Robin Harper
Pembroke Pines
Summary
Medical coding and billing professional with solid background in managing healthcare claims and ensuring compliance with industry standards. Proven ability to streamline billing processes and resolve discrepancies efficiently. Effective collaborator and adaptable team member, consistently meeting organizational goals and adapting to changing demands. Skilled in ICD-10, CPT, and HCPCS coding and maintaining patient confidentiality.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
SONIC HEALTHCARE
07.2001 - Current
- Reviewed and coded medical records for accuracy and compliance with industry standards.
- Managed billing processes to ensure timely submission of claims and collections.
- Collaborated with healthcare providers to resolve coding discrepancies and improve documentation practices.
- Trained new staff on coding guidelines, billing procedures, and software systems used in practice management.
- Analyzed reports to identify trends in billing practices and implemented process improvements for efficiency.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Followed up with medical staff regarding missing information in patient records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Education
High School Diploma -
American Senior High
Miami, FLSkills
- ICD-10 proficiency
- Medical record review
- Medical terminology expertise
- HIPAA compliance
- Diagnostic coding
- Medical coding certification
- Payment posting
- Patient confidentiality
- Insurance verification
- CPT coding
- Medical billing procedures
Certification
- CPC - Certified Professional Coder
Timeline
Medical Coding and Billing Specialist
SONIC HEALTHCARE
07.2001 - Current
High School Diploma -
American Senior High