Adept at ICD-10 and CPT coding, I enhanced billing accuracy and reduced claim denials significantly at Saint Joseph Medical Practice. My collaborative spirit and exceptional communication skills have consistently improved client and interdepartmental relations. My proficiency in ECW and EPIC, coupled with a commitment to regulatory and HIPAA compliance, positions me as a valuable asset to any healthcare team.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Medical Biller
Saint Joseph Medical Practice
Bronx
01.2022 - Current
Posted payments and collections on a regular basis.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Filed and updated patient information and medical records.
Delivered timely and accurate charge submissions.
Liaised between patients, insurance companies, and the billing office.
Prepared billing statements for patients, and verified correct diagnostic coding.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.
Prevented financial delinquencies by working closely with managers to resolve billing issues before they became unmanageable.
Generated reports and analyzed trends to maximize reimbursement, and reduce claim denials.
Audited and corrected billing and posting documents for accuracy.
Generated monthly billing and posting reports for management review.
Assisted with medical coding and billing tasks.
Documented patient condition and treatment, coding medical claims for hospitals and nursing facilities.
Reviewed outpatient medical documents of diagnoses and procedures, and assigned ICD-10 and CPT codes according to coding guidelines.
Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
Family Support Services / Case Assistant
The NYU Lutheran Family Health, Center - Community, Department of Community
06.2019 - 10.2021
Based Programs AmeriCorps Member
Assist clients to obtain resources and services including but not limited to: SNAP (food stamps), public assistance, food pantries, immigration, child care facilities, legal resources, and job-training referrals
Case Management limited duties- following up with client needs, conducting initial assessments
Develop and facilitate educational workshops for students in our Adult Education program on topics including public benefits, health care, and domestic violence
Develop and implement special events and activities that supplement children and family services
Inform and assist families/parents with Fresh Air Fund programming and applications for low-income backgrounds
Assist with identifying social determinants of health by entering data necessary for client outreach; identifying clients in need of assistance
Scheduled and confirmed appointments and meetings with families.
Scanned documents and saved in database to keep records of essential organizational information.
Created spreadsheets for more efficient recordkeeping.
Clerical/Receptionist Aide/Outreach Worker
TP Opportunity Youth
09.2018 - 06.2019
Work directly with Program Coordinator and Administrative Assistant maintaining a high level of ethical behavior and respect for confidential information
Answer and transfer busy multi-line calls
Provide clerical and administrative support in a positive and proactive manner
Greeting and directing clients to planned events and translate for Spanish speaking clientele
Generate document and forms utilizing Microsoft Office and Google Docs
Provide basic information to clients re: healthcare, education and housing arrangements
Pack Safe sex kits, with male and female condoms, lubrications, and information on HIV prevention; confidential requests for information and services
Help at special outreach events such as: workshops, meetings and conferences
Education
Diploma - Medical For Billing And Coding
PennFoster
Scottsdale, AZ
Skills
Windows 7 Pro, Operating System, Microsoft Office, Word, Excel, PowerPoint
2003, Internet Basics, Google Docs
Team-oriented, flexible, highly collaborative with a positive attitude
Experience working with youth or families
Excellent communication skills including public speaking
Excellent interpersonal skills
ICD-10 coding
CPT coding
HCPCS level II coding
Proficiency in ECW and EPIC
Regulatory compliance
HIPAA compliance
Certification
Certified Billing and Coding Specialist
Timeline
Medical Biller
Saint Joseph Medical Practice
01.2022 - Current
Family Support Services / Case Assistant
The NYU Lutheran Family Health, Center - Community, Department of Community
Registered Nurse - Sepsis Telemtry at Providence Saint Joseph Medical CenterRegistered Nurse - Sepsis Telemtry at Providence Saint Joseph Medical Center