Calandra Rowland
Belmont ,NC
Overview
19
19
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Charlotte Gastroenterology & Hepatology
Mooresville, NC
- 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
Nashville, TN
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
Charlotte, NC
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
Charlotte, NC
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
Charlotte, NC
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