Ra'Mesha Ormand
North Las Vegas
Summary
Accomplished Certified Professional Coder with a proven ability to collaborate effectively within team settings, enhancing coding accuracy and reducing claim denials through expert ICD-10 proficiency and exceptional team leadership. Demonstrated success in improving revenue cycle management and fostering cross-departmental collaboration.
Personable and detail-focused individual with comprehensive understanding of medical coding guidelines and standards. Well-versed in ICD-10, CPT coding, and medical terminology, demonstrating proficiency in accurately coding patient records and ensuring compliance with healthcare regulations. Committed to enhancing operational efficiency and accuracy in medical documentation.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Coder
Steinberg Diagnostics Medical Imaging
05.2023 - Current
- Served as a subject matter expert on ICD-10-CM and CPT code sets, assisting colleagues with complex cases when needed.
- Supported successful audits by providing accurate documentation and demonstrating compliance with industry standards.
- Collaborated with physicians and healthcare professionals to ensure proper documentation, resulting in fewer claim denials.
- Managed database of coding questions and performed follow-up with patients on billing resolutions.
- Analyzed reports for accuracy on patient information, recorded date of service or procedure and verified location and physician name and signature.
Medical Coder
Clinical Neurology Specialists
03.2019 - 05.2023
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
Billing Supervisor
Las Vegas Radiology
01.2017 - 02.2019
- Reduced discrepancies in billing reports with thorough review processes and diligent follow-ups on outstanding accounts.
- Minimized errors in customer billing information through diligent verification practices and prompt issue resolution.
- Routinely conducted internal audits of financial records to detect discrepancies or potential fraud risks, enabling timely intervention and issue resolution.
- Managed the preparation and distribution of customer invoices within strict deadlines, upholding adherence to company policies and client agreements.
- Created detailed reports for management reflecting key financial indicators such as receivables aging analysis, uncollected revenues breakdowns, write-offs statistics, among others contributing valuable insights into the department''s strengths and weaknesses.
- Facilitated monthly meetings with team members to discuss performance metrics, share best practices, and address any concerns or challenges faced during the billing cycle.
- Enhanced team productivity by providing ongoing training, guidance, and support to billing staff members.
- Oversaw financial operations, producing invoices, processing payments and preparing deposits.
- Collaborated closely with other departments, fostering strong working relationships to expedite resolutions of cross-functional issues impacting revenue collection.
- Reviewed documentation for compliance with requirements and accuracy of information.
Medical Billing Manager
Sunset Clinic
05.2013 - 12.2016
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
- Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
- Facilitated cross-departmental collaboration between clinical teams as well as finance and administrative staff to ensure seamless integration of billing-related tasks into daily workflows.
- Achieved key performance metrics goals by setting expectations for the team''s output quality standards while monitoring progress toward objectives closely throughout each reporting period.
Education
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
Manchester12-2021
Skills
- ICD-10 proficiency
- HCPCS coding
- Team development
- Claims processing proficiency
- HIPAA compliance
- Team leadership qualities
- Diagnostic coding
- Medical software proficiency
- Professionalism and ethics
- Medical Terminology Familiarity
- Certified professional coder (CPC)
Certification
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Timeline
Certified Coder
Steinberg Diagnostics Medical Imaging
05.2023 - Current
Medical Coder
Clinical Neurology Specialists
03.2019 - 05.2023
Billing Supervisor
Las Vegas Radiology
01.2017 - 02.2019
Medical Billing Manager
Sunset Clinic
05.2013 - 12.2016
- Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC).
Bachelor of Science - Healthcare Administration
Southern New Hampshire University
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