Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Natalie Taylor

Bryceville

Summary

Dynamic Certified Medical Coder with extensive experience at UF Health, adept at medical claims coding and revenue cycle management. Proven track record in resolving coding discrepancies and ensuring compliance with Medicare regulations. Strong analytical skills complemented by effective communication, enhancing collaboration with healthcare teams and insurance providers.

Medical Billing and Coding Specialist with 13 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Certified Medical Coder

UF Health
02.2021 - Current
  • Worked with individual patients to code medical observations and professional services.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Verified, coded and added modifiers to diagnoses.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.

Medical Biller and Coder

St. Vincent Medical Group
03.2012 - 01.2021
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Tracked referral submission during facilitation of prior authorization issuance.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.

Education

High School Diploma -

First Coast Academy
Jacksonville, FL

Skills

  • Medical billing procedures
  • Revenue cycle management
  • Patient data compilation
  • Medical claims coding
  • Medical terminology
  • Coding error resolution
  • Records management
  • Insurance claims analysis
  • CPT coding
  • Medicare insurance regulations
  • Insurance coding (ICD-9 and CPT)
  • Coding appeals
  • Medical billing

Certification

  • CPC - Certified Professional Coder

Timeline

Certified Medical Coder

UF Health
02.2021 - Current

Medical Biller and Coder

St. Vincent Medical Group
03.2012 - 01.2021

High School Diploma -

First Coast Academy

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