Lori Reeve
Saint George,SC
Summary
Medical Billing and Coding Specialist with 10 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Coder II
MUSC Hospital
03.2014 - Current
- 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 inpatient and outpatient specialties. Maintained above average quotas monthly.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Billing Specialist
Oakbrook Pediatrics
10.2009 - 03.2014
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Optimized payment collection times by implementing effective follow-up strategies with clients.
- Proactively addressed potential billing discrepancies by conducting pre-billing audits.
- Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
- Collaborated with customers to resolve disputes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Skills
- AAPC Certified Professional Coder since 2013
- Consistently maintained high level proficiency in coding audits
- Quota always met and exceeded weekly
- Experience with carrier denials with low level of denials for coding areas
Certification
- American Academy of Professional Coders 2013 to present
Timeline
Coder II
MUSC Hospital
03.2014 - Current
Billing Specialist
Oakbrook Pediatrics
10.2009 - 03.2014
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