Open To Work
Tina Ennis
Deaconess Health System
Manitowoc,WI
Work Preference
Job Search Status:
Open to workDesired start date:
2 weeks noticeDesired Job Title
CERTIFIED PROFESSIONAL CODERWork Type
Full TimeLocation Preference
RemoteImportant To Me
Work-life balanceCompany CultureFlexible work hoursHealthcare benefitsWork from home optionPaid time offPaid sick leave401k matchCareer advancementPersonal development programsSummary
Accomplished CPC offering 14 years experience , accurately entering information for insurance and billing purposes. Highly skilled at memorizing frequently used codes for speedy completion of work. Demonstrated professionalism when communicating with patients, insurance companies, and healthcare staff.
Experience in pro-fee coding: in-patient, out-patient, behavioral health, & multi-specialties. Detail oriented and knowledgeable on coding guidelines and changes with background in Medicare, Medicaid, and third-party billing.
Certified coding professional with strong analytical skills and focus on accuracy in medical record coding. Proven ability to collaborate effectively within team settings and adapt to changing requirements. Known for efficient problem-solving and delivering high-quality results. Skilled in ICD-10, CPT coding, and healthcare compliance standards.
1
Certification
19
years of professional experience
Work History
CERTIFIED CODER
3 Years- Reviewed outpatient medical documents and assigned ICD-10, CPT, and HCPCS codes per coding guidelines to ensure accurate billing
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Verified, coded and added modifiers to diagnoses
- Applied official coding conventions and rules from American Medical
- Association and Centers for Medicare and Medicaid Services to assign diagnostic codes
- Resourcefully used various coding books, procedure manuals, and online encoders
- Communicated with insurance companies to research and resolve coding discrepancies, ensuring proper reimbursement for services rendered
- Communicated with insurance companies to research and resolve coding discrepancies
- Maintained updated knowledge of coding requirements through continuing education and certification renewal to uphold compliance standards
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal
- Reviewed clinical documentation to improve coding accuracy and compliance standards.
CODER II/RADIOLOGY
4 Months- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Utilized coding books and manuals to enhance accuracy in coding tasks.
- Reviewed outpatient records and interpreted documentation to accurately identify diagnoses and procedures.
- Utilized coding books, procedure manuals, and online encoders to ensure accurate coding.
- Verified signatures and ensured medical charts met accuracy and completeness standards.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
CERTIFIED PROFESSIONAL CODER
10 Years 2 Months- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes
- Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes
- Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records
- Collaborated with billing team to verify diagnosis codes for LCD and NCD coverage
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses
- Applied modifiers, coded narrative diagnoses, and confirmed diagnoses.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage
- Reviewed clinical data to accurately assign ICD, CPT, and HCPCS codes
- Trained and mentored junior coders to enhance coding skills and ensure adherence to coding standards.
PATIENT ACCOUNT SPECIALIST
3 Years- Answers calls and explains methods of filing/resolution of claims to patients
- Recorded payment and discount information and verified payments and denials for correct reimbursement.
- Assessed accounts and made adjustments to refund payments and resolve discrepancies.
- Maintained knowledge of AHC managed care contracts, Medicare, Medical Assistance, Workman's Compensation guidelines, discount rules, and insurance billing to support accurate claims processing.
- Works with outside vendors on claim disputes to ensure proper reimbursement per contract and/or industry guidelines.
- Maintained accurate patient demographic information in database for efficient processing
- Collaborated with outside vendors on claim disputes, facilitating proper reimbursement according to contract and industry guidelines.
CUSTOMER SERVICE REPRESENTATIVE
3 Years- Reviewed accounts and processed adjustments to refund payments and resolve discrepancies.
- Scheduled and rescheduled patient appointments in GE, optimizing patient flow and access to care
- Collect co-pays
- Enter patient insurance information
- Medical Assistance, Workers' Compensation guidelines, discount rules and insurance billing
- Managed online work list and reports, ensuring timely and accurate filing and resolution of claims
- Entered patient demographic information into computer.
- Collaborated with outside vendors on claim disputes to secure proper reimbursement per contract and industry guidelines
- Recorded patient messages in Cerner software
- Recorded necessary patient demographic details
- Managed and responded to multiple incoming phone lines
- Gathered co-payments from patients during visits
- Documented patient insurance information accurately
- Acquired necessary authorizations for medical services
- Check status of patients' accounts
- Post co-payments to patients' accounts/print/write recipes
- Managed refill requests and communicated with nurses/CSRs regarding patient inquiries
RECEPTIONIST
1 Year 4 Months- Answer multiple lines to schedule or reschedule patients
- Collected co-pays and accurately entered patient account entries
- Verify insurance coverage and eligibility of patients
- Verified insurance coverage and eligibility, ensuring seamless patient service
- Managed patient files to support efficient access to medical information
- Produced day sheets and balanced/closed out drawer, maintaining financial accuracy
- Enter diagnoses into practice management software (Eclipse)
Education
Certified Professional Coder - Medical
Medical Office Specialist
Medical Insurance Billing
Skills
Specialty-Specific Coding
General Coding
Inpatient CPT Coding
Evaluation and Management Coding
Coding Error Resolution
Outpatient Procedure CPT Coding
Team collaboration
Denial Management Strategies
EMR proficiency
Team Collaboration Abilities
Adaptability and Flexibility
Certification
- CPC - Certified Professional Coder
- Presently working on CPMA
Timeline
CERTIFIED CODER
Deaconess Health System
08.2023 - Current
CODER II/RADIOLOGY
Medical College Of Wisconsin
02.2023 - 06.2023
CERTIFIED PROFESSIONAL CODER
Agnesian Health Care/SSM, FDLRC
12.2012 - 02.2023
PATIENT ACCOUNT SPECIALIST
Agnesian Healthcare
11.2009 - 11.2012
CUSTOMER SERVICE REPRESENTATIVE
Aurora Medical Group
11.2009 - 11.2012
RECEPTIONIST
Raether Chiropractic
06.2007 - 10.2008
Moraine Park Technical College
Medical Insurance Billing
AAPC
Certified Professional Coder from Medical
Moraine Park Technical College
Medical Office Specialist