Michelle Shepard
Bronx,NY
Summary
AAPC Certified Professional Coder and Certified Claims Adjustment Coder, highly capable of accurately coding and resolving discrepancies, including reimbursements, with a keen eye for detail and impeccable follow up skills. My great communication skills will allow me to work closely with all forms of personnel, along with the 10+ years of medical office experience. My goal is to always be part of a highly respected company and industry where I can use my skills, talents, and abilities to help them consistently meet aggressive goals, positively impact stakeholders, and increase revenue.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Medical Coding Specialist
National Seating & Mobility
Bronx, New York
10.2021 - Current
- Reviewed patient records and interpreted documentation to identify diagnoses and procedures.
- Worked with individual patients to code medical observations and professional services.
- Coded patient charts at 50-55 per day.
- Coded according to the support of individual risk adjustment score accuracy.
- Initiated, performed and documented quarterly coding audits for physicians.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- 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.
- Obtain education though AAPC.
Dental Coding Specialist
National Dental
New York, NY
10.2019 - 06.2021
- In-charge of Dental coding.
- Assisted receptionist and patients with all billing and financial questions.
- Worked closely with the dentist.
- Assisted. patients with loan applications to cover treatment that was not fully covered by insurance.
- Correctly coded and billed claims.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Ensured education to stay up to date with coding guidelines.
Office Manager
Manhattan Physical Therapy
New York, NY
03.2018 - 10.2019
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
- Aggregated and analyzed data related to administrative costs to prepare budgets for corporate-level management.
- Prepared meeting materials and took clear notes to distribute to stakeholders.
- Evaluated employee records and productivity to complete employee evaluations.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Utilized client and staff feedback to maintain customer partnerships and increase revenue.
- Managed a staff of 11, which included 5 Physical Therapist, 2 receptionist, 2 billers, 2 Acupuncturist.
Medical Coding and Billing Specialist
Westchester Fertility
White Plains, NY
06.2006 - 02.2018
- Worked closely with the doctor to assure the correct codes were being used for highest reimbursement.
- Verified signatures and checked medical charts for accuracy and completion.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Initiated, performed and documented quarterly coding audits for physicians.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed medical records to select appropriate coding sequences.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Correctly coded and billed medical claims for various hospital.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Ascertained that medical records was in support of individual risk adjustment score accuracy.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
Education
Associate of Science - Business Administration And Management
Bronx Community College of The City University of New York
The Bronx, NY06.2012
Skills
- Certified Professional Coder
- Certified Risk Adjustment Coder
- Information Analysis
- Verbal and Written Communication
- DRGs Patient Assignments
- Medical History Recording
- Insurance Billing
- Epic Systems
- ICD-10 Coding
- HCPCS Coding
- CPT 2021 Coder
- Charting and Clinical Documentation
- HIPPA Compliant
Certification
- CPC - Certified Professional Coder
- CRC - Certified Risk Adjustment Coder
Timeline
Medical Coding Specialist
National Seating & Mobility
10.2021 - Current
Dental Coding Specialist
National Dental
10.2019 - 06.2021
Office Manager
Manhattan Physical Therapy
03.2018 - 10.2019
Medical Coding and Billing Specialist
Westchester Fertility
06.2006 - 02.2018
Associate of Science - Business Administration And Management
Bronx Community College of The City University of New York
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