MELISSA LEDBETTER
Toney,AL
Summary
Medical Billing and Coding Specialist with 35 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
CLINIC FOR COLON & RECTAL SURGERY
04.2015 - Current
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, and physiology to accurately assign codes as needed.
- Correctly coded and billed medical claims for General surgery and colonoscopy procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Streamlined precertification processes by implementing efficient tracking systems and prioritizing urgent cases.
- Served as a reliable resource for both clinical teams and administrative staff by offering expert advice on proper code selection based on diagnosis or treatment specifics provided in the documentation received.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Certified Medical Coder/Billing Insurance Research Clerk
HUNTSVILLE HOSPITAL/TRAUMA SERVICES
01.2005 - 04.2015
- Registering patient data, assigned ICD 9 diagnosis codes and CPT codes to surgical operative notes and medical charts
- Posting of all charges to include office and hospital procedures
- Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature. Ensured timely and accurate charge submission.
- Acquired insurance authorizations for procedures and tests ordered by the attending physician.
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Certified Professional Coder/Billing Insurance Clerk
ALABAMA PAIN CENTER
03.2003 - 01.2005
- Registering patient data, assigned ICD 9 & CPT codes for all procedures
- Accurately entered procedure codes, diagnosis codes and patient information into billing software
- Appropriately and correctly identified errors and re-filed denied/rejected claims as when received from the Patient Account Representative
- Assisting RN with obtaining insurance pre-certifications for outpatient procedures such as CT and MRI scans
- Completing FMLA, Short Term/long term disability forms for patients
- Securing follow up appointments for patients follow surgery.
Education
HIGH SCHOOL DIPLOMA - BUSINESS MANAGEMENT
Lee High School
Huntsville, AL01.1988
Skills
- CPT Coding
- ICD-10 Proficiency
- Surgical Coding Experience
- HIPAA compliance awareness
- Charge Entry Competence
- Insurance Verification
- Claims Processing Efficiency
- Attention to Detail
- Multitasking
- Reliability
Certification
- ICD-CM Proficiency Certified, 2015
- Certified Professional Coder, 2004
Affiliations
- Future Business Leaders of America
- Madison County Medical Society
- AAPC
Timeline
Certified Professional Coder
CLINIC FOR COLON & RECTAL SURGERY
04.2015 - Current
Certified Medical Coder/Billing Insurance Research Clerk
HUNTSVILLE HOSPITAL/TRAUMA SERVICES
01.2005 - 04.2015
Certified Professional Coder/Billing Insurance Clerk
ALABAMA PAIN CENTER
03.2003 - 01.2005
HIGH SCHOOL DIPLOMA - BUSINESS MANAGEMENT
Lee High School
- ICD-CM Proficiency Certified, 2015
- Certified Professional Coder, 2004
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