Medical Billing and Coding Specialist with 24 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Disciplined individual skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
24
24
years of professional experience
Work History
Certified Professional Coder
University Of Toledo Physicians, LLC
03.2000 - Current
Optimized revenue cycle management with timely and precise code assignment for various medical procedures.
Trained and mentored junior coders to support growth and development in or to apply high-quality coding practices.
Streamlined billing processes for improved efficiency and reduced errors in claims submissions.
Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
Resourcefully used various coding books, procedure manuals, and on-line encoders.
Coordinated with other departments to address any discrepancies or issues arising from billing-related matters promptly and professionally.
Contributed to interdisciplinary team meetings, offering valuable insights into optimizing patient care from a coding perspective.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Collaborated with medical staff to ensure accurate documentation and appropriate coding practices were followed.
Identified opportunities for process improvement, leading to a more efficient workflow within the coding department.
Utilized advanced computer skills to navigate various software programs, further enhancing the efficiency of coding processes.
Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Provided comprehensive training for junior coders, resulting in increased productivity and skill development.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Participated in regular performance evaluations and provided constructive feedback for continuous improvement within the team.
Participated in ongoing professional development opportunities to stay current on changing coding requirements and advances in healthcare technology.
Verified signatures and checked medical charts for accuracy and completion.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately assign codes as needed.
Education
No Degree - Communications
University of Toledo
Toledo
High School Diploma -
Erie Mason High School
Erie, Michigan
05.1987
Skills
Procedural Coding Precision-Interventional Cardiology, Electrophysiology and Peripheral Interventions
Medical Billing/Insurance Follow-up Specialist at University of Toledo PhysiciansMedical Billing/Insurance Follow-up Specialist at University of Toledo Physicians
Lecture and Lab Instructor at University of Toledo - Department of Molecular, Cellular, and Developmental BiologyLecture and Lab Instructor at University of Toledo - Department of Molecular, Cellular, and Developmental Biology