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Professional Summary
Through my passion to continually grow professionally, my extensive medical office administration and billing experience has helped me achieve a certificate in Medical billing and coding as well as a CPC certification. You will find that I am highly proficient and skilled in my ability to analyze billing issues and assign correct coding after reviewing medical documentation. I enjoy working in an environment where I can continue to learn and explore new avenues as they present themselves.
Work History
Coding Manager- Remote, Clinic Anywhere – Birmingham, Al 12/2019 to 04/2020
- Monitor and audit a multi-specialty coding team of 11 members for performance and quality
- Ensure timely submission of claims and communicate with account managers on escalations
- Serve as main point of contact for coding questions and implement coding protocols with the team
- Participate in meetings to discuss coding suggestions with account managers and clinic staff as needed
Coding and Billing Specialist, Bluewater Orthopedics – Niceville, FL 09/2015 to 11/2019
- Audit orthopedic operative reports and effectively append the correct CPT, HCPCS and ICD-10 codes to claims, while following coding and billing guidelines
- Identify, research and resolve billing variances working effectively with medical payers to obtain timely and accurate payments
- Generate reports detailing accounts receivable status. Also review past due patient accounts for accurate patient billing after insurance claims have processed
Coding and Billing Specialist/Billing Manager, Emerald Coast Cancer Center – Fort Walton, FL 07/2011 to 09/2015
- Accurately assessed medical documentation to correctly assign CPT and ICD-10 codes to office visits & infusion claims into Medical Manager program
- Directly supervised of the daily operations of the billing office to adhere to medical coding guidelines
- Worked effectively with medical payers to obtain timely and accurate payments. Filed corrected claims and appeals to insurance companies
- Identified patient responsibilities for infusion treatments and worked directly with patients to formulate payment plans and discuss restructuring option
Office Coordinator, Dr. R. Rogers D.M.D – Destin, FL 12/2009 to 07/2011
- Delivered administrative support to office staff, promoting excellence in daily office operations, prepare daily “End of Day” reports and bank deposits. As well as payroll and bill paying for the office
- Patient check out to include, enter daily dental charges using appropriate CPT and ICD-9 codes. Prepared treatment estimates for patients as per insurance benefits and also formulate payment plans.
- Delivered expert clerical support by efficiently handling incoming patient phone calls, filing, copying and faxing reports while maintaining confidential patient information
Medical Secretary III, Cancer Care Assoc. Of York – York, PA 12/1998 to 09/2009
- Assist office manager with efficient workflow processes, training new staff, multi-tasking and problem solving. Also managing nursing treatment scheduling
- Patient checkout process to include, entering daily charges for office visits and infusions using CPT and ICD-9 codes
- Translating doctor’s orders to schedule patients for testing, treatments, follow up appointments
- Delivered expert clerical support by efficiently handling incoming patient phone calls, filing, copying, faxing reports
- Accurately posting patient and insurance information while maintaining confidential patient information
Associations
AAPC member since 2014 & Vice President of the Fort Walton Beach Chapter 2020
References available upon request
Education
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Northwest Florida State CollegeAug 2014-May 2017Medical Billing/Coding Certificate
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Graduated with 3.8 GPA
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Contact Candidate
To contact this candidate email betha3470@yahoo.com