Khang Carl
San Jose,CA
Summary
Driven to excel, I leveraged my ICD-10 proficiency and critical thinking at Dr. Smith Office and Eli Lilly Pharmaceuticals, enhancing claim accuracy by [number]% and launching market-leading products. My blend of medical billing software familiarity and product strategy skills fueled significant revenue growth and operational efficiency, showcasing a commitment to professionalism and results.
Overview
18
18
years of professional experience
Work History
Medical Billing Coder
Dr. Smith Office
11.2007 - 12.2009
- Updated patient financial information to guarantee accuracy.
- Reduced claim denials by meticulously reviewing patient records for proper documentation.
- Streamlined billing processes for improved efficiency and accuracy in claim submission.
- Increased accuracy of claims submissions with thorough understanding of ICD-10, CPT, and HCPCS coding systems.
- Maintained patient confidentiality by adhering to HIPAA guidelines during record review and billing processes.
- Managed workload effectively, prioritizing tasks based on urgency and importance to maintain timely claim submissions.
- Improved cash flow by diligently following up on outstanding insurance claims and unpaid balances.
- Contributed to team success through consistent collaboration and effective communication with colleagues.
- Assigned appropriate medical codes with [number] percent accuracy rate.
- Demonstrated adaptability by quickly learning new procedures as medical coding standards evolved over time.
- Provided exceptional customer service when resolving billing inquiries from patients and insurance carriers.
- Supported practice growth by effectively managing a high volume of claims without compromising quality.
- Enhanced revenue collection by accurately coding and submitting medical claims.
- Minimized errors in data entry by double-checking information before submitting claims to insurance companies.
- Collaborated with insurance companies to resolve discrepancies and expedite payments.
- Optimized reimbursement rates for services provided through accurate calculation of fee schedules for multiple payers.
- Ensured compliance with industry regulations by staying up-to-date on coding changes and guidelines.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Verified signatures and checked medical charts for accuracy and completion.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
- Followed up with medical staff regarding missing information in patient records.
- Verified accuracy of patient information in medical records.
- Input data into computer programs and filing systems.
- Scanned and uploaded medical records into electronic medical records system.
Product Manager
Eli Lilly Pharmaceuticals
02.1992 - 12.2003
- Communicated effectively with team members to deliver updates on project milestones and deadlines.
- Developed product documentation to communicate upcoming features and products to internal teams.
- Collaborated with sales teams to develop effective training materials that drove increased product knowledge among staff members, resulting in higher close rates.
- Coordinated design meetings and decisions with internal departments and teams.
- Analyzed metrics to measure product performance.
- Collaborated with sales, marketing, and support teams to launch products on time and within budget.
- Maintained positive vendor relations to build strong partnerships.
- Improved product functionality with innovative design solutions, resulting in increased sales conversions.
- Managed full product lifecycle, from ideation through post-launch support, ensuring consistent quality control measures were in place.
- Prioritized roadmap in order to achieve product goals and metrics.
- Launched successful products by conducting thorough market research and identifying customer needs.
- Coordinated project planning and execution with team members and team leads.
- Reviewed new opportunities to drive business strategy at planning sessions.
- Monitored market trends and competitor performance to update promotional strategies.
- Managed product demonstrations and testimonials for performance evaluation.
- Continuously monitored customer feedback channels after launch to gather insightful data for future iterations or updates.
- Optimized product performance with data-driven analysis and continuous improvement initiatives.
- Led cross-functional teams to deliver high-quality products on time and within budget constraints.
- Set goals and formalized policies to maximize team performance and keep project on-task.
- Directed planning and budgeting efforts.
- Reviewed sales, customer concerns, and new opportunities to drive business strategy at weekly planning sessions.
- Boosted customer base penetration using creative promotional approaches.
- Conducted market research to identify new opportunities and target markets.
- Developed creative presentations, trend reports, kitted assets, and product data sheets.
- Captured new customers by optimizing business strategies and launching products to diversify offerings.
- Established, initiated and optimized business development strategies based on company targets, product specifications, market data, and budget factors.
- Launched successful digital marketing campaigns that achieved goals for increased website traffic.
- Coordinated with design and media teams to develop high-quality creative assets.
- Oversaw preparation of marketing copy, images, videos, emails, and other collateral.
- Managed budget allocation and resource utilization to maximize marketing ROI.
- Continually maintained and improved company's reputation and positive image in markets served.
- Executed comprehensive marketing plans that consistently achieved targets for increased revenue.
- Created and managed social media campaigns to increase brand engagement.
Education
Bachelor of Science - Medical Doctor
Medicine University
Ho Chi MInh, Viet Nam09.1992
Skills
- CPT coding knowledge
- ICD-10 Proficiency
- HIPAA Compliance
- Professionalism and Ethics
- Medical Billing Software Familiarity
- Product Strategy
- Critical Thinking
- Timeline Management
- Competitive Analysis
- Pricing strategy
Timeline
Medical Billing Coder
Dr. Smith Office
11.2007 - 12.2009
Product Manager
Eli Lilly Pharmaceuticals
02.1992 - 12.2003
Bachelor of Science - Medical Doctor
Medicine University
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