SANDY DULEBOHN

Pro-Fee CPT and ICD-10 coding of cardiothoracic and vascular surgeries; interventional radiology including complex lower extremity percutaneous interventions.

• Analyzed coding data to ensure accuracy and compliance with industry standards.
• Developed coding solutions to enhance billing processes for healthcare clients.
• Collaborated with medical professionals to clarify documentation requirements.
• Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
• Provided education on coding to improve accuracy and compliance.
• Assisted with coding denials and appeals to resolve discrepancies.
• Communicated with healthcare personnel, including practitioners to promote accuracy.
• Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
• Educated healthcare staff on coding standards and changes in coding guidelines.
• Supported external audits by providing coded data and documentation as requested.
• Updated coding skills and knowledge through continuous education and training.
• Conducted audits to ensure compliance with federal and state regulations.
• Participated in coding team meetings to discuss challenges and best practices.
• Monitored coding error trends to identify areas for improvement in accuracy.
• Resolved coding discrepancies and denials to maximize reimbursement.
• Assisted with the development of coding policies and procedures.
• Oversaw workflow processes to enhance operational efficiency.

Executed CPT and ICD-10 coding for interventional cardiology procedures.

• Specialized in coding for electrophysiology, interventional radiology, and complex lower extremity interventions.
• Achieved high accuracy rate in daily reviews, ensuring compliance with coding standards.
• Conducted code reviews, improving accuracy and quality of coding practices.
• Maintained accuracy in coding to ensure compliance with healthcare regulations.
• Conducted audits to ensure compliance with federal and state regulations.
• Communicated with healthcare personnel, including practitioners to promote accuracy.
• Collaborated with clinical staff to clarify documentation, facilitating precise code assignment.
• Entered coded data into electronic health record (EHR) systems.

CPT coded cardiothoracic surgeries, heart transplants, ECMO procedures, vascular catheters, stress tests, and echocardiograms to ensure accurate billing and compliance.

• Executed daily tasks with precision and timeliness, contributing to operational success.
• Coordinated with team members to meet project objectives and deadlines, enhancing project delivery.

• CIRCC, CCVTC Coder - Pro-Free
• Pro-fee Cardiology - cardiac catheterizations/ interventions, TAVR, pacemakers, EP studies, left atrial appendage closure, ASD closure, transcatheter procedures
• Pro-Fee Cardiothoracic/Vascular - coronary artery bypass/valve surgeries, endovascular AAA repairs, vascular surgeries, IR vascular procedures, wound care
• Managed denial resolutions and follow-up workflows, ensuring timely processing of claims and enhancing revenue cycle efficiency.
• Executed day-to-day duties with accuracy, contributing to effective coding and compliance.

Served as coding manager under supervisor's guidance to enhance coding accuracy.
Contributed to economics committee, providing insights on coding standards.
Assisted in developing CPT descriptions and offering coding guidance to streamline processes.

• Managed reimbursement processes for interventional radiology services.
• Developed policies to ensure compliance with reimbursement regulations.
• Collaborated with healthcare providers to resolve billing issues.

• Biopsies, arthrograms/injections, central lines, fistulogram/interventions; GI and biliary procedures, urinary procedures; abdominal and extremity angiograms, stents and embolization procedures.
• Endovascular repair of abdominal aneurysms, thoracic aneurysms, etc.
• Ensured compliance with policies by reviewing work denials, contributing to accurate reimbursement processes.
• Optum 360, Imagine, AIMS, Excel spreadsheets, Word documents

• Interventional Radiology, cardiac catheterizations/interventions and E&M
• Muga scans, perfusion tests, stress tests
• Tracked and audited reports, ensuring accuracy and compliance with industry standards.
• Consistently met and exceeded production requirements, contributing to overall team success.
• Achieved quality assurance targets, enhancing departmental credibility and performance.
• CodeRyte, AS400, OnBase, Excel and Word

• Ensured accuracy of medical coding and billing processes to support compliance and revenue integrity.
• Identified and resolved billing discrepancies, coding issues, and payment problems to enhance claims processing efficiency.
• Supported billing inquiries and managed coding and collections activities to improve patient account resolution.
• Assisted in medical coding and billing processes, including data entry of patient information.
• Filing insurance claims, posting payments, filing appeals.
• Transcribed detailed notes from physician office visits to maintain accurate medical records.
• E&M office notes and consults, inpatient and outpatient consult and progress notes
• Open heart surgeries, arteriograms with stenting procedures in lower extremities, chest surgeries/biopsies, open arteriovenous fistula surgeries, carotid endarterectomies, open and endovascular repair of AAA.

• Facilitated coding for open heart surgeries, arteriograms, chest surgeries/biopsies, arteriovenous fistulas, carotid endarterectomies, and open and endovascular repair of AAA to ensure accurate billing and compliance.
• Processed insurance claims, posted payments, and filed appeals to optimize revenue cycle management and minimize reimbursement delays.
• Assisted in medical coding and billing processes, including data entry of patient information.
• Monitored the accuracy of medical coding and billing processes.
• Performed quality control checks on medical coding and billing data entered into system databases.

• Oversaw daily operations of office staff, ensuring efficient workflow and addressing operational challenges.
• Performed medical coding and billing for internal medicine and renal diseases, including hemodialysis.
• Managed accounts receivable, insurance contracting, and physician credentialing to facilitate financial processes and compliance.
• Conducted medical assisting duties including measuring blood pressures, performing EKGs, and conducting urinalysis to support patient care and operational efficiency.