KIMBERLY SEAWRIGHT
West Plains,MO
Summary
Medical Billing and Coding Specialist with 21 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
CoxHealth
05.2022 - Current
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- 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.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
- Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
- Enhanced team efficiency with regular training sessions on new coding updates and best practices.
- Promoted teamwork within the department through effective communication and collaboration on complex cases.
- Optimized workflow processes by developing efficient strategies for managing large volumes of medical records.
Certified Ambulance Coder
Digitech
09.2021 - 05.2022
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Facilitated knowledge sharing within the team by conducting regular code reviews, training sessions, and workshops on relevant topics.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Expedited project completion timelines with strong time management skills and adherence to deadlines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Maintained accuracy, completeness, and security for medical records and health information.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
Certified Ambulance Coder
South Howell County Ambulance
05.2019 - 09.2021
- Responsible for processing payments, adjustments and denials according to established guidelines
- Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed
- Ensure accurate entry of work into designated billing systems
- Communicates with the Hospitals to provide or obtain corrected or additional data
- Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information
- Responsible for working EDI claim rejections in a timely manner
- Successfully works as a team member
- Identifies procedures and principal diagnosis performed on each patient and properly codes each procedure
- Work claims and claim denials to ensure maximum reimbursement for services provided
- Works directly with insurance companies to get claims processed and paid
- Working knowledge of basic computer functions, with an emphasis on typing
- Working knowledge of basic math including percentages
- Make outbound phone calls to resolve denial issues.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Executive Assistant
Greater West Plains Chamber of Commerce
02.2017 - 03.2019
- Prepare all accounts payable and receivable
- Prepare all invoices for coding and payment
- Record receipts and payments
- Code and prepare company expenses payments
- Assist the overall success of the membership program
- Update database of members and Chamber contacts
- Prepare meeting notices, makes reminder calls and prepares meeting packets for committees
- Maintain all membership files.
Administrative Assistant
Brooke Haven Healthcare
10.2016 - 02.2017
- Responsible for all accounts receivable and payable
- Balance the Resident Trust Fund ledger weekly
- Complete orientation packets, schedule interviews, and maintain all employee records
- Code all incoming invoices, compare and check off all pharmacy, medical supply, and dietary supply records
- Maintain all resident files.
Commercial Insurance Biller
Ozarks Medical Center
12.2014 - 03.2016
- Review patient bills for accuracy and completeness, and obtaining any missing information
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment for accuracy and compliance with contract discount
- Call insurance companies regarding any discrepancy in payments if necessary
- Research and appeal denied claims
- Answer all patients questions about bill and insurance
- Set up patient payment plans and work collection accounts
- Update cash spreadsheets, and run collection reports.
Education
Associate of Arts - Office Administration
ASU Mountain Home - Main Campus
Mountain Home, AR01.2014
Skills
Financial records and processing
- Accounts Payable/Receivable
- Statement Billings
- Account Management
- Proficient in processing payments
- Insurance Payment resolution
- Data Entry
- 21 years in the medical field
- 17 years in medical billing
- 17 years in coding HCPCS, CPT, & ICD
- File/records maintenance
- Result-oriented
- CPC-A, CAC, CADS, CPR Certified
- Proficient in Microsoft Office
- Knowledge of Quickbooks
- Knowledge of most office equipment
- Diagnostic Coding Accuracy
- HIPAA compliance awareness
- Clinical Documentation Review
- Continuing Education Commitment
Certification
- CPR
- CAC
- CADS
- CPC-A
Timeline
Certified Medical Coder
CoxHealth
05.2022 - Current
Certified Ambulance Coder
Digitech
09.2021 - 05.2022
Certified Ambulance Coder
South Howell County Ambulance
05.2019 - 09.2021
Executive Assistant
Greater West Plains Chamber of Commerce
02.2017 - 03.2019
Administrative Assistant
Brooke Haven Healthcare
10.2016 - 02.2017
Commercial Insurance Biller
Ozarks Medical Center
12.2014 - 03.2016
Associate of Arts - Office Administration
ASU Mountain Home - Main Campus
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