Cooking, Reading, Movies
Nicole Chalecki
Medical Billing and Coding
Myrtle Beach,SC
Work Preference
Work Type
Full TimeLocation Preference
RemoteHybridImportant To Me
Career advancementWork-life balancePersonal development programsWork from home optionPaid time offPaid sick leave401k matchSummary
Accomplished Medical Coding and Billing Specialist with expertise in ICD-10 and CPT coding, developed at HCA Physician Services Group. Demonstrates excellence in claims processing and revenue cycle management, ensuring accuracy and efficiency while following HIPAA guidelines. Known for exceptional communication and collaboration skills, ensuring seamless interactions with healthcare professionals and patients. Proficient in medical software applications and committed to continuous professional development and job position progression.
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Overview
4
4
years of professional experience
Work History
Medical Coding and Billing Specialist
HCA Physician Services Group
10.2022 - Current
- Assisted with coding and billing processes to ensure accurate claim submissions.
- Learned medical terminology and coding systems to support effective billing practices.
- Supported the review of patient records for accuracy in coding assignments.
- Maintained up-to-date knowledge of insurance policies and reimbursement procedures.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Improved overall reporting quality by working closely with Dr's, RNs, and PAs to ensure accurate and complete documentation.
- Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Medical Office Specialist
HCA Physician Services
05.2021 - 10.2022
- Managed patient scheduling and appointment coordination to enhance office efficiency.
- Facilitated communication between patients and healthcare providers to ensure seamless care delivery.
- Trained new staff on office procedures and electronic health record (EHR) systems for improved workflow.
- Processed payments from patients promptly and accurately while answering any questions regarding their account balances or insurance coverage.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Enhanced office organization by maintaining up-to-date medical records, both physical and electronic.
- Ensured compliance with HIPAA regulations by strictly adhering to privacy protocols when handling sensitive patient information.
Education
Certificate - Medical Billing And Coding
12-2025
- Relevant Coursework: Anatomy, Medical Terminology, Health Information and Coding, Billing and Reimbursement, Coding and Classification
- Will have finished Buck's Simulated Medical Coding Internship in Fall 2025
- 3.5 GPA
- President's List Spring 2024
Skills
- Medical terminology expertise
- HIPAA compliance
- Medical coding and abstracting
- Claims processing
- Revenue cycle management
- Medical coding certification
- Continuing education
- Healthcare reimbursement
- Medical office administration
- Insurance verification
- CPT coding
- Medical software applications
- Data entry
- Clinical documentation
- ICD-10-CM and ICD-10-PCS proficiency
- Knowledgeable in ECW
Interests
Timeline
Medical Coding and Billing Specialist - HCA Physician Services Group
10.2022 - Current
Medical Office Specialist - HCA Physician Services
05.2021 - 10.2022
Horry-Georgetown Technical College - Certificate, Medical Billing And Coding