Carley Mooney
Cumberland,RI
Summary
Personable and detail-focused with understanding of medical billing and coding principles, including knowledge of medical terminology and coding systems like ICD-10 and CPT. Committed to ensuring streamlined billing processes and optimizing revenue cycles for healthcare providers. Thrives in dynamic and fast-paced environments. Seeking position of increased responsibility with room for advancement.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Ortho Rhode Island
08.2018 - Current
- Interprets operative reports to assign appropriate CPT/HCPCS codes to maximise reimbursements.
- Understands and interprets insurance EOBs, knowing when and how to ensure that maximum payment has been received.
- Maintained accuracy, completeness, and security for medical records and health information.
- Researches and resolves rejected, incorrectly paid and denied claims within an established timeframe.
- Professionally responds to all billing-related inquires from patients, staff and payers.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Office Manager
Dr. John M. Corsi
06.2011 - 06.2018
- Oversees daily operations of the office and staff including payroll, employee schedules, responsible for maintaining office checking account, bill payment and supply ordering, as well as maintaining strict HIPAA compliance and confidentially
- Responsible for all medical billing, including but not limited to claim submission and coding, posting, claims appeals and follow up, insurance verification and patient referrals
- Received and processed medical records requests.
Education
CPC Certification Through AAPC
10-2023
Certificate in Medical Billing - Medical Billing and Administration
Lincoln Technical Institute
Lincoln, RI01-2011
Skills
- Insurance verification
- Payment posting/charge entry
- Third party billing
- Strong attention to detail
- Claims follow up
- Composed and professional demeanor
- Resourceful and reliable worker
- Proficient in medical terminology
- Strong knowledge of HIPAA compliance and regulations
- Understanding of CPT, ICD-10, HCPCS, CMS 1500 claim formatting
- Background in EHR and A/R software including EPIC, Athena Health, MediTech, ExScribe, HST, Cerner, Centricity and Availity
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
Medical Biller and Coder
Ortho Rhode Island
08.2018 - Current
Office Manager
Dr. John M. Corsi
06.2011 - 06.2018
CPC Certification Through AAPC
Certificate in Medical Billing - Medical Billing and Administration
Lincoln Technical Institute
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