Telia Pitts
Certified Coder
Rosedale,MD
Summary
Certified Professional Coder with 8 years of experience with a strong foundation in medical terminology and anatomy, eager to leverage technical skills and attention to detail to contribute to the accurate and timely coding of medical services in a dynamic healthcare setting. Highly skilled in analyzing and validating patient information, diagnoses, and billing data. Demonstrating leadership skills that enable the processing of high volumes of patient information to achieve revenue generation goals.
Overview
8
8
years of professional experience
Work History
Certified Coding Specialist
Sticks R Us
02.2020 - Current
- Appeals rejected claims and claims with low reimbursement.
- Demonstrated expertise in assigning accurate ICD-10 and CPT codes for variety of medical specialties, ensuring compliance with coding guidelines and regulations
- Proficient in reviewing and abstracting medical records to extract essential information for coding purposes, maintaining a high level of accuracy and efficiency
- Stayed current with industry updates and attended continuing education courses to enhance coding knowledge and skills, contributing to overall success of coding department.
- Identifies insurance issues of primary vs. secondary insurance, coordination of benefits eligibility and any other issue causing non-payment of claims.
- Retrieves supporting documents (medical reports, authorizations, etc) as needed and submits to third-party payers.
- Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
- Collaborates with other senior coders and the other coding staff with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded.
- Managed patient accounts, including billing, insurance claims processing, and collections
- Verified insurance eligibility and benefits for patients, ensuring accurate billing and reimbursement
- Utilized electronic health records and financial systems to track patient billing and payment information
Dental Office Insurance Coordinator
TMJ Facial Pain
05.2019 - 05.2020
- Verify patient insurance coverage details and explain benefits to support treatment planning process
- Submit timely and accurate insurance claims, ensuring maximum reimbursement for services rendered, allowing senior staff to increase revenue by 25%
- Maintain patient financial records, create payment plans, and process payments in compliance with HIPAA regulations
- Proactively follow up on 15 outstanding insurance claims a day and work with insurance companies to resolve discrepancies
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Registration Coordinator
University of Maryland Upper Chesapeake
01.2017 - 03.2019
- Responsible for all aspects of coding, quality assurance and compliance with Federal payer documentation guidelines.
- Organized and managed registration processes for large-scale events, ensuring seamless attendee registration and check-in procedures
- Developed and implemented registration systems to accurately capture attendee data and track event attendance metrics
- Responded to attendee inquiries and provided personalized assistance to resolve registration issues or concerns
- Collaborated with cross-functional teams to coordinate pre-event registration promotions and post-event follow-up communications
- Managed approximately 30 incoming calls, emails and faxes per day from patients.
Education
Associate of Applied Science - Health Informatics And Information Technology
The Community College of Baltimore County
Catonsville, MD05-2026
Medical Billing and Coding - Healthcare Administration
VaNe's Medical Training Center
9601 Philadelphia Rd STE 10612-2023
Skills
- The ability to review patient charts, apply coding standards, and generate claims accurately
- Know how to communicate clearly and consistently with patients, healthcare providers, and insurance companies
- Proficient with medical classification software, word processing, and spreadsheet software, and have a reasonable typing speed
- Time Management
- A deep understanding of medical terminology, ICD-10-CM, and CPT-4 codes
- Organizational skills
Software
Microsoft Word
Excel
WordPerfect
Office Ally
Interests
- I like to read read books about good habits and personal growth I also like to read my bible on my spare time
- I have a knack for styling clothes
- I love to listen to different genres of music
Certification
- CCS - Certified Coding Specialist
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Certified Coding Specialist
Sticks R Us
02.2020 - Current
Dental Office Insurance Coordinator
TMJ Facial Pain
05.2019 - 05.2020
Registration Coordinator
University of Maryland Upper Chesapeake
01.2017 - 03.2019
Associate of Applied Science - Health Informatics And Information Technology
The Community College of Baltimore County
Medical Billing and Coding - Healthcare Administration
VaNe's Medical Training Center
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