Experienced Medical Billing and Coding professional with over 10 years in healthcare administration and insurance claims processing. Expertise in ICD-10-CM and CPT coding, insurance verification, and HIPAA compliance. Committed to maintaining accurate documentation and managing high-volume workloads while delivering quality patient support.
Skilled scheduling professional with comprehensive experience in managing calendars, coordinating logistics, and ensuring seamless operations. Strong focus on team collaboration and achieving results, adapting easily to changing needs. Proficient in multitasking, communication, and problem-solving, with reliable and organized approach to tasks.
EHR System & Data Management Simulation (Health Information Systems / Data Management & Databases)Designed mock healthcare databases to ensure optimal data integrity, user accessibility, and seamless entry workflows.
Audited electronic health records for strict adherence to data governance policies and information standards.
Medical Coding & Reimbursement Case Analysis (Medical Coding & Classification)Analyzed complex clinical scenarios to accurately assign ICD-10-CM and CPT codes.
Evaluated billing workflows to resolve simulated claim denials and optimize reimbursement paths.
Healthcare Compliance & Risk Assessment (Healthcare Privacy & HIPAA Compliance)Conducted risk assessments on mock facilities to identify vulnerabilities in patient data security and privacy protocols.
Developed strategic action plans to address data breaches, ensuring full compliance with HIPAA regulations.
Healthcare Network Defense & Information Security (Cybersecurity Fundamentals)Evaluated cybersecurity frameworks to protect health networks against unauthorized access, malware, and phishing threats.
Formulated security protocols, including access controls and encryption standards, to safeguard sensitive patient identifiers.