Heather Stuart
Midvale,UT
Summary
Medical Billing and Coding Specialist with 7 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Billing Specialist
R1 RCM Inc
02.2019 - 06.2022
- Conducted in-depth reviews of over 500 medical records to identify discrepancies in coding and clinical documentation, resulting in 20% increase in accurate billing.
- Collaborated with healthcare providers to develop tailored education programs on proper documentation practices, resulting in 40% decrease in denied claims and delayed payments.
- Identified inefficiencies in current coding processes and suggested solutions that resulted in 20% increase in accurate coding and decrease in rejected claims by 15%.
- Performed regular audits of medical records to ensure compliance with ICD-10-CM codes, resulting in 98% accuracy rating and avoiding potential reimbursement delays.
- Maintained 98% accuracy rate on coding quality audits by consistently identifying errors and implementing corrective measures, resulting in reduction of billing disputes by 25%.
- Exceeded productivity expectations by managing average of 100 invoices per day, resulting in 30% increase in monthly revenue.
Patient Service Representative
Intermountain Healthcare
10.2017 - 02.2019
- Conducted thorough assessments of customer needs and preferences to consistently deliver personalized experiences, resulting in 95% satisfaction rating among surveyed customers
- Verified and updated patient information for over 100 patients per day, ensuring accurate demographic and contact details to meet regulatory requirements
- Processed and scanned over 200 documents daily, reducing wait times for clinical care by 15%
- Educated patients on financial assistance options resulting in 20% increase in patient satisfaction scores
- Communicated with average of 50 patients per day to provide personalized guidance on their healthcare journey, resulting in satisfaction rating of 95%
- Scheduled over 200 patient appointments per week, consistently meeting or exceeding departmental scheduling guidelines
- Maintained accurate records of scheduled appointments and patient information in electronic medical record system, ensuring compliance with HIPAA regulations
- Coordinated with nursing staff and physicians to improve patient experience, resulting in 20% increase in patient satisfaction scores
- Managed complex schedule for spine surgeons and podiatrists, ensuring all appointments were scheduled efficiently and without conflicts
Education
High School Diploma -
Delta High School
Delta, UT05.2008
Skills
- Medical Terminology
- Coding Error Resolution
- EMR Systems
- CPT Code Modifiers
- Sequence Selection
- Emergency Room Services
- Patient Data Compilation
- Reviewing Patient Information
- Patient Data Identification
- Accounts Payable and Accounts Receivable
- Diagnostic Codes
- ICD-10 (International Classification of Disease Systems)
Certification
- Certified CPB, AAPC - 2023 to Current
- Certified CPC-A, AAPC - 2023 to Current
Timeline
Billing Specialist
R1 RCM Inc
02.2019 - 06.2022
Patient Service Representative
Intermountain Healthcare
10.2017 - 02.2019
High School Diploma -
Delta High School
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