Mia Lewis

Advantum Health

07.2007 - Current

Coding and Billing Account Manager for a large orthopedic practice and hospital-based outpatient multi specialty clinics
Assists in reviewing medical records for accurate coding and billing compliance.
Coordinates all claims denials management activity including provider documentation addendums; appeals; reconsideration requests; and trend reporting.
Utilizes coding software to support efficient claims processing and reimbursement.
Adapts to various healthcare documentation formats for effective code assignment.
Maintains organized records of coded data for auditing purposes.
Supports team efforts in achieving timely claim submissions and reducing denials.
Improves accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
Maintains compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
Protects patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
Reduces claim denials by consistently applying knowledge of payer-specific coding requirements while preparing claims for submission.
Streamlines billing processes by effectively collaborating with healthcare providers, insurance companies, and patients to resolve any discrepancies or issues.
Communicates with insurance companies to research and resolved coding discrepancies.