Miriam Washington
Summerville,SC
Summary
Experienced medical billing and coding professional with a successful 30-year career.
Known for my productivity and ability to complete tasks with efficiency and utilizing my time management skills.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Provider Quality Educator
Ensemble Health Partners
11511 Reed Hartman Hwy Blue Ash, OH
08.2021 - Current
- Oversaw processing of governmental external audits for the RAC program.
- Compiled and reported reviewed external audit findings of retained and overpaid monies.
- Conducted monthly meetings with clients to discuss and communicate coding issues detected by the auditor.
- Regularly conducted provider audits, offering educational support to individuals failing to meet the 90% pass rate.
- Contributed to the Revenue Integrity team by providing assistance in denial and claim correction processes before billing.
Sr. Coding and Data Quality Specialist
Roper St. Francis Hospital
Charleston, SC
07.1993 - 07.2021
- Addressed patient concerns and provided support regarding billing statements.
- Managed the process of follow-up on outstanding or denied insurance claims for reimbursement.
- Facilitated the AAPC and AHIMA coding education program for the Network, also managing the ordering of coding materials and tools.
- Managed and processed all external audits for governmental payers in the RSFH Physician Network.
- Assisted with annual provider audits and education when needed.
Education
High School Diploma -
South Carolina State University
Orangeburg, SCSkills
- Subject matter expert
- Ability to multi-task
- Flexible and adaptable
- Team player
- EPIC proficient
- eCW proficient
- Allscripts proficient
- Cerner proficient
- Cobius proficient
- Intellicode proficient
Certification
- Certified Professional Coder
References
References available upon request.
Timeline
Provider Quality Educator
Ensemble Health Partners
08.2021 - Current
Sr. Coding and Data Quality Specialist
Roper St. Francis Hospital
07.1993 - 07.2021
High School Diploma -
South Carolina State University