Tammy McGowen
New Bedford,MA
Summary
Accomplished Medical Coder and Billing Specialist with a proven track record at Southcoast Health, enhancing coding accuracy and billing efficiency. Expert in ICD-10 and CPT coding, with a knack for fostering strong relationships across departments. Achieved significant reductions in claim rejections through meticulous compliance with HIPAA and continuous improvement in operational processes.
Overview
23
23
years of professional experience
Work History
Medical Coder III
Southcoast Health System
06.2015 - Current
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Maintained high level of productivity while consistently meeting coding accuracy.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Billing Specialist Charge Capture
Southcoast Health System
06.2014 - 05.2015
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
Medical Billing Specialist
New Bedford Medical Associates
10.2006 - 05.2014
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.
- Posted and adjusted payments from insurance companies.
Billing Supervisor
New Bedford Medical Associates
03.2001 - 09.2006
- Reduced discrepancies in billing reports with thorough review processes and diligent follow-ups on outstanding accounts.
- Ensured compliance with industry regulations by staying up-to-date on relevant changes and adjusting internal procedures accordingly.
- Enhanced team productivity by providing ongoing training, guidance, and support to billing staff members.
- Proactively identified potential bottlenecks in the billing process, implementing solutions that increased overall operational efficiency.
- Collaborated closely with other departments, fostering strong working relationships to expedite resolutions of cross-functional issues impacting revenue collection.
Education
Associate of Arts - Business Administration
Bristol Community College
Fall River, MA06.1990
High School Diploma -
New Bedford High School
New Bedford, MA06.1983
Skills
- Certified Professional Coder (CPC)
- Certified Cardiology Coder (CCC)
- Medical Terminology
- HIPAA Compliance
- CPT Coding
- ICD-10 Coding
- Epic Systems
- Customer Service
- Medical Billing Processing
Accomplishments
- Current President of the AAPC New Bedford Local Chapter
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Used Microsoft Powerpoint to create presentations
Timeline
Medical Coder III
Southcoast Health System
06.2015 - Current
Billing Specialist Charge Capture
Southcoast Health System
06.2014 - 05.2015
Medical Billing Specialist
New Bedford Medical Associates
10.2006 - 05.2014
Billing Supervisor
New Bedford Medical Associates
03.2001 - 09.2006
Associate of Arts - Business Administration
Bristol Community College
High School Diploma -
New Bedford High School
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