Maintained a well-organized front office environment, contributing to a positive patient experience.
Assisted with training new front office staff members on essential job duties and procedures, ensuring a smooth onboarding process.
Coordinated referrals and authorizations for specialist consultations or treatment plans as needed.
Enhanced patient satisfaction through prompt responses to inquiries, accurate appointment scheduling, and clear communication of policies.
Medical Billind and Coding Specialist
Procedural Coder's Institute
02.2001 - 02.2021
Managed high volumes of medical records efficiently while maintaining strict attention to detail during the coding process.
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.
Provided timely feedback on coder performance metrics, helping individuals meet organizational goals related to accuracy and productivity.
Contributed to revenue optimization efforts by identifying under-coded services and providing recommendations for appropriate code assignments.
Reduced error rates in medical billing by maintaining thorough knowledge of insurance regulations and guidelines.
Collaborated with healthcare providers to clarify documentation, enhancing the accuracy of medical records.
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.
Enhanced team productivity by providing guidance and support to junior coders, fostering a collaborative work environment.
Developed training materials to educate staff on current coding standards, best practices, and regulatory requirements.
Assisted in the development of policies and procedures related to coding operations, ensuring compliance with relevant governing bodies.
Participated in interdisciplinary meetings to discuss complex cases requiring specialized knowledge of coding principles and guidelines.
Conducted comprehensive chart reviews to identify potential areas of risk or non-compliance within the organization''s coding practices.
Served as liaison between coders and clinical staff, addressing questions or concerns regarding proper documentation practices.
Improved coding efficiency by implementing new software tools and streamlining processes.
Enhanced data integrity by conducting routine quality assurance checks on coded records for accuracy and completeness.
Assisted with the implementation of new coding software, serving as a resource for team members during the transition period.
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.
Verified signatures and checked medical charts for accuracy and completion.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
Reviewed patient charts to better understand health histories, diagnoses, and treatments.
Monitored changes in coding regulations to provide recommendations for compliance.
Communicated with insurance companies to research and resolved coding discrepancies.
Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
Generated reports to identify coding trends and discrepancies.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Maintained accuracy, completeness, and security for medical records and health information.
Followed up with medical staff regarding missing information in patient records.
Verified accuracy of patient information in medical records.
Researched and resolved medical record discrepancies.
Utilized electronic medical record systems to store, retrieve and process patient data.
Input data into computer programs and filing systems.
Communicated effectively with staff, patients, and insurance companies by email and telephone.
Supervisor of Medicare/Medicaid Billing Specialist
LXN Corporation
02.1998 - 02.2001
Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
Mentored junior staff members in their career development, sharing knowledge from years of experience in the field.
Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
Implemented safety protocols to minimize workplace accidents and maintain compliance with industry standards.
Reduced employee turnover by fostering a positive work environment and providing ongoing feedback to staff members.
Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
Identified operational inefficiencies and implemented corrective measures to increase effectiveness.
Insurance Verification Specialist at San Diego Heart and Vascular AssociatesInsurance Verification Specialist at San Diego Heart and Vascular Associates