Summary
Overview
Work History
Education
Skills
Timeline
Generic

Hettie Ledbetter

Aberdeen,MD

Summary

Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. 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

20
20
years of professional experience

Work History

Medical Coding and Billing Specialist

Anson Pediatrics
02.2004 - Current
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.

Medical Office Manager

Anson Pediatrics
02.2004 - Current
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
  • Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
  • Addressed and remedied all patient or team member issues.
  • Developed close working relationships with front office and back office staff.
  • Developed policies and procedures for effective practice management.

Education

Certificate - Medical Coding And Billing Specialist

Richmond Community College
Hamlet, NC
02.2019

High School Diploma -

Richmond Senior High School
Rockingham, NC
06.1987

Skills

  • Coding Appeals
  • Medical Claims Coding
  • Patient Health Information Access
  • ICD-10 Requirements
  • Patient Flow
  • Intake Interview
  • CPT Code Modifiers
  • Prescription Refills
  • EMR Systems
  • Customer Experience
  • Medical Terminology
  • Insurance Claims Analysis

Timeline

Medical Coding and Billing Specialist

Anson Pediatrics
02.2004 - Current

Medical Office Manager

Anson Pediatrics
02.2004 - Current

Certificate - Medical Coding And Billing Specialist

Richmond Community College

High School Diploma -

Richmond Senior High School
Hettie Ledbetter