Pamela H Price
State Road,NC
Summary
Accomplished Certified Professional Coder with extensive experience in inpatient, outpatient, and ancillary coding, notably at Hugh Chatham Health. Demonstrated expertise in enhancing coding accuracy and resolving coding errors, complemented by strong skills in Microsoft Excel and report preparation. Proven ability to foster collaborative environments, improving team productivity by streamlining processes and communication.
Overview
28
28
years of professional experience
Work History
DRG Coordinator
Hugh Chatham Health
2014.11 - Current
- Analysis medical record for inpatient accounts and assign appropriate ICD-10 codes and PCS procedures.
- Identify any deficiencies and query appropriate physician.
- Work daily the RCS error/edit report to correct any coding department errors on claims.
- Generate reports to be sent to Trubridge and Together MD.
- Provide backup for PBB, Ancillary, ER, and Outpatient coders as needed.
- Work with our CDI as needed.
- Improved team productivity with regular communication and progress updates, fostering a collaborative work environment.
Coder/Biller
Yadkin Valley Surgical
2012.02 - 2014.11
- Increased coding accuracy by diligently reviewing medical documentation with superbill and applying appropriate ICD-9 and CPT codes.
- Reviewed operative reports to accurately coded hospital surgeries.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Submitted insurance claims.
- Posted all insurance payments.
- Worked denials.
- Generated patient statements.
- Assisted in precertification for surgeries.
Medical Coder/Biller
Neurology Associates Of NC
2010.04 - 2012.10
- Increased coding accuracy by diligently reviewing medical documentation with superbill and applying appropriate ICD-9 and CPT codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Submitted insurance claims.
- Posted all insurance payments.
- Worked denials.
- Generated patient statements.
Medical Coder/Biller
Carolina Heart Care
2009.04 - 2010.06
- Increased coding accuracy by diligently by reviewing medical documentation with superbill and applying appropriate ICD-9 and CPT codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Submitted insurance claims.
- Posted all insurance payments.
- Worked denials.
- Reviewed collection reports and worked accordingly.
- Generated patient statements.
AR Specialist
NC Diagnostic Imaging
2007.10 - 2009.04
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Increased customer satisfaction levels by promptly addressing inquiries regarding billing issues or adjustments needed on their accounts.
- Coordinated with external collections agencies when necessary, ensuring seamless handoff of delinquent accounts while protecting company interests at all times.
- Analyzed trends in payment patterns and customer behavior, identifying opportunities for process enhancements that would improve overall AR performance.
- Analyzed, prepared, and issued chargeback notices for payment to prevent third-party collection agency involvement.
Office Manager
Elkin Family Practice
2005.12 - 2007.06
- Increased coding accuracy by diligently reviewing medical documentation with superbill and apply appropriate ICD-9 and CPT codes.
- Submitted insurance claims.
- Posted insurance payments.
- Worked insurance denials.
- Generated patient statements.
- Reviewed collection reports and worked accordingly.
- Collected patient payments and prepared daily deposits.
- Prepared accounts receivable and accounts payable.
- Reviewed monthly finances with accountant and paid taxes.
- Responsible for processing payroll.
Medical Coder/Biller
Iliant Management /Aegis
2004.06 - 2005.12
- Increased coding accuracy by diligently reviewing medical documentation with superbill and applying appropriate ICD-9 and CPT codes.
- Submitted insurance claims.
- Worked insurance denials.
- Reviewed collection reports and worked accordingly.
- Collected patient payments and prepared daily deposits.
- Answered phone and scheduled appointments.
Adm Clerk/Insurance Biller/Charge Entry
Hugh Chatham Memorial Hospital
1996.08 - 2003.11
- Provided professional patient service to patients being admitted for hospital services.
- Precertify inpatient and outpatient surgeries.
- Increased coding accuracy by diligently reviewing medical documentation with superbill and applying appropriate ICD-9 and CPT codes.
- Submitted insurance claims.
- Worked denials.
- Reviewed collection reports and worked accordingly.
- Prepared daily deposits.
- Utilized strong multitasking skills to manage multiple priorities and tasks, ensuring timely completion of each assignment.
- Interacted with customers by phone, email, or in-person to provide information.
- Reduced errors in data entry by carefully inputting information into computer systems with attention to detail.
Education
Associate of Science - Health Information Technology
Central Piedmont Community College
Charlotte, NC07.2018
High School Diploma -
Elkin High School
Elkin, NC06.1995
Skills
- Certified Professional Coder (CPC)
- Inpatient coding
- Outpatient coding
- Ancillary coding
- ER coding
- Provider base coding
- Anatomy knowledge
- Medical Terminology
- Knowledgeable in [Software]
- Coding Error Resolution
- Microsoft Excel
- Report Preparation
- Hospital Inpatient and Outpatient Records
Timeline
DRG Coordinator
Hugh Chatham Health
2014.11 - Current
Coder/Biller
Yadkin Valley Surgical
2012.02 - 2014.11
Medical Coder/Biller
Neurology Associates Of NC
2010.04 - 2012.10
Medical Coder/Biller
Carolina Heart Care
2009.04 - 2010.06
AR Specialist
NC Diagnostic Imaging
2007.10 - 2009.04
Office Manager
Elkin Family Practice
2005.12 - 2007.06
Medical Coder/Biller
Iliant Management /Aegis
2004.06 - 2005.12
Adm Clerk/Insurance Biller/Charge Entry
Hugh Chatham Memorial Hospital
1996.08 - 2003.11
Associate of Science - Health Information Technology
Central Piedmont Community College
High School Diploma -
Elkin High School
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