Coder/Reconciliation Coder

• Apr 2018 - Present

Coder/Coder Assistant/Biller/Claims Denial Specialist

• Jun 2017 - Apr 2018

Southern Crescent Women’s Healthcare, Fayetteville, GA 2017 – Present Coder Assistant/Biller/Claims Specialist Assist with medical coding, documentation and research regarding any billing or coding questions. Responsible for processing of denials and appeals, insurance aging follows, submit insurance claims and prior authorization. Assist in the resolution of eligibility, benefits, contracting and payment schedule issues as well as resolve discrepancies. Handle and document resolution to escalated telephone and written appeals; receive and respond to inquiries from patients, facilities and insurance companies by telephone, mail or e-mail. Schedule and set-up patients for surgical visits and refer patients for pre-scheduling appointments. Provide reports and on-going updates to office management; insure all claims are filed and correspondence submitted in a timely manner.

Unit Medical Secretary/Evaluation and Mangement

• Dec 2010 - Apr 2018

• Responsible for documenting patient admissions, discharges, transfers and off unit procedures. • Assemble and maintain patient medical records and transcribe physician orders in an accurate and efficient manner, which facilitates ongoing communication of information. • Responsible for flow sheet from patient at the end of the visit; verified CPT/HCPCS and ICD-9/ICD-10 coding and diagnosis and ensured correct information was entered into the system for each service selected. • Provide clerical support to include answering phones, providing directions; assist patients with completing medical forms. • Deliver excellent customer service when responding to patient and family inquiries and requests. • Report and record patient care findings and data in timely manner; support delivery of quality care. • Prioritize and deliver patient care as delegated by healthcare staff to include collecting patient data and taking vital signs. • Ensure optimum patient flow and utilize interpersonal skills to maximize customer service and safety on assigned unit floor. • Demonstrate responsibility for containment of hospital costs and ensure appropriate office supplies; identify potential cost savings. • Report patient/visitor concerns, complaints and information to nursing staff.

Medical Coder

• Aug 2016 - Nov 2017

*Assist with medical coding, documentation and research regarding any billing or coding questions. *Review and analyze patient records, assigning appropriate ICD-10-CM Diagnosis Codes and CPT codes in correct sequence. *Completion and submission of chart abstracts into the electronic medical *Responsible for processing of denials and appeals, insurance aging follows, submit insurance claims and prior authorization. *Assist with medical coding, documentation and research regarding any billing or coding questions. *Review and analyze patient records, assigning appropriate ICD-10-CM Diagnosis Codes and CPT codes in correct sequence. *Completion and submission of chart abstracts into the electronic medical *Responsible for processing of denials and appeals, insurance aging follows, submit insurance claims and prior authorization.

Unit Secretary

• Aug 2008 - Dec 2010

• Ensured quality patient care and assisted with admission, discharge and transfer of patients, including transport. • Responded to needs of patients, visitors, physicians, staff and volunteers in a proactive manner to create a welcoming, service oriented environment. • Oriented new unit administrative staff and acted as a mentor/resource for less experience administrative staff. • Responsible for processing patient orders to include labs, x-rays, etc., ensured doctor and/or nurse orders were processed. • Ordered and maintained equipment and supplies for the desk area and unit; maintained clean work environment. • Maintained and managed medical record according to policy while ensuring patient confidentiality. • Processed forms and ensured proper patient identification on all paperwork.

Medical Secretary

• May 2007 - Aug 2008

• Secretary to the traveling Physicians at the Stockbridge Location • Monitored the traveling Physicians schedule and facilitated their queries • Utilized professional telephone etiquette to answer phone calls; directed and transferred calls/messages. • Greeted patients using professional and courteous customer service skills as they arrive; provided directions and answered inquiries; referred to nursing staff/physicians as appropriate • Secretary to the traveling Physicians at the Stockbridge Location • Monitored the traveling Physicians schedule and facilitated their queries • Utilized professional telephone etiquette to answer phone calls; directed and transferred calls/messages. • Greeted patients using professional and courteous customer service skills as they arrive; provided directions and answered inquiries; referred to nursing staff/physicians as appropriate