Carolyn Byers
Summary
Experienced professional focused on meeting or exceeding objectives seeking Coding & Denials Document Analyst position. Offers advanced training and knowledge of industry best practices. Recognized for leadership, planning abilities and clear, direct communication style. Results-driven professional seeking position as Coding & Denials Document Analyst. Focused on performance and flexible with specific needs of different assignments. Collaborates professionally with individuals from broad array of backgrounds and cultures.
Overview
9
9
years of professional experience
Work History
Billing Support Specialist
OrthoCarolina
Charlotte, NC
07.2021 - Current
- Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
- Partnered with billing analyst department to investigate and remedy any gross margin trend issues.
- Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
- Functioned as key point of contact for billing data integrity matters for clients, vendors and various internal departments.
- Analyzes and codes by using appropriate classification
- Link diagnoses with procedures and adds appropriate modifiers.
- 2 years of medical coding and ICD-10-CM
Medical Administrative Assistant
OrthoCarolina
Charlotte, NC
08.2015 - 05.2021
- Organized paperwork such as charts and reports for office and patient needs.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Supported office staff and operational requirements with administrative tasks.
- Conducted insurance verification and preauthorizations and managed patient charts.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Verified insurance coverage to prepare for upcoming patient appointments.
Denial Coordinator
OrthoCarolina
Charlotte, NC
07.2013 - 08.2015
- Utilized Internet and other resources to research newly identified diagnoses and procedures.
- Prepared and performed written reports of audits.
- Assigned codes for [Number]% accuracy rate or better.
- Analyzed and evaluated findings, diagnosis and procedure codes identified by clinicians.
- Reviewed chart documentation to support ICD-10 and CPT codes and took action if documentation was not coded appropriately.
- Identified root cause of denials to provide plans for denial resolution.
- Adjusted client accounts by entering discretionary billing items, requesting rebills and updating billing entity records.
- Reviewed provisions of certificates or policies to determine patient's medical coverage losses.
- Documented medical claim actions by completing forms, reports, logs and records.
- Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
- Scanned hard copy medical records and correspondence to convert into electronic files.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Input data into computer programs and filing systems.
Education
No Degree - Medical Coding
University of Carolina
Charlotte, NCAssociate of Science - HealthCare Administration
University of Phoenix
Tempe, AZ05.2014
Medical Coding
South Piedmont Community College
Polkton, NC05.2022
Skills
- Billing Data Verification
- Office Support
- Microsoft Excel
- CPT,ICD-10-CM, HCPCS CODES
- Medical Terminology, and Administrative Medical Billing
- Insurance Contracts, Appeals, and EOB
- Epic
Timeline
Billing Support Specialist
OrthoCarolina
07.2021 - Current
Medical Administrative Assistant
OrthoCarolina
08.2015 - 05.2021
Denial Coordinator
OrthoCarolina
07.2013 - 08.2015
No Degree - Medical Coding
University of Carolina
Associate of Science - HealthCare Administration
University of Phoenix
Medical Coding
South Piedmont Community College
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