Highly efficient Medical Coder and Quality Claims Analyst with excellent people skills and dedicated work ethic. Strong attention to detail, excellent multi-tasker and demonstrated team player with a positive attitude..
Medical Coder with 12 years experience in Physician Services Outpatient coding and also 3 years experience in HCC coding.
Carefully developed and implemented all Training Material for existing coders, as well as training new staff annually. Virtual training classes presented via WebEx/Audio Conference through PowerPoint presentations.
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
Remote HCC Coder accurately abstracting and reporting all conditions for HCC coding including RxHCC and PACE HCC while retaining a 97% quality and production standard..
Hands on Coding/Claims/Billing Manager
Coding/Charge entry - E/M, Labs, X-rays, Procedures, Outpatient Hospital E/M (CPC)
Electronic Claims Processing and Insurance Receipt Posting
Insurance Claims Follow up (working denials, filing appeals for maximum reimbursement)
Customer Service/Patient Statements (Maintained excellent customer service)
Month End - A/R Reporting while keep A/R days current.
Manage and support coding/billing/software applications for 65 Multi-Specialty practices for the Regional Business Office.
Reduced Net Days in A/R from 115 to 63.
Reduced A/R over 90 days from 35% to 20%.
Implemented Focused Medical Review book - speeding profitability
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