Marjorie Tanis

• Supervised receptionist, medical assistants, medical billers and Medical coders
• Reviewed billing problems, researched issues, and resolved concerns.
• Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
• Analyzed business processes to identify cost savings and operational efficiencies.
• Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
• Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
• Utilized financial software to prepare consolidated financial statements.
• Worked with customers to develop payment plans and bring accounts current.
• Oversee the coders, billers, and the collections
• Generate reports
• Perform data entry and processing
• Assist with the front desk, prior authorizations, referrals, phones, billing, and coding as needed
• Handle patient complaints
• Maintain medical & staff records
• Doing the daily coding for the MD and the physical therapist
• Order medical and office supplies
• Schedule appointments
• Delegate responsibilities
• Assess employee performance
• Develop and implement office policies and procedures
• Provide educational material for patients
• Ensure compliance with current healthcare regulations, medical laws, and high ethical standards.

• Verify ICD-10CM/PCS, CPT, and APC, MSDRG, and APRDRG coding and grouping accuracy
• Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/ or CPT-4
• Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations
• Review medical records to capture the accurate HEDIS
• Complying with medical coding guidelines and policies
• Receiving and reviewing patients’ charts and documents for verification and accuracy
• Following up and clarifying any information that is not clear to other staff members
• Collecting information made by the Physician from different sources to prepare monthly reports
• Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
• Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses, or events that lead to the negligence
• Provide training and guidelines to the providers
• Attend weekly meetings to review new CMS coding Guidelines
• Inpatient and outpatient coder/supervisor.
• Reviewed, analyzed, and managed the coding of diagnostic and treatment procedures contained in outpatient medical records.
• Monitored changes in coding regulations to provide recommendations for compliance.
• Followed up with medical staff regarding missing information in patient records.
• Transcribed and entered patient medical information into electronic medical records systems.
• Used classification manuals to gain additional knowledge of disease and diagnoses processes.
• Utilized electronic medical record systems to store, retrieve and process patient data.

• Experience Coding and for PCP, Podiatry, Oncology, Urology, Endocrinology, cardiology optometry
• Billing and coding Analytics: Working in a high-Risk billing department, as a medical coder and biller
• Experience with ICD-9- ICD-10 and Cpt Codes, review progress notes and using ICD10 book to code diagnosis address by the PCP or Specialist
• Analyze claims adjudicated in error, making recommendations to Supervisor or Manager Improvements
• Production and quantity expectations for the department
• Billing collection.
• Communicated with insurance companies to research and resolved coding discrepancies.
• 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, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
• Communicated effectively with staff, patients, and insurance companies by email and telephone.
• Utilized electronic medical record systems to store, retrieve and process patient data.
• Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
• Developed and implemented new filing system for medical records to improve efficiency.

Specialist in processing or reprocessing claims and payments posted, working on denials under different providers

• Familiarity with secondary billing, appeals and contractual adjustments, andexperience in mental behavior and Substance abuse.
• Identified payment trends and adjusted billing processes accordingly to retain customers.
• Researched and resolved billing discrepancies to enable accurate billing.
• Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
• Monitored customer accounts to identify and rectify billing issues.
• Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
• Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
• Generated monthly invoices for customers in multiple formats to provide transparency.