Melissa Workman
Green Cove Springs,FL
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Biller and Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Knowledgeable medical office professional talented at correcting and resubmitting claims, and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Overview
6
6
years of professional experience
1
1
Certification
Work History
U.S. Coding Associate II
R1RCM
11.2017 - Current
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Resubmitted claims to insurance companies to research and resolved coding discrepancies.
- 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.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Generated reports to identify coding trends and discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Maintained accuracy, completeness, and security for medical records and health information.
- Verified accuracy of patient information in medical records.
- Researched and resolved medical record discrepancies.
- Used classification manuals to gain additional knowledge of disease, diagnoses and CPT processes.
- Maintained production goals daily - 70-90 Discrepancies.
Education
CNA -
Florida State College At Jacksonville
Jacksonville, FLAssociate of Arts -
Florida State College At Jacksonville
Jacksonville, FLSkills
- Billing
- Medical Billing Coding Accuracy
- Denials
- Task Oriented
- Meets Deadlines and Productivity Standards
- Can Work Independently and as Team Member
- Experience with HP/TTWin Billing
- Experience with Batchtrack
- Experience with Select Coder
- Inpatient Coding
- Medical Records Review-including Medical Histories and Vital Statistics
- Reviewing Patient Information
- Maintain Patient Confidentiality
- Medical Terminology
- Diagnosis Codes
- CPT Codes/Modifiers
- ICD-10 (International Classification of Disease Systems)
- ICD-10 Requirements
- HCPCS
- Customer Experience
Certification
- CPC - Certified Professional Coder
Timeline
U.S. Coding Associate II
R1RCM
11.2017 - Current
CNA -
Florida State College At Jacksonville
Associate of Arts -
Florida State College At Jacksonville
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