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
17
17
years of professional experience
1
1
Certification
Work History
Medical Coder/Medical Biller
Cancer Center Of South Florida
07.2016 - Current
Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Promoted teamwork within the department through effective communication and collaboration on complex cases.
Audit documentation for accurate high level coding to maximize reimbursement
Provide appropriate documentation for Medical Necessity for drug claims, diagnosis, procedures and provider notes.
Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Resourcefully used various coding books, procedure manuals, and online encoders.
Ensured compliance with industry standards, staying up-to-date on medical billing codes and regulations changes.
Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
Billing/Coding Specialist
Hematology Oncology Associates of the Treasure Coast
01.2007 - 06.2016
Auditing, posting of medical charges for multiple physician office locations including the reading and comprehension of radiology and pathology reporting to determine ICD-9/ICD-10 coding for hematology and oncology services.
Enhanced revenue cycle management with timely submission of clean claims to insurance companies.
Appeal writing with supportive documentation from electronic medical record software and any other resources available.
Reduced claim denials by meticulously reviewing medical records for accurate coding and documentation.
Increased efficiency, implementing electronic billing systems and automating manual processes.
Education
Health Information Technology
Indian River State College
Ft. Pierce, FL
Skills
Medical Terminology
Anatomy knowledge
HIPAA Compliance
HCPCS Coding
Chemotherapy Coding
Medical Billing
Teamwork capabilities
Data Entry
Medical claims coding
Claims Processing
Procedural Coding
[Type] coding
Certification
CPC, Certified Professional Coder
CPB, Certified Professional Biller
CHONC, Certified Hematology Oncology Coder
Affiliations
Certified Professional Coder and active member of the American Academy of Professional Coders (National Organization headquartered in Salt Lake City, Utah).
Timeline
Medical Coder/Medical Biller
Cancer Center Of South Florida
07.2016 - Current
Billing/Coding Specialist
Hematology Oncology Associates of the Treasure Coast