Judy Xiong
Plano
Summary
Results-driven healthcare professional with strong foundation in medical billing and coding. Expertise in accurately processing claims, ensuring compliance with regulations, and resolving billing discrepancies. Known for collaborative approach, adaptability, and consistently delivering high-quality outcomes in team settings. Skilled in CPT, ICD-10, and HCPCS coding, with keen eye for detail and commitment to accuracy.
Overview
12
12
years of professional experience
Work History
Medical Document Management
Catalyst Physician Group
05.2022 - Current
- EClinicalWorks Software 2022-2023
- AthenaOne Software 2023
- Scan, index, and record medical results into appropriate patient charts using an EMR system.
- Manage medical documents by incoming via fax, electronically or paper forms following company protocols.
- Redirect incoming faxes and scanned documents to charts or back-office staff desktops
- Create charts for new patients.
- Functions as a resource person for HIM & clinical personnel to answer questions and assists with problem resolution
Medical Billing Specialist
Hillcrest Medical Center/Business Office
09.2018 - 06.2021
- Epic, Waystar, Healthlogics, Availity, RightFax Software
- Knowledge of CPT, ICD-10, HCPCS Level II Codes for Inpatient/Outpatient hospital, clinics, and pathology/laboratory
- Communicate with coding team on invalid codes that cause claim denial
- Review and update patient account for accuracy
- Reviews all medical records and notes associated with bills to ensure accuracy.
- Analyzes all billing procedures to troubleshoot potential problems, initiates follow-up and corrective action.
- Analyzes and reviews delinquent accounts.
- Work closely with the Credential Director and staff to identify and resolve any denials or authorization issues related to providers credentialing and licenses to work legally in their field or specialty.
- Oversees New Mexico, Idaho, Texas, Kansas health markets and divisions on Medicaid and Medicare
- Train new employees
- Recommend improvements to state or other contractor certification with Medicaid and Medicare
- Communicate with healthcare providers to clarify or exchange information about health insurance/healthcare policy, regulations, and key initiatives.
Billing Office Specialist II
Regional Medical Laboratory
01.2014 - 08.2018
- Cerner and Availity Software Application
- Knowledge of CPT, ICD-10 codes for laboratory services
- Communicate with healthcare providers on invalid codes that cause claim denial.
- Coordinated and validate claims to ensure edit criteria is met with Medicaid and Medicare for Oklahoma and Kansas
- Complete all tasks in a timely manner with accurate documentation.
- Data entry patient account for accuracy
- Analyze and resolve error reports associated with the billing process, identify patterns, and assist in the design and implementation of workflow changes to reduce billing errors.
- Consult with other departments to resolve unbilled claims and review accounts for proper billing practices and reimbursement.
- Reconciled charge transactions according to departmental policy
Education
Associate of Applied Science - Medical Billing and Coding
Community Care College
Tulsa, Oklahoma10.2013
Skills
- IDC-10-CM
- CPT and HCPCS Level II Code
- Organizational skills
- Electronic Health Records (EHR) systems
- Typing speed of 65 wpm
- Excellent Verbal and Written Communication
- Problem-Solving
- Self-Learner
- Extreme Detail-Oriented
- Information management
Awards
- President’s Honor Roll – Community Care College, Tulsa, OK
- Certificate of Appreciation for Accounting Specialist Advisory Board – Community Care College, Tulsa, OK
Timeline
Medical Document Management
Catalyst Physician Group
05.2022 - Current
Medical Billing Specialist
Hillcrest Medical Center/Business Office
09.2018 - 06.2021
Billing Office Specialist II
Regional Medical Laboratory
01.2014 - 08.2018
Associate of Applied Science - Medical Billing and Coding
Community Care College
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