Deborah Blue
Jacksonville,FL
Summary
Proven Senior Medical Coder with a track record of enhancing billing efficiency and accuracy at Mayo Clinic. Leveraged computer skills and a positive attitude to reduce claim denials and streamline processes, significantly improving revenue recovery. Skilled in fostering teamwork and employing critical thinking to address complex coding challenges, demonstrating a commitment to excellence and continuous improvement.
Overview
25
25
years of professional experience
Work History
Medical leave
Indianapolis, IN
05.2015 - Current
I had some medical issues that stopped me from working.
Senior Medical Coder
Community Health Network
Indianapolis, IN
01.2013 - 01.2015
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Optimized billing procedures by working closely with the finance department, ensuring timely reimbursement for services rendered.
- Implemented new technology solutions designed to improve efficiency in code selection processes.
- Streamlined the coding process for efficiency, resulting in a higher volume of claims processed daily.
- Increased revenue recovery through diligent follow-up on outstanding claims and appeals.
- Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions.
- Strengthened communication between departments by participating in interdisciplinary team meetings to discuss patient care plans and documentation requirements.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Served as a liaison between coders, physicians, and other clinical staff to ensure accurate information exchange related to diagnosis codes and treatment plans.
- Developed procedures for handling complex cases requiring specialized knowledge or expertise in specific medical coding areas.
- Established strong relationships with insurance companies, facilitating smoother claim processing and payment negotiations.
- Enhanced team productivity by providing ongoing training and support to junior medical coders.
Senior Medical Coder
Clarian Health Partners
Indianapolis, IN
05.2008 - 01.2010
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Optimized billing procedures by working closely with the finance department, ensuring timely reimbursement for services rendered.
- Implemented new technology solutions designed to improve efficiency in code selection processes.
- Streamlined the coding process for efficiency, resulting in a higher volume of claims processed daily.
- Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions.
- Ensured compliance with industry regulations by staying updated on current coding practices and guidelines.
- Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
- Participated in relevant professional development opportunities to stay abreast of changes in medical coding standards.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Served as a liaison between coders, physicians, and other clinical staff to ensure accurate information exchange related to diagnosis codes and treatment plans.
- Provided valuable feedback on coder performance following audits, fostering an environment of continuous improvement within the team.
- Developed procedures for handling complex cases requiring specialized knowledge or expertise in specific medical coding areas.
- Established strong relationships with insurance companies, facilitating smoother claim processing and payment negotiations.
- Enhanced team productivity by providing ongoing training and support to junior medical coders.
- Mentored junior team members, helping them to enhance their skills and knowledge in medical coding best practices.
- Contributed to quality improvement initiatives by identifying areas for potential enhancement within the medical coding department.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Senior Medical Coder
The Coding Network
Beverly Hills, CA
09.2007 - 09.2008
- Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions.
- Strengthened communication between departments by participating in interdisciplinary team meetings to discuss patient care plans and documentation requirements.
- Ensured compliance with industry regulations by staying updated on current coding practices and guidelines.
- Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
- Participated in relevant professional development opportunities to stay abreast of changes in medical coding standards.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Served as a liaison between coders, physicians, and other clinical staff to ensure accurate information exchange related to diagnosis codes and treatment plans.
- Established strong relationships with insurance companies, facilitating smoother claim processing and payment negotiations.
- Enhanced team productivity by providing ongoing training and support to junior medical coders.
- Conducted regular audits of coded data, pinpointing inconsistencies or inaccuracies that could impact reimbursements or compliance measures.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Senior Medical Coder
Martin Gottlieb & Associates
Jacksonville, FL
09.2007 - 04.2008
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Optimized billing procedures by working closely with the finance department, ensuring timely reimbursement for services rendered.
- Streamlined the coding process for efficiency, resulting in a higher volume of claims processed daily.
- Increased revenue recovery through diligent follow-up on outstanding claims and appeals.
- Improved medical coding accuracy by conducting thorough reviews and implementing corrective actions.
- Ensured compliance with industry regulations by staying updated on current coding practices and guidelines.
- Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Served as a liaison between coders, physicians, and other clinical staff to ensure accurate information exchange related to diagnosis codes and treatment plans.
Senior Medical Coder
Mayo Clinic
Jacksonville, FL
05.2005 - 04.2007
- Implemented new technology solutions designed to improve efficiency in code selection processes.
- Streamlined the coding process for efficiency, resulting in a higher volume of claims processed daily.
- Reduced claim denials by identifying and addressing common errors in the coding process.
- Optimized billing procedures by working closely with the finance department, ensuring timely reimbursement for services rendered.
- Strengthened communication between departments by participating in interdisciplinary team meetings to discuss patient care plans and documentation requirements.
- Ensured compliance with industry regulations by staying updated on current coding practices and guidelines.
- Collaborated with healthcare providers to retrieve missing documentation for accurate code assignment.
- Maintained ICD-10 proficiency, leading to more accurate code assignments and fewer claim rejections.
- Served as a liaison between coders, physicians, and other clinical staff to ensure accurate information exchange related to diagnosis codes and treatment plans.
- Provided valuable feedback on coder performance following audits, fostering an environment of continuous improvement within the team.
- Developed procedures for handling complex cases requiring specialized knowledge or expertise in specific medical coding areas.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Medical Coder
Healthcare Management Solutions, IU Health
Indianapolis, IN
07.2001 - 07.2001
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Medical Assistant
Dental/Medical Power
Indianapolis, IN
04.2001 - 07.2001
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Collected and documented patient medical information such as blood pressure and weight.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
Billing Specialist
Lincare
Indianapolis, IN
08.1999 - 08.2000
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Education
Associate of Science - Health Information Technology
Devry University
Orlando, FL10.2009
Associate of Applied Science - Claims
Indiana Business College
Indianapolis, IN09.2002
No Degree - Medical Assisting
Aristotle College
Indianapolis, IN06.1987
Skills
- Friendly, Positive Attitude
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Time Management
- Attention to Detail
- Flexible and Adaptable
- Dependable and Responsible
- Multitasking
- Multitasking Abilities
- Excellent Communication
- Critical Thinking
- Computer Skills
Timeline
Medical leave
05.2015 - Current
Senior Medical Coder
Community Health Network
01.2013 - 01.2015
Senior Medical Coder
Clarian Health Partners
05.2008 - 01.2010
Senior Medical Coder
The Coding Network
09.2007 - 09.2008
Senior Medical Coder
Martin Gottlieb & Associates
09.2007 - 04.2008
Senior Medical Coder
Mayo Clinic
05.2005 - 04.2007
Medical Coder
Healthcare Management Solutions, IU Health
07.2001 - 07.2001
Medical Assistant
Dental/Medical Power
04.2001 - 07.2001
Billing Specialist
Lincare
08.1999 - 08.2000
Associate of Science - Health Information Technology
Devry University
Associate of Applied Science - Claims
Indiana Business College
No Degree - Medical Assisting
Aristotle College