medical Coder
Carolina Digestive Health Associates, PA
06.2019 - 09.2021
- Determined prior authorizations for medication and outpatient procedures
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories
- Identified and resolved patient billing and payment issues
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable
Benefits Verification Specialist
TalentBridge
10.2018 - 02.2019
- Made contact with insurance carriers to discuss their policies and individual patient benefits
- Assured the timely verification of insurance benefits prior to patient procedures or appointments
- Maintained a strong knowledge of basic medical terminology to better understand services and procedures
- Accurately inputted all patient and insurance information into the company's computer system using Patient Plus
- Input all documents into the records management system
Billing & Coding Specialist / Certified Professional Coder
CMS
01.2009 - 01.2018
- Determined prior authorizations for medication and outpatient procedures
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
- Resourcefully used various coding books, procedure manuals and on-line encoders
- Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories
- Identified and resolved patient billing and payment issues
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable
Certified Medical Assistant
Atrium Health
01.2006 - 01.2018
- Supervised students when administering medications to ensure patient safety
- Collected and processed co-payments and out-of-pocket charges using Epic
- Performed monthly inventory and maintained office and medical supply counts
- Examined patients and dispensed contraceptives and other medications as needed
- Instructed patients and family members on proper discharge care
- Ordered and read lab tests, x-rays, MRIs, Ultrasounds, and EKGs
Education
College Degree - Medical Assisting/Medical Billing
AAPC - Emergency Medical Services
American Academy Professional Coder
06.2016
High school diploma - General Studies
Harding University
Charlotte, NC06.1997
Skills
- Microsoft Excel
- Cerner
- Dental receptionist
- Medical Billing
- Analysis skills
- Teaching
- Adobe Acrobat
- Documentation review
- Experience Administering Injections
- Physiology Knowledge
- Customer service
- Management
- Front desk
- ICD-10
- ICD-9
- Triage
- Patient Care
- Medicare
- Medical Records
- Medical terminology
- Transcription
- Epic
- Medical Coding
- Medical Scheduling
- English
- Phone Etiquette
- Anatomy Knowledge
- Intake
- Hospital Experience
- CPT Coding
- Medical Office Experience
- Medical billing
- Medical Imaging
- Auditing
- CPT coding
- Medical Assistant
- Communication skills
- Medical Terminology
- Insurance Verification
- Microsoft Powerpoint
- EMR Systems
- Vital Signs
- OSHA
- Clerical Experience
- HIPAA
- ICD Coding
Certification
- Medical Coding Certification
- Certified Professional Coder
- CPR Certification
- Certified Medical Assistant
- CCMA Certification
- Certified Coding Associate
Timeline
HCC Coder
Change Healthcare
11.2022 - 11.2023
Medical Coder
Metrolina Nephrology Associates
09.2021 - 08.2023
Medical Coder
Carolina Digestive Health Associates, PA
06.2019 - 09.2021
Benefits Verification Specialist
TalentBridge
10.2018 - 02.2019
Billing & Coding Specialist / Certified Professional Coder
CMS
01.2009 - 01.2018
Certified Medical Assistant
Atrium Health
01.2006 - 01.2018
Certified Medical Coder
Charlotte Gastroenterology & Hepatology
- Current
College Degree - Medical Assisting/Medical Billing
AAPC - Emergency Medical Services
American Academy Professional Coder
High school diploma - General Studies
Harding University
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