Carolyn TAYLOR
Medical Billing and Coding Specialist
Montgomery,TX
Summary
Medical Billing and Coding Specialist with over 17 years providing administrative and patient support in hospital and medical office settings looking to obtain a work at home position. Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
17
17
years of professional experience
Work History
Retired
Social Security
Montgomery, TX
01.2018 - Current
Personal Assistant/Live-In Caregiver
Russel J. Henry
Humble, TX
03.2010 - 01.2018
- Used discretion when handling confidential information.
- Attended meetings, took notes and tracked action items.
- Oversaw personal and professional calendars and coordinated appointments for future events.
- Provided general administrative support including scheduling meetings, making travel arrangements and managing documentation.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Advocated for patients by communicating care preferences to practitioners, verifying interventions met treatment goals and identifying insurance coverage limitations.
Personal Assistant/In-Home Caregiver
Irene A. Henry
Humble, TX
10.2006 - 03.2010
- Increased medication and medical terminology knowledge through research and continuing education.
- Provided transportation and appointments management.
- Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
- Maintained entire family's schedule and organized events.
- Handled incoming mail, bills and invoices and completed appropriate actions.
- Entrusted to handle confidential and sensitive situations in professional matter.
- Assisted with daily living activities, running errands and household chores.
- Supervised daily activities and provided assistance to staff.
Business Owner
C.A.R.E. Medical Solutions
Houston, TX
01.2003 - 09.2003
- Devised and deployed sales and marketing tactics to drive strategic growth and support achievement of revenue goals.
- Performed statistical analyses to gather data for operational and forecast team needs.
- Evaluated suppliers to maintain cost controls and improve operations.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Verified signatures and checked medical charts for accuracy and completion.
- Implemented new coding procedures that reduced mistakes by 95% and simplified processes.
- Tutored 15 new coders for compliance with Medicare /Medicaid and Workmens Compensation classification systems and coding guidelines.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
Education
GED -
Grace King High School
Metairie, LACertified Nursing Assistant - Healthcare
Lone Star College System
Kingwood, TXCertified Medical Assistant - Healthcare
National Institute of Technology
Houston, TXSkills
- Analytical Skills
- Exceptional Interpersonal Communication
- Administrative Skills
- Troubleshooting Expertise
- Problem Resolution
- Time Management
- Negotiation
Affiliations
Children and Adults with ADHD
Literacy Volunteers of America
National Alliance on Mental Health
Additional Information
Have worked for Baylor College of Medicine, Southwest Bone and Joint, and Paul A. Griffin, M.D. in Houston, TX. These references were longer than 20 years ago and was unable to obtain references as such. I was told no longer in system and that several lphysicians had retired.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Retired
Social Security
01.2018 - Current
Personal Assistant/Live-In Caregiver
Russel J. Henry
03.2010 - 01.2018
Personal Assistant/In-Home Caregiver
Irene A. Henry
10.2006 - 03.2010
Business Owner
C.A.R.E. Medical Solutions
01.2003 - 09.2003
GED -
Grace King High School
Certified Nursing Assistant - Healthcare
Lone Star College System
Certified Medical Assistant - Healthcare
National Institute of Technology
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