Cortney Ridley
Edgewater,FL
Summary
Detail-oriented Medical Biller and Coder with over 12 years’ experience in regulatory compliance, claims processing, and enhancing approval rates. Expertise in medical coding standards, billing software, and insurance claims management. Strong ability to resolve billing discrepancies and collaborate with healthcare providers, contributing to improved patient satisfaction and efficient billing processes.
Overview
1
1
Certification
18
18
years of professional experience
Work History
Medical Biller and Coder
Florida Health Care Plans
Edgewater, FL
06.2014 - Current
- Reviewed patient records for accurate coding and regulatory compliance, enhancing claim approval rates.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Processed medical claims using electronic billing systems for timely submissions.
- Ensured timely filing of all claims within established guidelines.
- Collaborated with physicians to gather clinical information for accurate coding assignments.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Collaborated with healthcare providers to resolve billing inquiries and discrepancies, improving patient satisfaction.
Rehabilitation Technician
Aegis Therapy
Titusville, Florida
05.2008 - 05.2013
- Assisted therapists in implementing individualized rehabilitation plans for patients.
- Assisted physical therapists with patient treatments and exercises.
- Collaborated with healthcare team members to coordinate patient care effectively.
- Provided compassionate support, fostering a positive environment for patient recovery.
- Moved patients safely between treatment areas to ensure their comfort and care.
- Reported any changes in the condition of the patient to the supervising therapist immediately.
- Observed safety precautions when working around medical equipment or assisting patients with mobility issues.
- Prepared treatment areas and maintained equipment to ensure safety and cleanliness.
- Documented and filed patient health reports and charts.
- Maintained confidentiality of sensitive patient data in accordance with HIPAA regulations.
- Ensured compliance with healthcare regulations and standards of care.
Education
Medical Coding Certification - Medical Coding
Ultimate Medical Academy
Clearwater, FL06-2014
Skills
- Medical coding
- ICD-10 proficiency
- CPT coding
- HCPCS level II coding
- Claim processing
- Electronic billing
- Claim resolution
- Healthcare documentation
- Regulatory compliance
- Workers' compensation billing
- Medical terminology
- Time management
Certification
- CPC
Affiliations
- Volunteer with children ministry at Frienship Community Church
- Volunteer with Indian River Elementary School Activities
Timeline
Medical Biller and Coder
Florida Health Care Plans
06.2014 - Current
Rehabilitation Technician
Aegis Therapy
05.2008 - 05.2013
Medical Coding Certification - Medical Coding
Ultimate Medical Academy