Dawn Ruder
Farmington Hills, MI
Summary
Accomplished Internal Medicine, Medical Biller and Coder with extensive experience at Progressive Health Care, adept in ICD-10, CPT, and HCPCS coding. Proven ability to enhance claim accuracy and expedite payment processing while fostering strong communication with healthcare providers.
Overview
32
32
years of professional experience
Work History
Medical Biller and Coder
Progressive Health Care
Livonia
05.2003 - Current
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
- Submitted claims to insurance companies electronically or by mail.
- Verified accuracy of patient information and insurance data in billing system.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Ensured timely filing of all claims within established guidelines.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Assessed medical codes on patient records for accuracy.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Utilized ICD-10, CPT, and HCPCS coding systems to process claims and billing.
Manager/Medical Biller
Dr. Steven Katzman
Livonia
09.1993 - 05.2024
- Scheduled interviews for potential candidates and conducted reference checks prior to hire.
- Resolved conflicts between employees by providing guidance on company policies and procedures.
- Maintained up-to-date records of employee attendance, payroll information, vacation requests.
- Oversaw daily operations, maintaining efficiency and quality standards.
- Monitored staff performance and addressed issues.
- Trained employees on additional job positions to maintain coverage of roles.
- Delegated work to staff, setting priorities and goals.
- Answered incoming calls regarding billing inquiries from patients and or providers in a professional manner.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Processed invoice payments and recorded information in account database.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Education
Some College (No Degree) - Applied Science
Oakland Community College, Farmington Hills, MI
Farmington HillsSkills
- ICD-10 coding
- CPT coding
- HCPCS coding
- Claim submission
- Payment processing
- Insurance verification
- Medical terminology
- Data entry
- Diagnostic coding
Timeline
Medical Biller and Coder
Progressive Health Care
05.2003 - Current
Manager/Medical Biller
Dr. Steven Katzman
09.1993 - 05.2024
Some College (No Degree) - Applied Science
Oakland Community College, Farmington Hills, MI
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