TARRA STUART
Registered Health Information Technician
Lithonia,GA
Summary
Accomplished and highly dedicated Medical Billing & Coding expert with extensive proficiency in ICD10 CM, CPT and HCC coding, and medical terminology. Recognized for exceptional skills in data management, patient and billing client support, and adept problem resolution, ensuring seamless operational workflows. Proven track record of maintaining the highest standards of confidentiality and HIPAA compliance while delivering unparalleled customer service. Expert in appointment scheduling, patient education, and leveraging advanced medical software to optimize efficiency. Demonstrated excellence in benefit verification and insurance processing, consistently surpassing company goals through meticulous attention to detail and sharp analytical capabilities.
Overview
3
3
years of professional experience
3
3
years of post-secondary education
1
1
Certification
Work History
Patient Care Coordinator/Assistant Front Desk
Lens crafters/Dr. Day & Associates
9 2013 - Current
- Delivered exceptional customer service to enhance patient experience, address and resolve an average of 5-10 patient complaints or concerns weekly, and educate patients about eye care products, services, and promotions to increase patient engagement and satisfaction
- Interpreted and accurately input patient's prescription in the database.
- Greeted and assisted an average of 50-75 patients daily during check-in/check-out processes, and answer inquiries regarding appointments, services, and billing, ensuring a high level of patient satisfaction.
- Accurately assign codes following ICD-10-CM guidelines and risk adjustment data abstraction rules.
- Perform chart reviews to provide and/ or verify accurate Medicare HCC diagnostic coding based on services rendered.
- Translated medical terminology accurately for 100% of patient records, processing approximately 300 records monthly with no errors.
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
Medical Coder {Remote}
The Judge Group/Optum
2023.09 - 2024.01
- Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
- Researched discrepancies between documentation and billing information to resolve any issues prior to submission.
- Abstracted appropriate information from the medical record based on the guidelines provided and after a thorough review of the medical record.
- Consistently meet productivity and quality performance requirements.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Reviewed medical records, abstracted and assigned proper Medicare HCC Risk Adjustment diagnosis codes, from both handwritten progress notes and various EMR systems.
- Maintained confidentiality of patient information according to HIPAA regulations.
- Participated in Team meetings and all training required.
- Participated in education modules as assigned.
Benefit Verification Specialist
MMC Group/AmerisourceBerge
2021.11 - 2022.02
- Demonstrated exceptional proficiency in swiftly and accurately updating demographic and insurance data within the database, ensuring seamless processing
- Exemplified thoroughness in completing online insurance verifications and conducting meticulous phone verifications to ensure comprehensive coverage confirmation
- Maintained an outstanding record of consistently surpassing company goals, delivering exceptional results and contributing to organizational success
- Exercised meticulous attention to detail in gathering and reviewing patient insurance information, ensuring completeness and accuracy in benefit verification processes
- Expertly verified patient-specific benefits across diverse payers (commercial, Medicare, Medicaid), meticulously documenting intricate plan details including coverage nuances and cost-sharing specifics.
Education
Health Sciences Associate Degree - Health Information Technician
Ultimate Medical Academy
Tampa, FL 2011.08 - 2013.09
Career Diploma - Medical Office Assistant
Penn Foster Career School
Scranton, PA 2009.01 - 2010.05
Skills
Medical Billing & Coding
Microsoft office
Word
Excel
Outlook
Proficient in ICD 10 CM & CPT coding
Data entry & Management
HCC coding
Customer Service
Problems & Issues Resolution
Posting and Balancing
Strong work ethic
Medical Terminology
Analytical skills
Organizational Skills
Risk adjustment coding
Attention to Details
Appointment Scheduling
Computer Literacy
EMR
HIPAA Compliance
Time Management
Knowledge of coding guidelines & regulations
Excellent verbal & written communication skills
Patient Care Coordination
Claims Processing
Certification
RHIT, 222414, American Health Information Management Association, Chicago, IL, 2018
Accomplishments
- Secured highest NPS (positive feedback from customers) score in 2019 and 2020 by delivering top-flight client services.
- Improved workflow and increased productivity by initiating a color code for patients with appointments and 'walk-in' patients.
- Saved time and generated revenue for practice, by implementing payments collection for services such as INR (insertion & removal of contact lenses) before starting the actual process.
Timeline
Medical Coder {Remote}
The Judge Group/Optum
2023.09 - 2024.01
Benefit Verification Specialist
MMC Group/AmerisourceBerge
2021.11 - 2022.02
Health Sciences Associate Degree - Health Information Technician
Ultimate Medical Academy
2011.08 - 2013.09
Career Diploma - Medical Office Assistant
Penn Foster Career School
2009.01 - 2010.05
Patient Care Coordinator/Assistant Front Desk
Lens crafters/Dr. Day & Associates
9 2013 - Current
RHIT, 222414, American Health Information Management Association, Chicago, IL, 2018
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