Summary
Work History
Education
Skills
Certification
Timeline
Generic

Tammy Wedgeworth

Purvis

Summary

Dynamic professional with extensive experience at Pearl River Hospital, excelling in medical coding and billing. Proven track record in enhancing coding accuracy and streamlining billing processes, while delivering exceptional customer service. Skilled in data entry and recordkeeping, ensuring compliance and efficiency in healthcare operations. Committed to continuous improvement and team collaboration.

Work History

Administrator

Pearl River Hospital
  • Assisted in managing administrative tasks, ensuring smooth office operations.
  • Coordinated scheduling for meetings and appointments, optimizing time management.
  • Handled incoming communications, directing inquiries to appropriate personnel.
  • Maintained office supplies inventory, facilitating uninterrupted workflow.

Medical Coder

Pearl River Hospil
  • Reviewed medical documentation to ensure accurate code assignment and compliance with regulatory standards.
  • Utilized ICD-10, CPT, and HCPCS coding systems for efficient claim submissions.
  • Collaborated with healthcare professionals to clarify diagnoses and procedures for coding accuracy.
  • Conducted regular audits of coded data to identify discrepancies and implement corrective actions.
  • Provided training support to new staff on coding protocols and hospital policies.
  • Analyzed coding trends to enhance departmental efficiency and reduce claim rejections.
  • Maintained up-to-date knowledge of coding regulations through ongoing education and professional development.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
  • Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
  • Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
  • Streamlined the billing process for faster reimbursement by submitting accurate and timely insurance claims.
  • Communicated with insurance companies to research and resolved coding discrepancies.

Billing Specialist

CHS
  • Processed billing transactions accurately, ensuring timely delivery of invoices to clients.
  • Resolved discrepancies in billing statements, enhancing customer satisfaction and trust.
  • Coordinated with cross-functional teams to streamline billing operations and improve efficiency.
  • Monitored accounts receivable aging reports, identifying overdue accounts for follow-up actions.
  • Trained new team members on billing procedures and software systems, fostering a collaborative environment.
  • Implemented process improvements that reduced invoice processing time and minimized errors.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Worked with multiple departments to check proper billing information.
  • Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
  • Maximized revenue potential by identifying and resolving under-billed accounts.
  • Strengthened client relationships through effective communication regarding billing issues and concerns.
  • Enhanced accuracy in patient billing through meticulous record-keeping and verification of insurance details.
  • Facilitated staff training on new billing software, enhancing team productivity and billing accuracy.
  • Fostered strong relationships with healthcare providers and insurance representatives to facilitate efficient resolution of billing issues.
  • Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
  • Collaborated with healthcare team to ensure billing codes were accurately applied, optimizing reimbursement from insurance companies.
  • Managed monthly billing cycles to ensure timely issuance of invoices and statements.
  • Handled account payments and provided information regarding outstanding balances.

Receptionist

Hattiesburg Clinic
  • Greeted and directed patients, ensuring a welcoming environment.
  • Managed multi-line phone system, efficiently handling incoming calls and inquiries.
  • Scheduled appointments, coordinating with medical staff to optimize patient flow.
  • Maintained accurate patient records, ensuring confidentiality and compliance with regulations.
  • Processed insurance information and payments, facilitating smooth transactions for patients.
  • Implemented electronic health record updates, enhancing data accuracy and access efficiency.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Resolved customer problems and complaints.
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.

Education

General Studies

Purvis High School
Purvis, MS
05.1980

Skills

  • Customer service
  • Data entry
  • Attention to detail
  • Recordkeeping and file management
  • Administrative support
  • Documentation and reporting
  • Decision-making

Certification

I am in the process of completing my certification

With AAPC and hoping to complete it by December 2025.

Timeline

Administrator

Pearl River Hospital

Medical Coder

Pearl River Hospil

Billing Specialist

CHS

Receptionist

Hattiesburg Clinic

General Studies

Purvis High School

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