Medical Billing Coding

Tangela Y. Butler, CPC

West Park, FL 305-***-**** ad5crw@r.postjobfree.com /www.linkedin.com/in/tangela-butler-58b0a4a6/

A Love of Billing, With a Passion for People.

Profile

Certified Professional Coder with almost twenty years of legal experience seeking to transition to medical billing for Medical Insurance GA. As your remote Insurance Specialist Medical Coder, will investigate and resolve insurance company disputes, and communicate with your patients regarding account balances and claim statuses.

Certifications and Continuing Education

Certified Professional Coder (CPC), #01778616 through American Academy of Professional Coders. A member of the Ocala, Florida chapter, in good standing with CEU requirements.

Currently studying for CPB (Certified Professional Biller) certification.

Attended CEU courses:

Remote Coding and Working Accounts Receivable

Introduction to Inpatient Coding

Laboratory Coding, Billing, and Reimbursement

CKD Basics Involving HCC Risk Coding

Risk Adjustment Supporting Clinical Documentation

OB-GYN Coding

Developing a Growth Mindset for Success in Medical Billing

Evaluation and Management Coding for Today and Tomorrow

Experience

MEDICAL CODING AND BILLING INTERNSHIP JEWVONS MEDICAL CODING, BILLING, & CONSULTING, LLC. APRIL 2021 – JUNE 2023

·Oversaw all aspects of the medical revenue cycle, including charge entry, payment posting, eligibility and benefits verification, medical coding, and claims submission.

·Examined patient encounter forms to verify diagnosis codes, and reconciled codes against services documented in the medical record.

·Accurately digitized procedure and diagnosis codes into medical billing software, generated invoices, and accepted copays, deductibles, and co-insurance payments.

·Complied with all applicable laws and regulations of CMS, hospital policies, and individual office policies. Kept HIPAA compliance at all times.

COMMUNITY PROGRAM SUPERVISION SPECIALIST BROWARD SHERIFF’S OFFICE PRETRIAL SERVICES DIVISION APRIL 2007 - CURRENT

·Diverted criminal defendants from pre-trial incarceration, and supervised defendants who have been court-ordered to GPS and Standard Pretrial. Supervision allowed that mandated conditions and court-ordered special requirements were satisfied before trial.

·Provided complete, accurate, and non-adversarial information to the judges of the 17th Judicial Circuit in Florida. Improved the rates of release and detention processes in compliance with Florida Statutes and Rules of Criminal Procedures.

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Education

CERTIFICATION, MEDICAL CODING AND BILLING 2023 JEWVONS MEDICAL CODING, BILLING & CONSULTING, LLC., AAPC APPROVED EDUCATION PROVIDER

Education included anatomy & physiology, medical terminology, HIPAA compliance, ICD-10-CM, CPT-4, and HCPCS coding.

MEDICAL BILLING & SOFTWARE TRAINING BY ASK THE BILLER® (AAPC APPROVED EDUCATION PROVIDER) 2023 ASK THE BILLER® (AAPC APPROVED EDUCATION PROVIDER)

Learned concepts of the revenue cycle to include demographics, medical insurance (Medicare, Medicaid, third-party payers), verification of benefits, superbills, and proper utilization of the CMS1500 claim form. Participated in proper claims entry, claims submission, claim reviews, payment posting, accounts receivable and payable, and deciphering patient statements such as EOBs. Complete understanding of in-network payers vs. out-of-network, modifier usage, and resolution of denials, appeals, and rejections.

BACHELOR OF SCIENCE, CRIMINAL JUSTICE 2005 FLORIDA MEMORIAL UNIVERSITY

Utilized biological, sociological, and psychological criminological theories to understand the reasons why individuals commit criminal acts. Applied the principles of criminal law and civil liabilities to defendants and used the scientific method to make professional and logical decisions. Strived to build community relationships by understanding the culture of individual neighborhoods and families, and application of theories of behavior.

MASTER OF EDUCATION, GUIDANCE COUNSELOR 2007 UNION INSTITUTE AND UNIVERSITY

Assisted defendants in acquiring information about their futures. Researched social programs to guide people with legal pasts into careers, housing, child-care solutions, and addiction treatment.

Skills & Abilities

·Office Ally Software

·HIPAA Compliance

·Charge Entry & Payment Posting

·Revenue Cycle Expert

·Current Billing Guidelines

·Telephone & In-Person Communication Skills

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