Karen Long
North Las Vegas,NV
Summary
Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Medical Billing Manager
Radiation Oncology Centers Of Nevada
North Las Vegas, NV
03.2022 - Current
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
- Established and checked coding procedures, monitored reports and updated internal files.
- Supported financial director with special projects and additional job duties.
- Reviewed billing problems, researched issues and resolved concerns.
- Used Greenway software to assign procedure and diagnostic codes to patient records for billing purposes.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
Medical Coder
Carson Surgical Group
Carson City, NV
01.1994 - 02.2002
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
Skills
- Medical Billing and Collections
- Proactive and Focused
- ICD-10 (International Classification of Disease Systems)
- Software Applications
- Medical Records and Documentation
- EMR Systems
- Commercial Insurance
- Complex Problem-Solving
- CPT Code Modifiers
- Medical Billing Processing
- Certified Professional Coder
- Word Processing Software
Certification
- Radiation Oncology Certified Coder
- CEMC - Certified Evaluation and Management Coder
Timeline
Medical Billing Manager
Radiation Oncology Centers Of Nevada
03.2022 - Current
Medical Coder
Carson Surgical Group
01.1994 - 02.2002
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