Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cheryl Cleveland

San Augustine,TX

Summary

Accomplished Medical Coder/Billing specialist and Surgery Scheduling Coordinator with a proven track record at Nacogdoches Obstetrics & Gynecology, showcasing expertise in HCPCS Coding and exceptional workflow management. Spearheaded the transition to ICD-10, enhancing coding accuracy and efficiency. Known for fostering strong collaborative relationships, ensuring compliance, and driving significant improvements in billing processes.

Overview

35
35
years of professional experience

Work History

Medical Coder/Billing

Nacogdoches Obstetrics & Gynecology
04.2006 - Current



  • Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Promoted teamwork within the department through effective communication and collaboration on complex cases.
  • Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
  • Supported the implementation of electronic health record systems, simplifying the coding process.
  • Trained and mentored junior coders to support growth and development apply high-quality coding practices.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Played key role in transition to ICD-10 coding system, leading training sessions and updating coding protocols.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in medical record.
  • Correctly coded and billed medical claims for in office, inpatient and outpatient services.
  • Enhanced team efficiency with regular training sessions on new coding updates and best practices.
  • Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
  • Ensured accuracy in high-volume coding environments, applying codes for over 200 patient records weekly without compromising detail or compliance.
  • Enhanced coding accuracy by meticulously reviewing patient records and applying correct medical codes.
  • Followed up with medical staff regarding missing information in patient records.
  • Scanned and uploaded medical records into electronic medical records system.
  • Communicated effectively with staff, patients, and insurance companies by email and telephone.
  • Input data into computer programs and filing systems.
  • Sorted and distributed incoming and outgoing medical records.

Surgery Scheduling Coordinator

Nacogdoches Obstetrics & Gynecology
04.2006 - Current
  • Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
  • Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
  • Enhanced patient experience by efficiently scheduling surgeries and managing appointment calendars.
  • Collected surgery and OB delivery deposits.
  • End of day balance and bank deposit.

Hospital Inpatient and Outpatient Coder

Nacogdoches Memorial Hospital
05.1989 - 07.1999
  • Demonstrated proficiency in working with specialized outpatient coding software systems, ensuring seamless integration of coded data into billing processes.
  • Established strong relationships with physicians and other healthcare providers, promoting an atmosphere of collaboration and teamwork within the facility.
  • Managed assigned workload efficiently, consistently meeting deadlines without compromising quality of work.
  • Developed comprehensive knowledge of medical terminology, anatomy, physiology, and pharmacology necessary for accurate code assignment.

Education

No Degree - Medical Terminology

Angelina College
Lufkin, TX
1994

High School Diploma -

Central Heights
Nacogdoches, TX
05.1990

Skills

  • Medical Terminology
  • Anatomy knowledge
  • HIPAA Compliance
  • HCPCS Coding
  • Data Entry
  • Medical claims coding
  • Workflow Management
  • ICD 10 coding
  • Medical Billing Processing

Timeline

Medical Coder/Billing

Nacogdoches Obstetrics & Gynecology
04.2006 - Current

Surgery Scheduling Coordinator

Nacogdoches Obstetrics & Gynecology
04.2006 - Current

Hospital Inpatient and Outpatient Coder

Nacogdoches Memorial Hospital
05.1989 - 07.1999

No Degree - Medical Terminology

Angelina College

High School Diploma -

Central Heights
Cheryl Cleveland