Professional Coding Specialist skilled in medical coding, data analysis, and compliance with healthcare regulations. Strong focus on teamwork and achieving results. Reliable and adaptable to changing needs. Proficient in ICD-10, CPT, and HCPCS coding, with keen eye for accuracy and efficiency.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Medical Billing and Coding Specialist
Niagara Falls Memorial Medical Center
09.2013 - Current
Ensured accuracy in coding through regular audits, identifying discrepancies and areas for improvement.
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
Optimized revenue cycle management by accurately assigning codes for diagnoses and procedures according to established guidelines.
Contributed to revenue optimization efforts by identifying under-coded services and providing recommendations for appropriate code assignments.
Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
Reduced error rates in medical billing by maintaining thorough knowledge of insurance regulations and guidelines.
Maintained up-to-date knowledge on industry changes, attending training sessions and workshops regularly.
Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Developed training materials to educate staff on current coding standards, best practices, and regulatory requirements.
Enhanced data integrity by conducting routine quality assurance checks on coded records for accuracy and completeness.
Credit and Collections Associate
Dell Physician Services
01.2009 - 08.2013
Offer healthcare business office consulting and management of account receivables.
Concentration on billing and collections using collection techniques to provide accelerated accounts and receivable recovery.
Working directly with insurances and patients to resolve outstanding accounts.
Assist in resolution of outstanding balance problems from past due accounts.
Regularly monitored accounts to identify overdue balances and potential areas of risk.
Education
Associate of Applied Science - Medical Reimbursement And Coding
Bryant And Stratton College
Getzville, NY
09-2018
Skills
Medical Terminology
Trained Employees
Supervised Employees
Electronic Medical Records
10,000 KPH
Type 70 WPM
Claims Processing
Customer Service Skills
CCS-P certified
Payment Posting
CPT & ICD-10 Coding
HIPPA Compliance
Certification
CCS-P - AHIMA Certified Coding Specialist - Physician Based
Timeline
Medical Billing and Coding Specialist
Niagara Falls Memorial Medical Center
09.2013 - Current
Credit and Collections Associate
Dell Physician Services
01.2009 - 08.2013
Associate of Applied Science - Medical Reimbursement And Coding
Director of Emergency, Psychiatric Emergency Interventional Cardiology and Stroke Services at Niagara Falls Memorial Medical CenterDirector of Emergency, Psychiatric Emergency Interventional Cardiology and Stroke Services at Niagara Falls Memorial Medical Center
Registered Nurse, Emergency Department at Niagara Falls Memorial Medical CenterRegistered Nurse, Emergency Department at Niagara Falls Memorial Medical Center