Summary
Overview
Work History
Education
Skills
Accomplishments
Have worked with physicians in primary care and all speciaity areas to improve documentatin.
Timeline
Generic

Peggy Asher

Leland,NC

Summary

Reliable Medical Coder with a background in document oversight, data security procedures and resolving coding errors. Detail-oriented performer with medical terminology knowledge. Considered a team player with exemplary multitasking skills. Medical Billing and Coding Specialist with 20+ years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Competent Coding, BIlling including HCC coding with 20+ years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.

Overview

14
14
years of professional experience

Work History

Billing, Coding, Insurance, Appeals, Auditor, HCC

Wilmington Endocrinology (Part Time Employed)
Wilmington, NC
10.2019 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Reviewed patient records, identified medical codes and created invoices for billing purposes.
  • Delivered timely and accurate charge submissions.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Adhered to established standards to safeguard patients' health information.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
  • Posted/coded hospital inpatient visits for physicians and PA

Outpatient Coder/Instructor

Emory Decatur Hospital
Atlanta, GA
04.2012 - 10.2019
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • 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 patient charts to better understand health histories, diagnoses and treatments.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Accurately selected proper descriptive code when more than one anatomical location was indicated.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • Used Centricity to assign procedure and diagnostic codes to patient records for billing purposes.
  • Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement. Used Centricity and to input information into computerized patient record system.
  • Applied charges and updated patient records by using Centricity
  • Coded Observations and Inpatient Professional Services at average rate of 10 per hour.
  • Reviewed 8 medical records per hour to select appropriate coding sequences.
  • Implemented new coding procedures that reduced mistakes and simplified processes.
  • Tutored 15 new coders for compliance with AAPC study guide and CPC classification and coding guidelines.

Certified Medical Coder

Southeastern Gynecologic Oncology LLC
Atlanta, GA
04.2008 - 04.2012


  • Verified, coded and added modifiers to diagnoses.
  • Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
  • Coded Observations and Inpatient Professional Services at average rate of 5 per hour.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • 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 patient charts to better understand health histories, diagnoses and treatments.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.

Education

Certification - Medical Coding And Billing

American Academy of Professional Coders
Atlanta, GA
12.2004

Associate of Science - Radiology

Piedmont School of Radiology
Atlanta, GA
08.1970

Skills

  • Non-Compliance Assessment
  • Reliability and Integrity Improvement
  • Complex Problem Solving
  • Accounting Policy and Control
  • Insurance Customization
  • Patient Data Coding
  • Signature Verification
  • Medical Billing Processing
  • Effective and Professional Communication
  • Certified Medical Coder
  • Customer Contact
  • Critical Thinking
  • Positive Team Player

Accomplishments

  • Documented and resolved insurance issues which lead to prompt payments with clean claims first submissions
  • Supervised team of 15 staff members in appeal process

Have worked with physicians in primary care and all speciaity areas to improve documentatin.

When working with physicians you have to listen, give credit in their knowledge and expertise and help them understand the side of compliance and insurance demand without going out of the compliance side. I feel I have helped and achieved this over and over again but most of all helped physicians get paid for the knowledge they have in their area of choice to practice.

Timeline

Billing, Coding, Insurance, Appeals, Auditor, HCC

Wilmington Endocrinology (Part Time Employed)
10.2019 - Current

Outpatient Coder/Instructor

Emory Decatur Hospital
04.2012 - 10.2019

Certified Medical Coder

Southeastern Gynecologic Oncology LLC
04.2008 - 04.2012

Certification - Medical Coding And Billing

American Academy of Professional Coders

Associate of Science - Radiology

Piedmont School of Radiology

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Peggy Asher