Caroline Kirkland
New Bedford,MA
Work Preference
Summary
Detail oriented and quality efficient in medical billing and coding in Emergency outpatient services. Passionate about overseeing tasks from start to finish, driving solutions and simplifying processes while ensuring adherence to HIPAA regulations, which resulted in streamlined workflows and increased productivity. Seeking a position in the medical billing and/or coding department.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Coding Manager
Envision Physician Services
07.2003 - 07.2023
- Led coding team to ensure compliance with healthcare regulations and standards.
- Implemented quality assurance processes to enhance coding accuracy and efficiency.
- Analyzed coding workflows, identifying opportunities for process improvements.
- Collaborated with clinical teams to optimize documentation for accurate coding.
- Managed coding audits, providing feedback to enhance performance and adherence.
- Streamlined communication between departments to support revenue cycle management.
- Collaborated with cross-functional teams to optimize the coding process, resulting in improved accuracy and quality.
- Ensured compliance with relevant regulations by staying current on updates related to ICD-10-CM/PCS guidelines, CPT codes, HCPCS Level II codes, modifiers usage rules.
- Streamlined workflow processes for increased productivity and reduced turnaround time on projects.
Billing Supervisor/ Assistant Billing Supervisor
BRAVO Reimbursement Specialists
04.2002 - 07.2003
- Supervised billing operations to ensure timely and accurate invoicing processes.
- Led team in resolving customer inquiries regarding billing discrepancies and account status.
- Implemented process improvements, enhancing operational workflows and reducing billing cycle times.
- Trained and mentored staff on best practices for billing software and compliance standards.
- Collaborated with cross-functional teams to streamline communication between departments impacting billing accuracy.
- Minimized errors in customer billing information through diligent verification practices and prompt issue resolution.
- Boosted cash flow by identifying areas for improvement in payment terms enforcement and initiating corrective actions as needed.
- Facilitated monthly meetings with team members to discuss performance metrics, share best practices, and address any concerns or challenges faced during the billing cycle.
- Developed comprehensive training materials for new hires to ensure a smooth onboarding process and rapid acclimation to company systems and procedures.
- Collaborated closely with other departments, fostering strong working relationships to expedite resolutions of cross-functional issues impacting revenue collection.
- Reviewed documentation for compliance with requirements and accuracy of information.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Billing Coder
BRAVO Reimbursement Specialists
03.1999 - 04.2002
- Analyzed and coded medical claims to ensure compliance with industry standards.
- Reviewed documentation for accuracy, minimizing errors in billing processes.
- Collaborated with healthcare providers to resolve discrepancies in claim submissions.
- Implemented coding guidelines to enhance efficiency and reduce claim rejections.
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Education
Certification in Business & Medical Administration - Medical Billing And Coding
Paramus Business School
Paramus, NJHigh School Diploma -
Malcolm X Shabazz High School
Newark, NJSkills
- Performance optimization
- Test automation
- Continuous integration
- HIPAA compliance
- Application development
- Data entry
- Training and mentoring
- Insurance verification
- Workflow management
- Document management
- Knowledgeable in Microsoft 365
- Revenue cycle management
Certification
CPC- Certified Professional Coder
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Languages
English
Timeline
Coding Manager
Envision Physician Services
07.2003 - 07.2023
Billing Supervisor/ Assistant Billing Supervisor
BRAVO Reimbursement Specialists
04.2002 - 07.2003
Billing Coder
BRAVO Reimbursement Specialists
03.1999 - 04.2002
Certification in Business & Medical Administration - Medical Billing And Coding
Paramus Business School
High School Diploma -
Malcolm X Shabazz High School