Nadine Monge
Certified Medical Coder
Minneapolis,MN
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, and reviewing health records to identify proper diagnosis and CPT codes for billing.
I have over 5 years experience in Medical Coding but took a break in Medical Coding for a while to work and care for Disabled Son as a Caretaker, hiring staff to care for and also taking on that role along with being an exceptional Special Needs Mom.
Overview
8
8
years of professional experience
Work History
Certified Medical Coder
Minnesota Urology
04.2023 - Current
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on latest changes in medical coding guidelines and conventions.
- Streamlined billing processes by effectively collaborating with healthcare providers, insurance companies, and patients to resolve any discrepancies or issues.
- Enhanced revenue cycle management by identifying under-coded services and submitting accurate claims for reimbursement.
- Experience Coding Office Visits, Surgeries, and Consults.
Patient Care Attendant
Accracare
10.2017 - 04.2022
- Improved patient comfort by providing attentive care and addressing individuals disability needs.
- Enhanced patient recovery by assisting with daily activities such as bathing, dressing, and grooming and calming.
- Ensured timely medication administration by accurately following prescribed schedules and dosages.
- Coordinated medical appointments and meetings along with coordination of Waivered Services by adjusting funding for payroll for supplies, therapy tools and caretakers payroll that I hired for my child.
Resolution Analyst
Optum United Health Care
04.2016 - 10.2017
- Working remotely with Teams in billing/collections, coding, revenue cycles, and compliance.
- Reviewing CPT Codes while meeting level of service billed.
- Reviewing CPT Codes for procedures to meet guidelines and apply appropriate modifiers and ICD Codes.
- Meeting with Coworkers ensuring fundamental concepts, practices, and procedures relating to hospitals, clinics, healthcare facilities and their operations
- Ability to communicate trends and opportunities to clients and business both verbally and through writing
- Working with business operations, Electronic Health Records (EHR) systems and Patient Accounting systems
- Solid communication skills (written and verbal) and ability to interact with various client groups
- Ability to problem solve including multiple priorities and research conflicting and / or inaccurate data
- Ability to handle multiple tasks, set priorities, and meet deadlines
Education
AAPC
No Degree - English
Huron High School
Ann Arbor, MI06.1987
Skills
- Communicate with physicians and clinical documentation specialists to ensure dictation accuracy, as well as with providers to appeal claim denials
- Review and analyze health assessments to identify unclear or incomplete clinical documentation as well as determine diagnosis codes for each encounter
- Coding and Analyzing CPT Codes for Surgeries/Office Visits and Consults while ensuring to meet guidelines and levels of services
- Medical Claims Coding
- Clinical Documentation Review
- Procedural Coding Precision
Timeline
Certified Medical Coder
Minnesota Urology
04.2023 - Current
Patient Care Attendant
Accracare
10.2017 - 04.2022
Resolution Analyst
Optum United Health Care
04.2016 - 10.2017
AAPC
No Degree - English
Huron High School
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