Dynamic medical billing and coding professional with extensive experience at Parkersburg Cardiology. Proven track record in reducing claim denials through meticulous insurance verification and ICD-10 proficiency. Adept at enhancing revenue generation and compliance, while fostering effective communication with healthcare providers and insurance companies to ensure timely reimbursements.
Hi, I’m
Rebecca Crislip
Vienna,WV
Summary
Overview
1
Certification
Work History
Parkersburg Cardiology
Medical Biller and Coder
Job overview
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- 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.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
Memorial Health Systems
Medical Billing
Job overview
Marietta Healthcare Systems
Medical Billing
Job overview
Education
Frontier High SchoolNew Matamoras, OH
Diploma from Business
05.1986
University Overview
Skills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- CMS-1500 form completion
- Medicare and medicaid billing
- Claim submission
- Diagnostic coding
- Appeals processing
- Procedural coding
- Commercial insurance billing
- Denial management
- CPT coding
- HCPCS level II coding
- Medical billing procedures
- Coding error resolution
- Insurance coding (ICD-9 and CPT)
Certification
Certified Medical Coder, Certified Medical Insurance Specialist
Timeline
Medical Biller and Coder
Parkersburg Cardiology
Medical Billing
Memorial Health Systems
Medical Billing
Marietta Healthcare Systems
Frontier High School
Diploma from Business
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