Cheryl Yeboah
Orlando,FL
Summary
Dedicated Medical Billing and Coding Specialist with over 5 years of experience in hospital and medical office settings. Possesses a strong understanding of medical terminology, anatomy, pathophysiology, and coding systems, ensuring accurate code assignments in compliance with regulatory guidelines. Collaborates effectively with physicians, healthcare providers, and insurance companies, utilizing advanced knowledge of private insurance processes. Expertise in auditing, inpatient acute care, and outpatient coding. Committed to delivering exceptional accuracy and efficiency.
Overview
7
7
years of professional experience
Work History
Medical Coding and Billing Specialist
Avesis
Orlando, FL
05.2023 - 08.2025
- Documented coding processes and procedures for future reference and maintenance purposes
- Demonstrated expertise in ICD-10 and CPT coding systems, as well as HCPCS Level II codes
- Resolved rejected or denied claims by contacting insurance companies to correct errors or obtain additional information
- Maintained a thorough understanding of insurance regulations, including Medicare, Medicaid, Blue Cross and Blue Shield and other private insurers
- Analyzed provider bills for accuracy before submitting them for payment approval
- Assisted in training new staff members on the use of coding software applications
- Conducted audits of medical records to verify completeness of documentation needed for accurate code assignment
- Used ICD-10-CM and CPT coding to complete records
- Generated reports from EHR systems as requested by physicians or administrators
- Organized and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
- Dependable, self-motivated and pleasant
- Assigned patient to diagnosis-related groups (DRGs), used appropriate computer software
- Released information to persons or agencies according to regulations
- Scanned patients' health records into electronic.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Expedited project completion timelines with strong time management skills and adherence to deadlines.
Medical Coding Specialist
Fairview Health Services
Minneapolis, MN
09.2019 - 08.2023
- Monitored and evaluated team performance metrics, including customer satisfaction ratings, response times, and resolution rates, to identify areas for improvement and implement strategies for optimization
- Analyzed data from various sources including medical records and insurance claims, displaying exceptional problem-solving abilities
- Demonstrated proficiency in utilizing electronic health records software such as Epic, Allscripts, and Cerner Millennium for the purpose of coding patient visits
- Provided training sessions on proper coding techniques to new staff members
- Verified CAC codes and/or assigns diagnosis and procedure codes based on physician documentation in the record.
- Efficiently processed large volumes of medical records in a timely manner while maintaining quality assurance standards
- Abstracted all inpatient charts and verified CAC codes and/or assigns diagnosis and procedure codes following ICD-10 coding principles, ICD-PCS Coding Guidelines and Coding Clinic guidelines and Department coding policies and procedures manual.
- Performed Iodine Retrospect reviews in conjunction with the CDI team.
- Ensured all coding conventions, coding guidelines, coding clinics and regulatory advice are followed.
- Reviewed PSI/HACs concurrently to identify query or educational opportunities for coding and physicians.
- Required coding knowledge of all specialties for multi-hospital acute care.
- Coded all the diagnosis, treatments, and procedures for inpatient records in accordance with departmental policies and procedures.
- Informed the Coding Management Team of any coding or coding related issues that adversely impact the claims processing, coding accuracy, and compliance.
- Strengthened relationships between coders and clinical staff through regular engagement meetings, fostering a collaborative approach to patient care documentation.
- Developed knowledge of ICD-10 codes and CPT codes in order to accurately code diagnoses and treatments for all patient.
- Strong ability to organize/triage work and manage multiple priorities at once with little supervision.
- Possesses knowledge about risk adjustment and hospital publicly reported data.
IT Desk Analyst
Century College
Mahtomedi, MN
10.2018 - 08.2019
- Provided exceptional customer support to clients via phone, email, and live chat, ensuring inquiries are resolved promptly and effectively
- Handled a high volume of incoming calls and correspondence, demonstrating strong multitasking abilities and attention to detail
- Collaborated with cross-functional teams to resolve complex customer issues and escalate concerns as needed to ensure swift resolution
- Provided product knowledge and assistance to customers, promoting additional services or products to meet their needs and enhance their experience
- Recommended improvements in products, services, or billing methods to prevent future problems
- Installed and configured new hardware and software components based on user requirements
- Utilized problem-solving skills to identify the root cause of system errors and devise appropriate solutions
- Provided remote and onsite troubleshooting of hardware and software issues, resolving problems quickly and efficiently
- Troubleshoot issues on device-specific problems, network performance, and internet connectivity.
- Drove revenue growth by identifying underperforming areas and recommending solutions.
- Streamlined reporting processes, significantly reducing time required to generate insights.
Education
Bachelor of Science (B.S.) in Healthcare Management Candidate - Healthcare Management
Rasmussen University
Altamonte Springs, FLMedical Billing And Coding Certified (NCICS) -
NUC University
Orlando, FL08.2024
Health Science Coursework -
Century College
Mahtomedi, MN12.2022
High School Diploma -
Prior Lake High School
US06.2018
Skills
- Revenue Cycle Management
- Insurance Verification
- Clinical Documentation Improvement
- Analytical Thinking
- CPT Coding Knowledge
- Medical Billing Procedures
- Anatomy and Physiology
- Customer Service Orientation
- Quality Assurance
- Pathophysiology Knowledge
- Pharmacology Knowledge
- Electronic Health Records
- Medical Software Applications
- Medical Terminology
- Epic Systems
- ICD-10 Proficiency
- HIPAA Compliance
- Medical terminology expertise
- Medical Coding Certification
- Inpatient records coding
- Insurance and Coding Specialist (NCICS)
- DRGs Patient Assignments
- 3M Encoder
- Microsoft Excel
Accomplishments
- Recognition and Awards: Received the “Employee of the Month” award twice for outstanding performance and contributions to the coding department, highlighting commitment to excellence in patient care and coding integrity.
- Audit Success: Conducted internal audits that identified discrepancies and led to corrective actions, achieving a 15% improvement in compliance with CMS regulations, thereby minimizing potential financial penalties.
Corecompetences
- Advanced Coding Knowledge
- Technical Proficiency
- Inpatient Coding Expertise
- Leadership
- Clinical Understanding
- Problem-Solving
- Regulatory Compliance
- Relationship Building
- DRG Validation
- Coaching and Development
- Quality Assurance
- Excellent Communication Skills
Timeline
Medical Coding and Billing Specialist
Avesis
05.2023 - 08.2025
Medical Coding Specialist
Fairview Health Services
09.2019 - 08.2023
IT Desk Analyst
Century College
10.2018 - 08.2019
Bachelor of Science (B.S.) in Healthcare Management Candidate - Healthcare Management
Rasmussen University
Medical Billing And Coding Certified (NCICS) -
NUC University
Health Science Coursework -
Century College
High School Diploma -
Prior Lake High School