REGINA SOK

• Coded medical records using CPT, ICD-10-CM, and HCPCS coding systems to ensure accurate claim submission and compliance with payer guidelines.
• Monitored claims throughout reimbursement cycle, resolved front-end claim denials, and ensured accurate insurance payments for timely reimbursements.
• Responded to 20+ patient billing inquiries weekly, clarifying account balances, payment questions, and insurance-related concerns effectively.
• Communicated with insurance carriers to verify claim status and resolve reimbursement issues, facilitating timely payment processing.

• Accurately coded medical records using CPT, ICD-10-CM, and HCPCS coding systems to ensure compliant claim submission and proper reimbursement.
• Monitored insurance claims from submission through payment, investigated denials, and followed up to secure timely reimbursement.
• Assisted 20+ patients weekly by addressing billing inquiries, clarifying account balances, and resolving payment-related concerns to enhance customer satisfaction.
• Communicated with commercial and government insurance providers to verify claim status, resolve billing issues, and expedite payment processing for improved cash flow.

• Maintained compliance with AHA Coding and Reporting Guidelines, CMS directives for ICD-10-CM, ICD-10-PCS, and CPT Coding through annual coding seminars and ongoing professional development.
• Clarified diagnosis and procedural information through a query process to ensure accurate coding and optimize reimbursement.
• Abstract data elements to satisfy statistical requests by the hospital staff, etc. and enters all coded/abstracted information into the hospital information system

• Accurately coded medical records using CPT, ICD-10-CM, and HCPCS coding systems to ensure compliant claim submission and accurate reimbursement.
• Oversaw billing process for clinical services, ensuring compliance and accuracy across health and wellness, family planning, reproductive health, and prenatal care.
• Processed and reviewed over 100 claims weekly, achieving accurate charge entry and timely submission to insurance carriers.
• Partnered with clinical staff and insurance providers to resolve billing issues, enhancing claim accuracy and expediting reimbursement turnaround times.

• Coded medical records using CPT, ICD, and HCPCS systems, ensuring compliance with payer requirements and industry regulations to support accurate claims processing.
• Processed 100+ billing transactions weekly, facilitating charge entry, payment posting, and insurance adjustments for commercial, private, and government payers to maintain revenue flow.
• Resolved coding and billing discrepancies, supporting timely claims processing and reducing potential payment delays.
• Maintained a 98%+ billing accuracy rate by performing detailed quality checks and supporting efficient revenue cycle operations in a fast-paced healthcare environment.

Member, United States Honor Society