Renee Hoffer
Erie,Pennsylvania
Summary
Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Certified Professional Coder
Savista CRM
01.2023 - Current
- Enhanced coding accuracy by implementing quality assurance checks and conducting regular audits.
- Streamlined billing processes for improved efficiency and reduced errors in claims submissions.
- Collaborated with medical staff to ensure accurate documentation and appropriate coding practices were followed.
- Reduced claim denials by attentively reviewing medical records and addressing discrepancies prior to submission.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all relevant guidelines and legislation.
- Managed high-volume workloads effectively by prioritizing tasks according to urgency and importance while maintaining strict attention to detail.
- Conducted thorough research on complex cases, applying advanced knowledge of medical terminology, anatomy, physiology, and pharmacology to accurately respond to government audits.
Insurance Specialist
OrthoVirginia
03.2022 - 12.2022
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Streamlined policy management by regularly updating client information and tracking policy changes.
- Contributed to team performance by sharing industry knowledge and assisting colleagues in complex cases.
- Expedited resolution of disputed claims through effective negotiation with third-party carriers.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Followed up on denials, late payments, extensions and other special circumstances.
Patient Account Representative
Acsel Medical Solutions
03.2020 - 03.2022
- Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
- Streamlined billing processes for increased efficiency in managing patient accounts.
- Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with insurers.
- Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
Education
Associate of Science -
Tidewater Community College
Norfolk, VA01.2013
Skills
- Team collaboration abilities
- CPC registration
- Revenue Cycle Management
- Auditing and Quality Assurance
- Obstetrics and Gynecology Coding
- E and M Coding Proficiency
- Electronic health records navigation
- Knowledgeable in Epic
Certification
- CPC - Certified Professional Coder
Timeline
Certified Professional Coder
Savista CRM
01.2023 - Current
Insurance Specialist
OrthoVirginia
03.2022 - 12.2022
Patient Account Representative
Acsel Medical Solutions
03.2020 - 03.2022
Associate of Science -
Tidewater Community College
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