Judi Parker
Healthcare Consulting Solutions
Charlotte,NC
1
Certification
24
years of professional experience
Diligent medical biller/coder/auditor professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Work History
Remote Medical Biller, Coder and Auditor
3 Years 8 Months- Claims processing/submission for Medicare, Medicaid and commercial insurance carriers
- Support the integrity of the full revenue cycle
- Process claim denials and appeals
- Identify coordination of benefits
- A/R follow up
- Escalate denied claims
- Post insurance payments
- Assign accurate ICD-10-CM, CPT, and HCPCS codes
- Review EOBs for accuracy
- Perform claim and coding audits
- Review insurance contracts and fee schedules
- Verify patient eligibility
Practice Manager
17 Years- Manage daily practice operations and identify process improvements in the day-to-day functions
- Oversee daily operations of medical billing department to ensure compliance with regulations
- File claims and manage denials
- Monitor A/R and verify that proper procedures are followed and insurance payments are paid timely
- Manage revenue cycle
- Assign accurate ICD-10-CM, CPT, HCPCS, and other applicable medical codes to diagnoses, procedures, and services performed by healthcare providers based on medical record documentation.
- Direct, supervise and evaluate work activities of staff including front office, scheduling, referral, billing, medical assistants and providers
- Led team in resolving complex billing discrepancies and disputes for timely payment processing.
- Analyzed revenue cycle metrics to identify areas for improvement and strategic initiatives.
- Conduct recruitment, hiring and training of all staff and providers
- Establish work schedules and assignment for staff and providers
- Develop and implement organizational policies and procedures for the practice
- Create statistical and auditing reports based on clinic note findings and present to providers at quarterly meetings
- Provide training and guidance on coding correctness to providers and staff
- Maintain regulatory compliance and staff training for OSHA, HIPAA, CLIA, OIG, and all other regulatory bodies
- Credential new as well as existing provider’s licenses and insurance carriers
- Oversee and document laboratory quality and assurance under supervision of the lab director
- Develop and oversee risk management plans and quality improvement plans
- Identify process improvements, workflow efficiencies, and work collaboratively with medical director and providers
- Oversee inventory and order medical supplies
- Process payroll
- Address and resolve patient complaints
Office Coordinator
2 Years 9 Months- Supervise the daily activities of providers, clinical staff and support staff and assist as needed
- Train new employees
- Create schedules for providers and staff
- Conduct staff meetings
- Interpret and communicate new or revised policies to staff
- Address patient complaints
- Act as a liaison between patients and providers and staff
- Correct billing/coding errors as requested by billing department
- Assist billing department with coding and billing clarifications
- Train providers and staff on commercial, Medicare and Medicaid coding and billing
- Answer phones
- Schedule appointments
- Collect and post payments
- Initiate and follow up on referrals
- Maintain medical records
- Inventory control and order supplies
- Ensure that equipment and supplies are properly maintained for quality patient care and safety
- Process payroll
Education
No Degree
High School Diploma
Skills
Critical thinker
Insurance billing
Denial management
CPT/HCPCS/ICD proficiency
Revenue cycle management
Proficient in EHR systems
Operational practice
Statistical auditing
Effective organizational skills
Initiative-driven professional
Meticulous attention to detail
Regulatory compliance
Microsoft applications
Certification
- Certified Professional Coder (AAPC)
- Certified Healthcare Auditor (AIHC)
- Certified Medical Practice Executive (ACMPE)
Timeline
Remote Medical Biller, Coder and Auditor
Healthcare Consulting Solutions
12.2022 - CurrentRead More
Practice Manager
Dallas Family Medicine
01.2006 - 01.2023Read More
Office Coordinator
Caromont Family Medicine
01.2003 - 10.2005Read More
University of New Orleans
No Degree
Read More
Lincoln High School
High School Diploma
Read More
Professional references
Available upon request
Professional Affiliations
- American Academy of Professional Coders
- American Institution of Healthcare Compliance
- Medical Group Management Association