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Skills

  • Records review
  • HIPAA compliance
  • Data analysis
  • Team Leadership
  • Medical terminology expertise
  • Siemens Soarian Financials
  • Document scanning
  • NDCMedisoft
  • Cross-functional team collaboration
  • Staff development

Work Experiences

  • Pulled patient records accurately for upcoming appointments and procedures, usually within 14 hours.
  • Implemented marketing strategies that resulted in a 12% increase in the number of customers.
  • Examined departmental documents to determine how they should be distributed and filed.
  • Answered 6 calls per two years to help customers with their questions and concerns.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Copied, logged, and scanned supporting documents before filing everything in the client's files.
  • Achieved a 20% increase in month-over-month revenue.
  • Easily interacted and communicated with department personnel and the general public.
  • Oversaw the delivery of category project by process team, which resulted in category.
  • Accurately applied payment posting and adjustments by synergizing payment reports and EOBs.

Summaries

  • Top-producing salesperson and industry expert in Healthcare.
  • Knowledgable in a variety of design and testing methodologies.
  • Costs were consistently reduced while profits were increased.
  • Committed to processing invoices with 100 percent accuracy.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Offering 10 years of functional experience in the program industry providing clerical, financial, and administrative services.
  • Dedicated to paying employees, vendors, and suppliers on time.
  • Medical Billing Coder with over 17 years of experience in the healthcare field.
  • Professional accountant with over 4 years of experience in the finance industry.
  • Results-oriented Medical Billing Coder with a keen eye for detail and a desire to assist in the transformation of business operations.

Accomplishments

  • Ensured up-to-date compliance with HIPAA and privacy regulations during the handling and processing of patient information for claims and reimbursements.
  • Trained staff on proper coding for specialized medical services and procedures, ensuring regulatory alignment and reducing compliance issues by 15% year over year.
  • Reduced days in accounts receivable (AR) by 33% in three years by implementing standardized follow-up workflows for unpaid claims.
  • Leveraged Six Sigma credential to ensure all team coding processes complied with the latest CPT, ICD-10, and HCPCS guidelines.
  • Documented and resolved system which led to program.
  • Established detailed documentation processes that provided robust support for coding accuracy during audits, thereby minimizing liabilities for future claims.
  • Worked closely with physicians and clinicians to code complex medical cases correctly, leading to a 95% clean claims increase in several months.
  • Collaborated with the collections team to resolve outstanding billing inquiries and discrepancies, resulting in an additional $10 in collections revenue.
  • Evaluated rejected claims regularly, demonstrated successful follow-up strategies to increase recovery rates by 32% in less than three years.
  • Identified and rectified coding errors and omissions, helping practice recover $15 of lost revenue in under three years through diligent auditing.

Affiliations

  • Healthcare Billing and Management Association (HBMA) - Engaged in seminars on billing accuracy
  • Association of Information Technology Professionals
  • Project Management Institute
  • National Alliance of Medical Auditing Specialists (NAMAS) - Participated in audit methodology workshops
  • Revenue Integrity Solutions Collaborative - Contributor to denial rate reduction studies
  • Certified Outpatient Coder (COC) - Achieved certification status in 2015
  • Rotary International
  • Regional Billing and Coding Interest Group - Regular attendee since 2020
  • American Society of Health Informatics Managers (ASHIM) - Regular contributor to interoperability discussions
  • Medical Group Management Association (MGMA) - Active participant in healthcare strategy forums

Certifications

  • Cisco Certified Internetwork Expert (CCIE)
  • Cisco Certified Network Associate (CCNA)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Compliance Technician (CCT) - AAPC
  • CompTIA A+ Technician
  • Certified Protection Officer (CPO)
  • Certified Business Analysis Professional (CBAP)
  • Certified Medical Office Manager (CMOM) - PMI
  • First Aid/CPR Certified
  • Revenue Cycle Management (RCM) Credential – HFMA

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