Jessica Schutte
Hamilton
Summary
- Proficient in ICD-10 coding and claims processing, with a strong track record of reducing claim denials and ensuring compliance with HIPAA regulations.
- Detail-oriented professional with extensive experience in auditing, coding and billing within medical billing. Proven ability to enhance team collaboration and improve clinical documentation, driving operational efficiency and compliance.
- Certified coding professional with deep understanding of medical coding, billing processes, and healthcare regulations. Adept at ensuring accuracy and compliance, contributing significantly to optimized revenue cycles. Strong focus on team collaboration and adaptability to changing needs. Trusted for reliability, thoroughness, and effective communication in fast-paced environments.
- Experienced with interpreting and applying coding guidelines and regulations. Utilizes analytical skills to ensure accuracy in coding and compliance. Knowledge of ICD-10-CM, CPT coding, and medical terminology to support effective healthcare operations.
- Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Certified Professional Coder and Auditor
Capital Health
Pennington, NJ
11.2015 - Current
- Reviewed and coded medical records for accuracy and compliance with regulations.
- Collaborated with healthcare teams to clarify documentation and coding requirements.
- Conducted audits of coding practices to ensure adherence to industry standards.
- Collaborated with providers to ensure accurate documentation and appropriate coding practices were followed.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to and after submission.
- Interacted with physicians and other healthcare staff to adhere to industry coding guidelines and Medicare regulations.
Medical Billing Supervisor
Medical Billing and Management Services (MBMS)
Hamilton, NJ
10.2013 - 11.2015
- Supervised billing team to ensure accurate claims submission and timely follow-ups.
- Implemented process improvements to enhance efficiency in billing workflows and reduce claim denials.
- Trained and mentored staff on best practices for coding and compliance standards.
- Analyzed billing data to identify trends and develop strategic solutions for revenue enhancement.
- Oversaw audits of billing processes to ensure adherence to regulatory requirements and internal policies.
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reviewed outgoing bills for eligibility and accurateness.
Medical Billing and Collections Specialist
Princeton Orthopaedic Associates
Princeton, NJ
07.2012 - 11.2013
- Processed auto insurance personal injury protection (PIP) medical claims utilizing advanced billing software to ensure timely reimbursements.
- Coordinated patient accounts, resolving discrepancies and ensuring accurate insurance coding.
- Scheduled patient appointments.
- Coordinated with patients to ensure accurate auto insurance information to ensure proper billing and payment.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Compiled and tracked outstanding balances owed to medical facilities.
- Maintained excellent relationships with insurance representatives to expedite claims processing and secure timely reimbursements for services rendered.
Certified Professional Coder
Central Billing Service (CBS)
Hamilton, NJ
04.2003 - 09.2011
- Analyzed and coded radiology records for accuracy and compliance with industry standards.
- Collaborated with radiologists to resolve coding discrepancies and ensure proper billing.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Correctly coded and billed radiology claims for a high volume radiology practice with multiple radiologists.
Radiology Department Secretary
Radiology Affiliates Imaging
Trenton, NJ
01.2001 - 01.2003
- Managed scheduling and appointment coordination for radiology services.
- Streamlined office operations by implementing efficient filing systems and workflows.
- Scheduled radiology procedures for patients.
- Hung x-ray and CT films for the radiologists.
Education
Associate of Applied Science - Health Care Administration
Mercer County Community College
Trenton, NJ05-2009
Skills
- ICD-10 proficiency
- HIPAA compliance awareness
- Claims processing efficiency
- Team collaboration
- CMS-1500 form completion
- Diagnostic coding accuracy
- Emergency Department coding experience
- Plastic Surgery coding experience
- Documentation review expertise
- Medical terminology
- Electronic health records navigation
- Continuing education commitment
- Clinical documentation improvement
- Revenue cycle management
- CPT coding
- Auditing and quality assurance
Certification
- CPC - Certified Professional Coder
- CPT-Certified Professional Biller
- CPMA-Certified Professional Medical Auditor
- CPPM- Certified Physician Practice Manager
Timeline
Certified Professional Coder and Auditor
Capital Health
11.2015 - Current
Medical Billing Supervisor
Medical Billing and Management Services (MBMS)
10.2013 - 11.2015
Medical Billing and Collections Specialist
Princeton Orthopaedic Associates
07.2012 - 11.2013
Certified Professional Coder
Central Billing Service (CBS)
04.2003 - 09.2011
Radiology Department Secretary
Radiology Affiliates Imaging
01.2001 - 01.2003
Associate of Applied Science - Health Care Administration
Mercer County Community College