Results-driven Billing & Coding Specialist with a strong foundation in medical coding and billing procedures. Known for attention to detail and ability to resolve discrepancies, ensuring compliance and reducing claim denials.
Overview
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1
Certification
Work History
Billing & Coding Specialist
Beth Israel Lahey Hospital
10.2025 - Current
Processed medical billing and coding claims for accuracy and compliance with regulations.
Utilized electronic health record systems to enter and manage patient data efficiently.
Collaborated with healthcare providers to resolve billing discrepancies and issues promptly.
Assisted in maintaining up-to-date knowledge of coding guidelines and insurance policies.
Reviewed and verified insurance eligibility for patients prior to service delivery.
Supported audits by preparing documentation and ensuring adherence to coding standards.
Review all CPT, HPCS, and ICD 10 codes assigned to claims to ensure accuracy for billing.
Contributed to team efforts in streamlining billing processes, enhancing overall efficiency.
Ensured compliance with industry standards, staying up-to-date on changes in medical billing codes and regulations.
Collaborated with healthcare providers to clarify ambiguous or incomplete diagnostic information for accurate coding.
Boosted staff productivity, conducting regular training sessions on best practices in medical billing and coding.
Successfully transitioned between different specialty areas within the organization, adapting quickly to new workflows and specific coding requirements unique to each department.
Actively participated in departmental meetings, sharing knowledge on emerging trends in the field of medical billing and coding practices.
Implemented quality control measures to minimize errors in data entry and reduce instances of rejected claims due to incorrect information.
Reduced claim denials by meticulously reviewing medical records for accurate coding and documentation.
Researched and resolved billing discrepancies to enable accurate billing.
Worked with multiple departments to check proper billing information.
Education
Associate of Science - Health Information Technology
Fisher College
Boston, MA
05-2008
Skills
ICD-10 proficiency
HIPAA compliance
Data entry speed excellent
Denial management
Insurance verification
Clinical documentation review
Medical coding expertise
Revenue cycle management
CPT coding
Problem-solving capacity
Payment posting
Medical terminology mastery
Medical billing procedures
Medicare and medicaid regulations
Charge entry accuracy
HCPCS level II coding
Third-party payer guidelines
Problem-solving
Attention to detail
Team collaboration
Multitasking and organization
Billing systems and software
Verbal and written communication
Decision-making
Claim submission
Claims processing
Patient account management
Analytical thinking
Conflict resolution
Month-end closing procedures
Records organization and review
Audit procedures
Research and due diligence
Medical coding
Report generation
Coding proficiency
Insurance confirmation
Billing dispute resolution
Medical billing and collections
Teamwork and collaboration
Time management
Multitasking Abilities
Excellent communication
Organizational skills
Microsoft office
Billing and invoicing
Continuous learning mindset
Certification
AAPC certified. #01603891
Timeline
Billing & Coding Specialist
Beth Israel Lahey Hospital
10.2025 - Current
Associate of Science - Health Information Technology
Charge Nurse – Urology & Colorectal Surgical Unit at Beth Israel Lahey HospitalCharge Nurse – Urology & Colorectal Surgical Unit at Beth Israel Lahey Hospital