Marie Anne Talampas
Forest Hills,NY
Summary
- Medical Terminology, Anatomy & Physiology
- ICD-10-CM, HCPCS, CPT & ICD-9-CM
- Epic, Electronic Health Records, HIPAA Law
- Coding & Billing
- Problem solving ability and sets high standards for quality. A fast learner and a team player with strong analytical skills and good work ethics. Knowledgeable in coding & billing, reimbursement, revenue cycle, healthcare administrative, and electronic health records. Works effectively with or without direct supervision.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Billing Coordinator
NYU Langone Health- Radiation Oncology
Mineola, NY
12.2022 - Current
- Monitors, reviews, and applies correct coding principles for reimbursement, and compliance
- Performs outpatient procedure charges including reviewing medical record documentation to ensure that documentation supports the charges to prevent denials and compliance
- Consult physicians in regards with missing information such as diagnosis and correct procedure to support the charges
- Investigate and resolve charge errors
- Review, verify and apply the correct insurance for consult & new patient appointment
- Apply insurance policies or guidelines on charges
- Call Insurance to ensure patient’s verification eligibility
- Maintain productivity standards
- Maintain current knowledge through webinars & utilize ICD-10, CPT 4, and materials.
Professional Fee Coder II
Cleveland Clinic – Neurological Institute
Cleveland, OH
06.2016 - 07.2022
- Monitors, reviews, and applies correct coding principles for reimbursement, and compliance
- Performs outpatient E&M & procedure charges including reviewing medical record documentation to ensure that documentation supports the charges to prevent denials, underpayments, and compliance
- Consult physicians in regards with missing information and show correct documentation for coding
- Review and apply insurance policies or guidelines on charges
- Responsible for E&M denials
- Working on Epic reconciliation report and reconciling charges on work queues
- Investigate and resolve charge errors
- Responsible for working held claims and claim edits
- Maintain productivity standards
- Maintain current knowledge through webinars & utilize ICD-10, CPT 4, and materials.
Professional Fee Coder I
Cleveland Clinic – Neurological Institute
Cleveland, OH
01.2015 - 06.2016
- Performing inpatient and outpatient coding duties including reviewing patient medical records to ensure that documentation supports the charges
- Consult physicians and nurse practitioners in regards with missing information and show correct documentation for coding
- Working on Epic reconciliation report and work queues
- Meet coding deadlines to expedite the billing process and to facilitate data availability for providers to ensure continuity of care
- Investigate and resolve charge errors
- Responsible for working held claims and claim edits
- Maintain productivity standards
- Utilize ICD-10, and CPT 4 coding systems and materials
- Maintain current knowledge through attending webinars and utilizing coding resources.
Medical Biller
Premier Physicians Center
Westlake, OH
03.2014 - 12.2014
- Posting charges, reviewing medical records to ensure the correct code and modifier application, consulting with physicians and nurse practitioners in regards with missing information for coding and billing
- Update patient demographic and insurance information, contacting insurance to follow up on claims status, eligibility, and appeal on denied claims
- Work on aging reports, denials, billing reimbursement and adjustments, contact patient to discuss and resolve their accounts, answering phone about billing question and payments.
Medical Biller
Cardiovascular Medicine Assoc.
Middleburg Heights, OH
07.2013 - 03.2014
- Post payments, reconcile electronic remittance and EFT payments, work on aging report, contacting insurance to follow-up on claims, appeal on denied claims and obtain accurate benefit information, submit immediate offset request forms for Medicare
- CPT 4/ICD code application and answering phone billing questions.
Education
BACHELOR OF SCIENCE MAJOR IN HEALTHCARE ADMINISTRATION -
Indiana Wesleyan University
10.2021
ASSOCIATE OF SCIENCE MAJOR IN BUSINESS -
Indiana Wesleyan University
06.2019
MEDICAL BILLING AND CODING -
Polaris Career Center
12.2013
Skills
- Epic
- Aria
- 3M Coding Software
- Codify
- Microsoft Office (Excel, Word, Power Point, Outlook)
- Document Review
Certification
- Certified Professional Coder (CPC) – AAPC
- BPSS Teacher Permit License # 27326-25179
Awards
- Appreciation Award – Team Player
- Appreciation Award – Teamwork and Hard work
References
References available upon request.
Timeline
Billing Coordinator
NYU Langone Health- Radiation Oncology
12.2022 - Current
Professional Fee Coder II
Cleveland Clinic – Neurological Institute
06.2016 - 07.2022
Professional Fee Coder I
Cleveland Clinic – Neurological Institute
01.2015 - 06.2016
Medical Biller
Premier Physicians Center
03.2014 - 12.2014
Medical Biller
Cardiovascular Medicine Assoc.
07.2013 - 03.2014
BACHELOR OF SCIENCE MAJOR IN HEALTHCARE ADMINISTRATION -
Indiana Wesleyan University
ASSOCIATE OF SCIENCE MAJOR IN BUSINESS -
Indiana Wesleyan University
MEDICAL BILLING AND CODING -
Polaris Career Center
- Certified Professional Coder (CPC) – AAPC
- BPSS Teacher Permit License # 27326-25179
Similar Profiles
Estefania GallegoEstefania Gallego
Research Laboratory Supervisor at NYU Center for Biospecimen Research and Development, NYU Langone HealthResearch Laboratory Supervisor at NYU Center for Biospecimen Research and Development, NYU Langone Health
Etrois LloydEtrois Lloyd
RMA at Prisma Health Radiation OncologyRMA at Prisma Health Radiation Oncology
Chanel JamisonChanel Jamison
Patient Access Representative at VCU Health: Radiation OncologyPatient Access Representative at VCU Health: Radiation Oncology