Heather Franzen
Medical Coder or Biller
Ripon,WI
Summary
Accurate healthcare professional who performs all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Is knowledgeable, as well as, experienced in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials.
Overview
21
21
years of professional experience
Work History
Medical Coding and Billing Specialist
Pyramid Consulting
Chicago, IL
04.2021 - 08.2023
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
Field Enumerator
US Census Bureau
Chicago , IL
10.2020 - 03.2021
- Located and approached households and requested participation in census interview, thoroughly explaining process and purpose.
- Generated accurate and complete reports and case summaries and compiled work records, including required statistics.
- Promoted census significance and rights of participation to prospective interviewees through follow-up calls or in-person visits to address non-responsive initial interview.
- Asked questions in accordance with instructions to obtain person's name, address and age.
- Contacted consumers from prepared list to conduct interviews to obtain information.
- Studied maps of assigned areas to plan efficient routes, reaching over 30 community households per day.
- Contacted assigned citizens through mail, email or phone to obtain and correct census data.
Office Manager/Recruiter
Wisconsin Health Consortium
Oshkosh, WI
08.2010 - 10.2020
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Managed office budget to handle inventory, postage, vendor services, and inventory.
- Implemented and maintained company protocols to facilitate smooth daily activities.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Completed thorough opening, closing and shift change functions to maintain operational standards each day.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
- Analyzed business performance data and forecasted business results for upper management.
Automotive Finance Manager/Sales Associate
Mueller Chrysler Lincoln Mercury
Oshkosh, WI
06.2002 - 04.2010
- Approved and qualified applications for financing, closed sales contracts and cross-sold insurance products while complying with state laws.
- Identified valuable solutions for customers with credit problems.
- Met with applicants to obtain information for loan applications and answer questions about processes.
- Stayed abreast of lending regulations, industry trends and market rates.
- Collaborated with company teams to expedite loan approval processes.
- Located and suggested loan packages that met client needs and priorities.
- Reviewed loan agreements to verify completeness and accuracy according to applicable policies.
Education
Associate of Science - Medical Coding And Billing
Ultimate Medical Academy - Clearwater
Clearwater, FL05.2021
Skills
- Information Classification
- Appointment Scheduling
- Certified Medical Coder
- Patient Data Abstracts
- Information Sourcing
- Time Management
- Patient Data Coding
- Office Health Records Preparation
- Problem-Solving
- Clerical Functions
- Information Analysis
- Attention to Detail
- Medical History Recording
- Epic Systems
- Treatment Documentation
- Insurance Billing
- Verbal and Written Communication
- Medical Terminology
- Charting and Clinical Documentation
- Records Scanning
- Microsoft Excel
- EMR Systems
- Electronic Filing System Organization
- Medical Transcription
- Records Accuracy
- ICD-10 Coding
- Patient Admission Documents Processing
- Protected Health Information
- Computerized Indexing Systems
- Medical Release of Information ROI
- Hospital Inpatient and Outpatient Records
Timeline
Medical Coding and Billing Specialist
Pyramid Consulting
04.2021 - 08.2023
Field Enumerator
US Census Bureau
10.2020 - 03.2021
Office Manager/Recruiter
Wisconsin Health Consortium
08.2010 - 10.2020
Automotive Finance Manager/Sales Associate
Mueller Chrysler Lincoln Mercury
06.2002 - 04.2010
Associate of Science - Medical Coding And Billing
Ultimate Medical Academy - Clearwater
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