Hope Colbert, CPC
Severna Park,MD
Summary
Medical Coder with experience in applying ICD-10-CM, CPT, and HCPCS coding to secure prior authorizations effectively. Seeking opportunities to leverage extensive coding knowledge and process optimization skills in a dynamic healthcare environment.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Office Assistant
Women’s Center for Pelvic Health
04.2022 - Current
- Performed prior authorization processing for medical procedures and medications by applying ICD-10-CM, CPT, and HCPCS coding data within authorization documentation systems.
- Utilized practice management software to review and resolve discrepancies within the billing claims bucket, ensuring compliance with coding standards. Assessed billing claims bucket and correct any errors
- Streamlined information exchange among 6+ providers, multiple insurance companies, and an average of 25+ patients daily using EMR and telephone systems.
- Registered and checked in patients, verified insurance coverage and patient eligibility through coordination with insurance providers and updating patient records in the practice management system.
- Maintained electronic filing system with accuracy by leveraging document management software, supporting HIPAA compliance and rapid access for medical and administrative staff.
- Managed daily appointment scheduling and data entry for patients in the practice management system, ensuring accuracy and compliance with confidentiality standards through rigorous attention to detail.
Medical Coder and Biller
Alan Weiss, MD
10.2021 - 04.2022
- Reviewed patient charts and applied ICD-10-CM, CPT, and HCPCS codes using electronic health records systems.
- Adhered to payer guidelines when finalizing and submitting 1500 Claim Forms by performing thorough data entry within electronic health records systems.
- Digitized and securely organized manual to electronic records for all cases each week, streamlining retrieval processes and allowing faster access for clinical and billing staff. Verify and update all patient demographics and insurance information
- Collaborated with healthcare provider and insurance companies to gather supporting documentation and clarify coding information required for successful appeals.
- Utilized electronic health record platforms and billing software to monitor claim status, processed and applied Explanation of Benefits (EOBs), leading to resolution of insurance denials within 15 business days and positively impacting monthly revenue cycle timelines.
- Applied Coding Guidelines to evaluate and validate ICD-10-CM, CPT, and HCPCS assignment across claims weekly, ensuring compliance and reducing audit discrepancies by using EHR and billing software.
Manager
McDonald’s
03.2002 - 03.2015
- Delivered 100% accuracy in weekly and month-end operational reports by leveraging Microsoft Excel and restaurant management software, enabling data-driven decisions that improved resource allocation and contributed to a reduction in operating costs within 12 months.
- Secured and prepared financial deposits using POS systems and maintained protection protocols during bank transports.
- Oversaw daily operations and implemented standardized store opening and closing protocols using operational checklists and POS systems, contributing to consistent compliance with health, safety and security standards over 13 years.
- Managed scheduling, inventory, and shift coverage using workforce management tools to maintain efficient store operations and consistent employee coverage.
- Directed internal auditing initiatives for cash handling, inventory, and compliance utilizing POS systems and conducting weekly audits across a 13-year period and reducing discrepancies while ensuring adherence to operational protocols.
Education
Bachelor’s - Health Information Management
Southern New Hampshire University
Diploma -
Severna Park High School
06.2001
Skills
- ICD-10-CM
- CPT
- HCPCS
- EPIC Software
Certification
- Certified Medical Coder, American Academy of Professional Coders - 2022
Timeline
Office Assistant
Women’s Center for Pelvic Health
04.2022 - Current
Medical Coder and Biller
Alan Weiss, MD
10.2021 - 04.2022
Manager
McDonald’s
03.2002 - 03.2015
Diploma -
Severna Park High School
Bachelor’s - Health Information Management
Southern New Hampshire University