TIFFANY MALM
1836 River Poppy Rd. Mascot,TN
Summary
AAPC Certified Professional Coder knowledgeable in AMA and CMS coding rules. Committed multi-tasker, well versed in working under pressure and adapting to new situations. Available for in-office or remote employment.
Overview
23
23
years of professional experience
1
1
Certificate
Work History
Certified Professional Coder
Medical Vision Technology
Sacramento , CA
12.2020 - 01.2024
- CPT and ICD-10-CM coding principles, government regulation, protocols and third-party billing requirements
- Review, verify and assign additional diagnosis codes based on specific clinical findings (laboratory, radiology and pathology reports)
- Add coding modifiers as appropriate
- Utilize Noridian, Availity, BS, Optum, Sutter Select and UHC payer platforms
- Collaborate with physicians and management regarding payment patterns and trends due to health care policy changes
- Identify and correct coding errors by utilizing HMI to secure proper payment amounts
- Mentor junior team members and manage employee relationships
- Inter-office as well as Remote working responsibilities
Billing Specialist
Granite Bay Dermatology
Roseville, CA
10.2019 - 04.2020
- Daily chart processing
- Eligibility Verification, Referral/Authorization processing
- Extensive working knowledge of Medicare, PPO and HMO, electronic and paper claim submission
- ICD-10-CM Medical Coding verification
- Charge entry through EMR, NexTech Billing software, Trizetto Clearinghouse
Billing / AR / Payroll
Proactive Acupuncture
Roseville, CA
11.2018 - 06.2019
- Solely responsible for the posting of all financial transactions
- Manage weekly payroll for 6 independently licensed Acupuncturists
- Create and implement financial checks and balances for daily cash flow for three satellite offices
- Research and correct internal billing issues
- Identify claim errors and resubmit corrections for payment
- Creation and maintenance of patient billing statements
- Apply credentialing and re-credentialing of all provider related contracts
- Front office support, appointment scheduling, patient demographics / data entry
- Insurance benefit verification
- Acubase billing software
Medical Coder
Sacramento Eye Consultants
Sacramento, CA
06.2001 - 02.2018
- Research complex CPT and ICD-10-CM coding
- Identify inconsistencies in medical documentation
- Apply proper descriptive codes when multiple anatomical locations are treated
- Maintain co-management program
- Mysis billing software, Nextgen billing software, Nextgen Super User
Education
Certified Professional Coder - Medical Coding
AAPC
11-2020
Associate of Arts - General Studies
Sierra College
Rocklin, CA01-1996
Skills
- Exceptional CPT and ICD-10-CM background
- HCPCS Coding guidelines
- NextGen Super User
- EPIC software certified
- Extensive working knowledge with commercial, government and private insurance carriers
- HIPPA compliant
- OSHA regulations
- Account funds posting / data entry and accurate 10-key
- Medical Claims Processing
- Medical Billing
- Healthcare Claim Coding
- Coding Error Resolution
- Insurance Authorization and Verification
- Data Security Procedures
- Records Management
- Revenue Cycle Management
- Documentation Oversight
- Patient Data Identification
- Advanced Medical Terminology
- Anatomy and Physiology
Timeline
Certified Professional Coder
Medical Vision Technology
12.2020 - 01.2024
Billing Specialist
Granite Bay Dermatology
10.2019 - 04.2020
Billing / AR / Payroll
Proactive Acupuncture
11.2018 - 06.2019
Medical Coder
Sacramento Eye Consultants
06.2001 - 02.2018
Certified Professional Coder - Medical Coding
AAPC
Associate of Arts - General Studies
Sierra College
Certification
- AAPC CPC Professional
References
References available upon request.
References
References available upon request.
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