Duang Pothier, M.Sc., CPC
Washington,DC
Summary
8 years of experience in medical billing with progressively greater responsibilities. Past 2 years have worked as a billing director, managing all aspects of the billing process, including: effectively supervising and training the billing team; constantly emphasizing productivity, accuracy, and timeliness; and successfully working with management and other departments' relevant personnel.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Billing Director
Volunteers Of America Chesapeake & Carolinas
Greenbelt, MD
09.2020 - Current
- Recouped approximately $1M through claim appeals
- Supervises a team of Billers and Collectors for the Region, and is responsible for managing all aspects of the billing process.
- Follows-up regularly to ensure timely completion of all team member assignments.
- Insure complete accuracy in claims submittal
- Educate, coach, and provide active support for the coding & billing staff
- Follow-up on, investigate and resubmit denied claims.
- Monitor coding for compliance with national benchmark standards and relevant regulations
- Review resumes and interview position applicants
- Train new hires
Auditor/Claims Training Specialist
Bond Beebe Accountants & Advisors (is Now Withum)
Bethesda, MD
03.2015 - Current
- Test a payer system to verify accuracy
- Audit an extensive array of medical claims to confirm accuracy
- Monitor coding for compliance with national benchmark standards and relevant regulations
Sr. Healthcare Economics Analyst
United Health Group (OPTUM)
Remote, Remote
02.2021 - 06.2021
- Audited an extensive array of medical claims to confirm accuracy
- Monitored coding for compliance with national benchmark standards and relevant regulations
Part Time Auditor
Takoma Park/Uptown Vision
Takoma Park, MD
01.2015 - 01.2019
- Insured complete accuracy in claims submittal
- track claims billed versus paid b) follow-up on, investigate and resubmit denied claims.
- Audited an extensive array of medical claims to confirm accuracy
Part Time Medical Biller
Jivana Urgent Care
Bethesda, MD
01.2014 - 01.2015
- Insured complete accuracy in claims submittal
- track claims billed versus paid b) follow-up on, investigate and resubmit denied claims.
- Audited an extensive array of medical claims to confirm accuracy
Consultant/Data Analyst Intern
DP Computer Consulting
Washington, DC, DC
01.2013 - 01.2015
- Used SAS, Excel, Oracle and Business Objects to extract, manipulate and analyze data.
- Provided additional analysis by creating and generating ad hoc reports upon request.
- Contrasted and validated multiple data sources and make appropriate recommendations to management.
Education
Master's Degree in Software Engineering -
George Washington University
Washington, D.C. 01.2003
Bachelor's Degree in Statistics -
Srinakarinwirot University
Bangkok, Thailand. 03.1998
Skills
- ICD-10-CM, CPT, HCPCS
- Revenue cycle management
- Employee recruitment & training
- Staff development
- EHR/EMR systems (Credible, SOS, Medisoft, Practice Fusion)
- Medicare, Medicaid & Commercial Insurance carriers
- SQL, MS Access, Excel, MS Word, SAS
Certification
American Academy of Professional Coders
Certified in ICD-10-CM Proficiency December 2014
American Academy of Professional Coders
Certified Professional Coder Certification (CPC) November 2014
Timeline
Sr. Healthcare Economics Analyst
United Health Group (OPTUM)
02.2021 - 06.2021
Billing Director
Volunteers Of America Chesapeake & Carolinas
09.2020 - Current
Auditor/Claims Training Specialist
Bond Beebe Accountants & Advisors (is Now Withum)
03.2015 - Current
Part Time Auditor
Takoma Park/Uptown Vision
01.2015 - 01.2019
Part Time Medical Biller
Jivana Urgent Care
01.2014 - 01.2015
Consultant/Data Analyst Intern
DP Computer Consulting
01.2013 - 01.2015
Master's Degree in Software Engineering -
George Washington University
Bachelor's Degree in Statistics -
Srinakarinwirot University
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