KIMBERLY WAINE, CPC

Medical Coder and Biller
Detail-oriented, organized, determined and Certified Medical Coder looking for full-time employment as a remote coder with advancement opportunities. I am a team player and an efficient leader with exceptional organizational and problem solving skills.  Current member of AAPC and current CEUS.

Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. I offer a background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure timely and accurate payment.

Work History

2021/10 – Current

Medical Coder and Biller

You First Health Systems- Lanham, MD

·       Guarded against fraud and abuse by verifying coded data accurately reflected services provided

·       Orchestrated medical coding, payment posting, accounts receivables and collections

·       Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable

·       Posted payments and collections on regular basis and delivered timely and accurate charge submissions

·       Communicated with insurance providers to resolve denied claims and resubmitted

·       Reviewed patient records, identified medical codes and created invoices for billing purposes

·       Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers

·       Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies

·       Adhered to established standards to safeguard patients’ health information

·       Specialized in Outpatient Radiology Coding
2020/04 – 2022/04

Insurance Verification Specialist

Vengroff Williams- Sarasota, FL

·       Maintained strong knowledge of medical terminology to better understand services and procedures.

·       Made contact with insurance carriers utilizing websites such as; Optum, Navinet, BCBS, and Tricare to enter patients insurance information, addresses and phone numbers accurately into Quadax/Cognito system.

·       Observed strict procedures to protect sensitive patient information, medical records and payment data.