Monique Amos
Houston
Summary
Dynamic medical coder with extensive experience at Houston Methodist Willowbrook, excelling in ICD-10 and CPT coding. Proven track record in enhancing billing accuracy and optimizing reimbursement processes. Adept at team training and fostering collaboration, ensuring compliance with HIPAA regulations while delivering exceptional patient care. Certified Professional Coder committed to excellence.
Overview
17
17
years of professional experience
Work History
Medical Coder
HOUSTON METHODIST WILLOWBROOK
01.2025 - Current
- Accurately code pathology reports with diagnosis and procedure codes.
- Analyze and abstracts pertinent information from pathology reports.
- Ensuring proper billing and reimbursement for pathology services.
- Input codes into billing system.
- Used ICD-10-CM and CPT coding to complete records.
- Analyzed medical documents to ensure accuracy of codes, modifiers, and units.
- Interpreted clinical documentation from providers for accurate assignment of diagnosis codes.
- Evaluated documentation to complete diagnosis coding and meet specificity requirements, supporting clinical indicators.
- Maintained a working knowledge of current ICD-10-CM and PCS guidelines and CPT code sets.
Infusion Senior Scheduler
HOUSTON METHODIST WILLOWBROOK
09.2023 - 01.2025
- Schedule Infusion/ PET Scan Imaging
- Go over benefits with patients while scheduling
- Obtains valid and compliant orders and schedules patients based on the physician order and according to department criteria
- Advise patients of their amount due for scheduled appointments
- Transcribe orders
- Coordinate with Infusion Charge nurse to schedule Chemo and Iron infusions
- Obtaining eligibility and benefit for all infusion accounts including Chemotherapy, Iron, Osteoporosis, and other various conditions
- Initiates authorization for services in infusion to ensure payment while keeping revenue in a good standing for our Facility
- Respond to emails from clinical staff and supporting Depts for direct communication and Patient Care
- Monitor/ Clear Work Ques for scheduling which includes Benefits and Authorizations
- Create Estimates so all Patients are informed of amounts due at time of service and complying with the No Surprise Act
- Train New Employees while being of great resource to their On-Boarding experience
- Assist Coworkers with questions and concerns within our department
- Knowledge of copay assistance programs which assist and routes Patients in a financial strain
- Chemo Rounding with clinical staff to discuss process and procedures and any communication for Patient Centered Care
- Daily workflow
- Monitor and track authorizations daily to make sure our Dept stays in a superior standing for Denial Review
Insurance Verifier Sr
HOUSTON METHODIST WILLOWBROOK
06.2021 - 09.2023
- Obtaining eligibility and benefit for all infusion accounts including Chemotherapy, Iron, Osteoporosis, and other various conditions
- Initiates authorization for services in infusion to ensure payment while keeping revenue in a good standing for our Facility
- Respond to emails from clinical staff and supporting Depts for direct communication and Patient Care
- Monitor/ Clear Work Ques for scheduling which includes Benefits and Authorizations
- Create Estimates so all Patients are informed of amounts due at time of service and complying with the No Surprise Act
- Train New Employees while being of great resource to their On-Boarding experience
- Assist Coworkers with questions and concerns within our department
- Knowledge of copay assistance programs which assist and routes Patients in a financial strain
- Chemo Rounding with clinical staff to discuss process and procedures and any communication for Patient Centered Care
- Daily workflow
- Monitor and track authorizations daily to make sure our Dept stays in a superior standing for Denial Review
Team Lead Insurance Verifier
OAKBEND MEDICAL CENTER
08.2016 - 06.2021
- Complete required verifications by 3 days
- Responsible for meeting Daily Productivity Goals
- Complete assigned tasks with minimal supervision
- Handled issues such as authorizations and Verifications
- Kept work area organized and clutter-free
- Followed established guidelines and procedures
- Pre-Register Accounts
- Create Estimates
- Obtain Eligibility and Benefits
- Verify all outpatient accounts
- Collect Patient Financial Responsibility
- Call Patients to inform them of financial obligation
- Scheduled Outpatient Services
- Communicate with Physician Offices
- Train Employees
- Make Rounds to Employees
- Utilize online resources and websites
- Respond to accounts elective and urgent timely
- Knowledgeable with all insurance payers
- Initiate authorizations and pre certifications
- Audit coworkers accounts for accuracy
- Knowledge of CPT and ICD10 Codes
Team Lead Patient Access Representative
ST. JOSEPH MEDICAL CENTER
11.2008 - 08.2016
- Register Patients
- Obtain Applicable Demographic and Financial Information
- Ensure Insurance Eligibility
- Performs PreCert/ Auth
- Collect Patient Estimate at time of Registration
- Retrieve Reservation/ Notification of Scheduled Services
- Coordinate with Dr
- Offices
- Assigns accurate and appropriately sequenced payer code
- Registered patients, routed documentation, and escorted individuals to procedure locations
- Identified and collected copayments to meet patient financial obligations, including applicable deductibles
- Answered telephone promptly and politely provided information and assistance
- Coordinated expediting and scheduling of tests, procedures, and consultations with other departments
- Explained admitting procedures and obtained signatures on admission, clinical, and financial forms
- Provided front desk support and customer service satisfaction to patients, with courtesy, respect, and professionalism
- Verified health insurance information to check enrollment, eligibility, and insurance data integrity
Education
CPC Certification -
AAPC
08.2021
Associate of Arts - undefined
Lone Star College
Houston, TX05.2019
High School Diploma - undefined
Eisenhower High School
Houston, TX05.1998
Skills
- Team training and leadership
- Teamwork and leadership
- Prioritization
- Authorization obtainment
- Verbal communication
- CPT Codes
- ICD10
- Medical terminology
- HIPAA compliance
- Insurance verification
- Training and mentoring
- Insurance coding (ICD-9 and CPT)
- HCPCS coding
- ICD-10 coding
- Certified professional coder (CPC)
- Epic systems
- Certified coding specialist
- Protected health information
Timeline
Medical Coder
HOUSTON METHODIST WILLOWBROOK
01.2025 - Current
Infusion Senior Scheduler
HOUSTON METHODIST WILLOWBROOK
09.2023 - 01.2025
Insurance Verifier Sr
HOUSTON METHODIST WILLOWBROOK
06.2021 - 09.2023
Team Lead Insurance Verifier
OAKBEND MEDICAL CENTER
08.2016 - 06.2021
Team Lead Patient Access Representative
ST. JOSEPH MEDICAL CENTER
11.2008 - 08.2016
Associate of Arts - undefined
Lone Star College
High School Diploma - undefined
Eisenhower High School
CPC Certification -
AAPC