To secure a position within healthcare that will allow me to further develop my coding insurance skills as well as increase my knowledge base in the healthcare environment.
Certified Medical Coder, Medical Terminology, ICD-9 CPT coding, HIPPA Regulations, McKesson products proficient, IM Bills software, 3M Encoder, EMR, Navicure, Carestream RHI, and Insurance Billing Collections
TEACHING EXPERIENCE: ICD-9 on line course through Trident Tech for RSFH grow your own coder program.
Coder and Charge Entry
Daily coding and charge entry for medical centers, urgent care, reconciliation of daily charges entry reports to the finance department..Each center has an average approximately of 105 to 180 patients per day. Responsible for coding E/M code, surgical procedures, lab charges, radiology/CT scans, hydration/infusion/drips via iv, and respiratory charges from the physicians encounter form, and electronic charts.
September 2010 to April 2011 Cash Application Specialist
Responsible for the daily bank deposits for four 4 centers and growing, Manual posting of all patient and insurance payments that come via the mail. Also using the Navicure clearing house of all EFT from all major insurance companies, balancing and reconciliation of all direct deposits. Over see the work of other employee's to make sure all work is completed on an a daily basis and report any outstanding issues that arise to the billing manager. Also server as lesion for all other department to help resolve issues with A/R and charge posting.
Coder II Hosptitalist Services, CCA certified
Daily coding and billing for 16 Hospitalist physician's and 2 Palliative Care physicians and 1 Nurse Practitioner. Keep physicians updated in all Medicare related coding changes, and proactive in keeping physicians knowledgeable with what is needed for documentation for their billing codes. Reconciliation of daily reports.
August 1998 to September 2008 Patient Accounting Dept
Responsible for the day-to-day completion of the 3M edit report for modifier/coding issues, Omega Report generated by Medical Necessity failures, and the failed claims report which includes demographic/insurance issues in STAR/HBOC. Currently working in tandem with medical records to complete these reports on a daily basis and to identify trends, which can be corrected timely. Compile quarterly, the Medicare credit balance report to be submitted to Palmetto GBA for audit.
Responsible for the completion of the credit balance reports for hospital systems in North Carolina as well as South Carolina.
Collection and Billing Manager
Responsible for the day-to-day operations and management within the professional billing collection department which includes meetings with physicians, contacting Insurance Carriers, and maintaining daily functions within the department. Implemented new practice management system for billing all insurance companies electronically or on paper.. Trained and supervised staff on all data entry functions in the new system as well as verified all entries for accuracy. With this new system we were able to reduced A/R aging from an average of 120 days to 63 days in less then 10 months.
Front office Manager
Position included various managerial responsibilities including direct supervision of staff, evaluation of performance, disciplinary issues, scheduling, merit raises, and daily management of the office. Responsible for all bookkeeping regarding practice expenditures and debits, including all bank deposits and inventory. Performed input of all patient data for billing/coding for hospital and office visits as well as verifying visits for correct coding.