Carolina Calloway

• Serve as the primary coder for the vascular department, responsible for assigning accurate ICD-10, CPT, and HCPCS codes for a variety of diagnostic and therapeutic vascular procedures, including angioplasties, stenting, and endovenous treatments.
• Utilize coding books, procedure manuals, and online encoders to ensure accurate and efficient coding.
• Enhance coding accuracy by thoroughly reviewing medical documentation and applying the correct codes
• Collaborate with healthcare providers to address and resolve questionable documentation, ensuring coding accuracy and adherence to regulatory standards.
• Manage accounts receivable (AR) by monitoring unpaid claims, investigating denials, and working closely with the billing department to resolve outstanding issues.
• Lead the denials management process by reviewing denied claims, identifying coding or documentation discrepancies, and initiating appeals as needed to secure accurate reimbursement.
• Ensure the timely and accurate submission of insurance claims to minimize delays and reduce the risk of claim denials.

• Researched and resolved billing discrepancies to enable accurate billing.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Worked with multiple departments to check proper billing information.
• Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.

Responsibilities included:

• Front desk duties, posting patient and insurance payments. Answering phones, scheduling appointments, insurance verifications,
• Participated in ongoing training programs related to HIPAA compliance, maintaining up-to-date knowledge on regulatory requirements.
• Verified insurance eligibility and coverage for patients.
• Handled sensitive patient concerns with professionalism and empathy, fostering an atmosphere of trust within the clinic.
• Filed and maintained patient records in accordance with HIPAA regulations.