Revenue Cycle Leader and Certified Professional Coder with 30+ years of experience in the medical field. Skilled in coding audits, provider follow-up, and workflow support, with a focus on improving documentation accuracy, billing compliance, and team performance.
Overview
1
1
Certification
25
25
years of professional experience
Work History
Revenue Cycle Team Lead- Cardiology
University of Florida Jacksonville Physician Inc.
Jacksonville, FL
10.2021 - Current
Streamlined medical coding team workflows to enhance healthcare documentation and billing accuracy.
Maintained medical coding operations through comprehensive reporting and proactive follow-up. through reporting, follow-up, and issue resolution.
Supervised coding queues, ensuring timely case processing and efficient case sorting. Sorted cases for timely processing.
Educated team members on updates to coding standards and documentation rules. Educated team members Educated team members on coding standard updates and documentation rules.
Performed quality assurance checks on coded data.
Utilized coding software and tools efficiently to expedite the coding process.
Maintained positive working relationship with fellow staff and management.
Revenue Cycle Physician Coder- Cardiology
University of Florida Jacksonville Physicians Inc
Jacksonville, FL
09.2016 - 10.2021
Ensured accuracy of ICD, CPT, and HCPCS codes through thorough documentation review.
Queried providers for missing clinical details and diagnosis support.
Audited charts for compliance with federal and payer billing rules.
Ensured all services provided are properly documented according to established guidelines.
Facilitated collaboration with physicians and health care professionals to address coding issues.
Trained new coders on UF Jacksonville physician coding workflows.
Performed coding for physician encounters at University of Florida Jacksonville Physicians Inc clinic services.
Medical Office Coordinator
Advanced Otolaryngology Services
Jacksonville , FL
06.2001 - 09.2016
Coordinated surgery scheduling, provided pre-visit instructions, and prepared patients for procedures.
Managed patient billing activities, ensuring accurate data entry into the system and collection of payments due.
Verified insurance coverage and obtained referrals for ENT appointments and treatments.
Processed diagnosis and procedure codes for insurance claims, ensuring compliance with regulations.
Compiled information for filing appeals on denials, maintaining precise records of approvals to reduce errors.