Medical claims coding
Victor Watta
Nursing Facility Administrator
Forney,TX
Summary
Currently am a medical biller and coder, who is a Long Term Care Administrator in Tx and is seeking for a full-time position in long term care as a assistant administrator, that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Guided by the state and the federal regulation in the industry.
Overview
4
4
years of professional experience
9
9
years of post-secondary education
3
3
Certifications
Work History
Medical Biller and Coder
HnP Claim Care Inc
Rowlett, TX
06.2020 - 05.2022
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system.
- Reviewed patient charts to better understand health histories, diagnoses and treatments.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Coded inpatient charts at rate of 30 per day.
- Implemented new coding procedures that reduced mistakes by 5% and simplified processes.
- Accurately selected proper descriptive code when more than one anatomical location was indicated.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Medical Biller
Ace Medical Billing
Dallas, TX
02.2020 - 06.2020
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Posted service charges for practice providers.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on regular basis.
- Gathered information from multiple sources to simplify billing and organize accounts.
Business Development Representative
Professional Home Health & Hospice
Euless, TX
08.2018 - 05.2019
- Communicated with local organizations to build networks and develop leads.
- Increased brand awareness, website traffic and sales by implementing effective marketing campaigns and strategies.
- Expanded business through effective network development, identifying new and prospective clients.
- Incorporated product changes into marketing messages to drive customer engagement and maximize profits.
- Consistently exceeded quotas through penetration of new accounts.
- Maintained extensive knowledge of company products and services to provide top-notch expertise to customers.
- Reviewed client concerns and recommended appropriate changes to supervisors.
- Brought in new accounts through successful networking strategies and promotional approaches.
Administrator in Training
Prestonwood Rehabilitation & Nursing Center
Plano, TX
09.2017 - 07.2018
- Independently managed multiple departments in the facility when the respective departmental heads were away on vacation.
- Studied processes, implemented cost reductions and developed reporting procedures to maintain administrative workflow.
- Managed agendas and calendars, boosting productivity and improving organizational initiatives.
- Made routine rounds, to ensure first-hand observation that generated reports to suggest corrective actions and process improvements in the facility. As per the state and federal regulations.
- Evaluated the facility operational practices against the budgets and identified improvement opportunities and developed revisions for systems and procedures, presented to the Administrator.
- Leveraged bookkeeping software and automated processes to reduce errors, when i was in the business office.
- Troubleshot employee concerns and recommended corrective actions to resolve issues.
Education
No Degree - Medical Billing And Coding
Remington College
Garland, TX 06.2019 - 01.2020
Vocational Degree - Long Term Care Facility Administration
McLennan Community College
Waco, TX 11.2017 - 05.2018
Master of Science - Healthcare Administration
Grand Canyon University
Phoenix, AZ 06.2015 - 10.2017
Bachelor of Science - Biochemistry
Egerton University
Njoro - Kenya 08.1991 - 11.1996
Skills
Proficiency in MS Office
Patient data compilation
Data security procedures
Insurance claims analysis
3M Encoder
DRG assignment
Medical billing code accuracy
Training and Development
Self-Motivated
Certification
CCA - Certified Coding Associate
CPB - Certified Professional Biller
Licensed Nursing Facility Administrator
Timeline
Medical Biller and Coder
HnP Claim Care Inc
06.2020 - 05.2022
Medical Biller
Ace Medical Billing
02.2020 - 06.2020
No Degree - Medical Billing And Coding
Remington College
06.2019 - 01.2020
Business Development Representative
Professional Home Health & Hospice
08.2018 - 05.2019
Vocational Degree - Long Term Care Facility Administration
McLennan Community College
11.2017 - 05.2018
Administrator in Training
Prestonwood Rehabilitation & Nursing Center
09.2017 - 07.2018
Master of Science - Healthcare Administration
Grand Canyon University
06.2015 - 10.2017
Bachelor of Science - Biochemistry
Egerton University
08.1991 - 11.1996
CCA - Certified Coding Associate
CPB - Certified Professional Biller
Licensed Nursing Facility Administrator
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