Stacey Paterniti, CPC
Montrose,CO
Summary
Experience in all phases of the Revenue Cycle with special interests in education, teamwork and solutions. Highly passionate in the field of Medical Coding and billing. Proven communication and collaboration across all departments and hierarchy as well as members of the community and third party vendors. Team leader in training and support while managing diverse obstacles. Energetic for improving processes and workflows through ongoing education, KPIs, dashboards, productivity, accountability and reviews.
Overview
8
8
years of professional experience
1
1
Certification
Work History
CERTIFIED PROFESSIONAL CODER/DEPARTMENT LEAD
Cedar Point Health
01.2018 - Current
- Code profee, inpatient, outpatient, surgery, office visit, annual wellness, urgent care, behavioral health, telemedicine, worker's compensation, sports/employment/CDL physicals
- Seasoned in government, commercial, worker's compensation, auto and private insurers
- Maintain strict confidentiality by adhering to HIPAA guidelines and ensuring sensitive patient information is protected at all times.
- Develop strategies to reduce aging A/R through denial prevention and claim review
- Perform reconsiderations and appeals as necessary in accordance with A/R practices
- Exercise leadership capabilities by successfully motivating and inspiring others, delegating tasks and providing feedback
- Develop and maintain courteous and effective working relationships
- Self-motivated, with a strong sense of personal responsibility
- Generate reports to identify coding and payer trends and discrepancies
- Monitor changes in coding regulations to provide recommendations for compliance
- Collaborate with medical staff to ensure accurate documentation and appropriate coding practices are followed
- Devise and implement processes and procedures to streamline operations; improving efficiency and reducing errors in claims submissions
- Supervise existing employees and recruit, interview and hire new ones
- Boost overall employee morale by fostering a positive work environment and promoting open communication
- Communicate with managers of other departments to maintain transparency
- Chair department meetings covering new implementations, problem-solving and other operational areas
ADMINISTRATIVE ASSISTANT/AUTHORIZATION SPECIALIST/BILLING ASSISTANT
In Motion Therapy
01.2016 - 01.2018
- Facilitated check in/check out, insurance verification and eligibility
- Served as the front office manager in their absence
- Exemplified strong working relationships among all staff members
- Communicated with referring physician offices, patients, staff and public
- Managed Occupational, Physical and Speech therapy schedules for 12 therapists over 3 locations
- Processed medical records requests
- Compiled financial and efficiency data for owner and management team
- Successfully completed the course requirements for Certified Medical Biller.
Education
AAS - Legal Secretary
Mesa State College
01.2007
Skills
- Team Leadership
- Payer Appeals
- Government Payer Billing
- Compliance
- Inpatient and Outpatient Coding
- Analytical Thinking
- Strong Communication
- Organization and Prioritization
- Process Improvement
- Staff Training
Accomplishments
- Supervise a team of 8-15 staff members.
- Reduced outsourcing costs, and A/R accumulations for year end 2023
- Reimplemented Patient Statement generation according to Federal Guidelines
- Discovered the Claims Maintenance workflow in Greenway and aligned its use with daily A/R management
- Identified and remedied several Greenway internal edits delaying claim submission and processing
- Located and am implementing Greenway system setup processes
- Initiated automation of primary insurance eligibility in Phreesia to reduce negative A/R accumulations
Affiliations
- American Academy of Professional Coders (AAPC), Secretary, Treasurer 2023
- American Academy of Professional Coders (AAPC), Treasurer 2024
Certification
Certified Professional Coder (CPC)
Technical Proficiencies
Greenway PrimeSuite
ProviderFlow
Phreesia
Waystar
Data Media
Microsoft Office Suite
Microsoft Teams
Google Applications
Google Meet
WebPT
Meditech
Zoom
Payer Portals
Timeline
CERTIFIED PROFESSIONAL CODER/DEPARTMENT LEAD
Cedar Point Health
01.2018 - Current
ADMINISTRATIVE ASSISTANT/AUTHORIZATION SPECIALIST/BILLING ASSISTANT
In Motion Therapy
01.2016 - 01.2018
AAS - Legal Secretary
Mesa State College
Certified Professional Coder (CPC)
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