CHATERRA DOUGLAS

Revenue Cycle Specialist with 9 years of experience in healthcare billing and revenue cycle management. Expert in maximizing reimbursement, reducing denials, and improving revenue cycle performance through precise coding accuracy and accounts receivable management. Proven track record in data analysis, medical coding, and authorization management, seeking to leverage skills to enhance operational efficiency and financial outcomes. Serving as subject matter expert in reimbursement policies, ensuring compliance and accurate claims processing. Analyze and review claims, achieving measurable improvements in billing accuracy and collections. Collaborate with billing department to streamline AR processes, resulting in enhanced operational efficiency. Research and resolve claim denials, implementing corrective actions to reduce future rejections. Maintain adherence to coding standards and NCCI edits, ensuring proper payment and compliance. Ensure accurate medical coding for over 5000 patient records, enhancing billing efficiency. Streamlined claim processing, reducing denial rates by proactively addressing compliance gaps. Interpret complex medical policies to improve claims accuracy and facilitate prompt payer responses. Mentor junior analysts, enhancing team capability in navigating complex reimbursement scenarios. Optimize coding procedures to boost claims processing speed and accuracy. Enhance team efficiency by developing advanced training on reimbursement policies.