Zita Njilongning
Concord,NC
Summary
Medical coding professional with extensive experience in accurately coding patient records and ensuring compliance with healthcare regulations. Known for strong focus on team collaboration and achieving results, adaptable to changing needs. Skilled in utilizing coding software and maintaining detailed documentation, with reputation for reliability and precision.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Medical Coder
RHD
08.2022 - 01.2024
- Collected, posted, and managed patient account payments while preparing and submitting claim forms to insurance companies and third-party payers
- Entered procedure and diagnosis codes, along with necessary patient details, into billing software to optimize invoicing and account management; ensured accuracy by applying modifiers, verifying diagnoses, and coding narrative descriptions
- Monitored payment status, identified discrepancies, and corrected rejected claims to maintain accurate account records
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Data Analyst Intern
East Tennessee Health Information Network
10.2023 - 12.2023
- Conducted comprehensive observation, analysis, and collection of patient data, ensuring accurate linkage across accounts
- Performed detailed reviews of patient records to ensure accuracy and compliance
- Utilized Microsoft Excel for data analysis, generating actionable insights from patient information
- Established and maintained connections between patient records to streamline data integrity
- Examined and verified insurance information to support patient account management
Medical Administrative Assistant
Captec Nursing Academy
03.2020 - 08.2022
- Oversaw daily office operations, including opening and closing procedures, scheduling, and providing administrative support
- Ensured efficient functionality of office systems and processes
- Managed inventory for office and clinical supplies, coordinating with the business manager to order and restock items as needed to maintain operational continuity
- Collaborated with the finance team to uphold compliance with regulatory requirements and internal policies
- Assisted in medical collections by working with patients and insurance companies to resolve billing discrepancies
- Utilized accounting software such as Sage for data entry, financial reporting, and account reconciliation
- Maintained detailed records of all billing transactions and communications with clients to ensure accuracy and transparency
- Supported telemarketing efforts related to financial services, enhancing client engagement and satisfaction
- Prepared regular reports on billing activities and account statuses for management review
- Demonstrated excellent communication and attention to detail in resolving account issues
Medical Billing Intern
Bright Futures Pediatric
01.2022 - 04.2022
- Oversaw and streamlined the patient billing process to ensure accuracy and efficiency
- Reviewed and abstracted patient encounter details, including diagnostic information and medication administration records
- Utilized encoder software to assign codes for visits and medical procedures accurately
- Reduced claim denials by proactively identifying coding errors and rectifying them before submission.
- Generated and prepared detailed billing statements for submission and patient records
- Provided excellent customer service, addressing patient concerns regarding their bills and clarifying any confusion or discrepancies they encountered.
Education
Bachelor of Science - Health Information Management
Purdue University Global
05.2024
Skills
- Expertise in ICD-10-CM, CPT, and HCPCS Level II coding systems
- Proficient in medical billing software and Electronic Health Records (EHR) systems
- Comprehensive knowledge of HIPAA compliance, payer-specific regulations, and surgical pre-authorizations
- Skilled in managing insurance claims, submitting appeals, and resolving denials
- Strong organizational, communication, and problem-solving abilities
- Proficient in Microsoft Office Suite for reporting and documentation
- Therapy software platform (Advanced user)
- EHR Advance MD
- Microsoft365 – Word, Outlook, Excel, and PowerPoint (Advanced user)
- Electronic claims
Certification
- Registered Health Information Administrator (RHIA)
- Adult CPR/AED and First Aid
Affiliations
- Member, American Health Information Management Association
- Member, North Carolina Health Information Management Association
- Member, Delaware Technical Community College Alumni Association
Languages
English
Full Professional
Timeline
Data Analyst Intern
East Tennessee Health Information Network
10.2023 - 12.2023
Medical Coder
RHD
08.2022 - 01.2024
Medical Billing Intern
Bright Futures Pediatric
01.2022 - 04.2022
Medical Administrative Assistant
Captec Nursing Academy
03.2020 - 08.2022
- Registered Health Information Administrator (RHIA)
- Adult CPR/AED and First Aid
Bachelor of Science - Health Information Management
Purdue University Global
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