Laura Whitman
Maumee,OH
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
2
2
years of professional experience
1
1
Certification
Work History
HCC Coder
Optum UHC /CSI Companies
01.2023 - Current
- Proficient in ICD-10-CM and HCC coding
- Assigned diagnosis codes based on provider documentation while adhering to established coding guidelines and conventions
- Knowledge of CMS / MA guidelines and regulations
- Participated in continuing education programs related to coding regulations and guidelines
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes
- Safeguarded medical records to maintain patient confidentiality
Medical Billing Specialist
Genacross Lutheran Services
03.2022 - 05.2022
- Billing/Collections for Private Pay, Medicare and Medicaid Accounts
- Generate/complete daily patient Census Reports
- Long Term Care Billing (Skilled Nursing)
- Prepare billing statements for patients, ensuring correct diagnostic coding
- Responsible for posting all resident Ancillary Charges at months end
- Assist Residents and/or responsible party with understanding their statements
- Generate/submit accurate Hospice, Medicaid, Medicare and Managed Care UB04's by established deadline dates
- Post and adjust payments from insurance companies.
Intake Specialist/Triage/Order Entry Clerk
Heartland Healthcare Services
04.2013 - 02.2021
- Searched for Medicaid, Third Party, and Medicare for patients at multiple regional LTC facilities
- Daily verification of multiple Pending Medicaid accounts
- Transfer of charges to appropriate payer
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations
- Triage: created a patient profiles based on admission to LTCs from paperwork faxed by nursing staff
- Answered, logged incoming inquiries via phone, fax and email
- Sorted digital faxes and rerouted to appropriate departments
- Order Entry: added medications to patient profiles and labels for prescriptions to be sent out in a fast paced typing environment.
Education
Associates of Arts - Information Technology
University of Phoenix - Online
Medical Coding - Foundations in Health Info - Medical Terminology
Career Step - Online
05.2021
Skills
- CMS Guidelines
- HCC Coder
- Medicare Advantage (MA)
- HIPAA Compliance
- Workflow Management
- MS Office
- Medical Terminology
- Knowledgeable in Pharmaceuticals
- Basic Human Anatomy and Physiology
Certification
AAPC CPC 01899151
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
Timeline
HCC Coder
Optum UHC /CSI Companies
01.2023 - Current
Medical Billing Specialist
Genacross Lutheran Services
03.2022 - 05.2022
Intake Specialist/Triage/Order Entry Clerk
Heartland Healthcare Services
04.2013 - 02.2021
AAPC CPC 01899151
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC)
Associates of Arts - Information Technology
University of Phoenix - Online
Medical Coding - Foundations in Health Info - Medical Terminology
Career Step - Online
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