Summary
Overview
Work History
Education
Skills
Timeline
Generic

Contessa Washington

Summary

Certified Professional Coder/ Medical Auditor with exceptional experience working within a hospital/facility setting, where I can utilize my skills talents & professionalism within any workplace.


Skills:

Various specialty coding

*Internal Medicine

*Pediatric

* Radiology

*OBGYN

* Family Medicine


Multi-tasker

Critical Thinking

Problem Solver

Provider Audits

Software knowledge: EPIC, ECW (E clinical works) Microsoft teams, Excel, Encoder Optum, Codify

Processing Electronic remittance payer payments

Anatomy and Physiology knowledge

Billing claims Proficiency







Overview

19
19
years of professional experience

Work History

Medical Coder

Orlando Health
04.2024 - Current
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • 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 outpatient medical records.
  • Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
  • Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
  • Supported the implementation of electronic health record systems, simplifying the coding process.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Adaptable and proficient in learning new concepts quickly and efficiently.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Billing & Claims Specialist

AAPHC
12.2016 - 04.2024
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
  • Conducted regular audits of claim files, ensuring compliance with internal and external regulations and standards.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
  • Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
  • Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.

Switchboard Operator

AAPHC
04.2006 - 11.2016
  • Streamlined administrative tasks such as message-taking and appointment scheduling for increased productivity across multiple departments.
  • Managed high volume of calls during peak hours, maintaining composure under pressure while efficiently handling each caller''s needs.
  • Delivered excellent customer service through active listening skills and empathetic problem-solving approaches with callers'' concerns or complaints.
  • Enhanced customer satisfaction by promptly addressing inquiries and directing them to the appropriate department.
  • Directed incoming calls to internal personnel and departments, routing to best-qualified department.
  • Facilitated emergency response efforts by swiftly connecting callers to relevant personnel or services when necessary.
  • Documented messages and forwarded to correct individual.
  • Monitored call queues and worked quickly to answer and resolve inquiries within target timeframes.

Education

Certified Medical Professional Auditor - Auditor

Jewvons Medical/AAPC Academy of Coders
2233 S President Dr Salt Lake City UT 84120
05-2023

Certified Medical Coder - Medical Coder

Jewvons Medical Coding/AAPC Academy of Coders
2233 S President Dr Salt Lake City UT 84120
12-2019

High School Diploma -

Lee County High School
1 Trojan Way Leesburg GA
05-2003

Skills

  • In compliance with HIPAA laws and regulations according the CMS guidelines
  • Assigning the appropriate ICD 10-CM, HCPCS, CPT codes
  • Abstracting of the medical record based on documentation provided by the provider/physician
  • A strong understanding of physiology, medical terms and anatomy
    Proficiency in computer skills including typing speed and accuracy
    Excellent written and verbal communication skills
    Organizational skills
    Ability to maintain a high level of integrity and confidentiality of medical information
    Strict attention to details
    Knowledge of data entry and transcription

Timeline

Medical Coder

Orlando Health
04.2024 - Current

Billing & Claims Specialist

AAPHC
12.2016 - 04.2024

Switchboard Operator

AAPHC
04.2006 - 11.2016

Certified Medical Professional Auditor - Auditor

Jewvons Medical/AAPC Academy of Coders

Certified Medical Coder - Medical Coder

Jewvons Medical Coding/AAPC Academy of Coders

High School Diploma -

Lee County High School

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Contessa Washington