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Shayla Roberts

Certified Professional Coder

A skilled certified coder credentialed through the AAPC with 4 years of working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing. Extensively knowledgeable in human diseases, pharmacology and medical terminology.

Professional Experience

August 2017- Present Harbin Clinic Rome, GA

Certified Coding Analyst

Harbin Clinic is the largest privately owned multispecialty medical clinic with more than 140 doctors from 35 different specialties.

Proficient skills in the execution of facility coding, physician coding, outpatient coding and inpatient hospital coding procedures.

Inspiring abilities in the operation of Athena systems and Microsoft oriented software applications such as Excel, Word and PowerPoint.

Knowledgeable in different areas like Pharmacology, Anatomy & Physiology, Advanced Medical Terminology, and knowledge of utmost quality related to medical coding methods and guidelines, including ICD-10, HCPCS, and CPT-4.

Sustaining the accuracy of data inserted in the company software and proficiency of 500+ claim corrections per month and ability to communicate in a professional manner.

October 2013- August 2017 Northside Medical Specialists Canton, GA

Billing Manager

Looking after the common office duties such as processing deposits, making payments, etc.

Prepare and review patient statements and resolve patient issues regarding billing and charges.

Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.

Process and follow up on payer denials, consulting with the patient and/or their family as needed.

Post insurance and patient payments in a timely manner.

Abstracting and entering claim information, submitting claims to insurance and following up with insurance carriers on rejected and unpaid claims.

Qualifications

Experience in outpatient E/M, outpatient and inpatient hospital and facility coding.

Familiar with state, commercial and private insurance carriers and their policies

Proficient with Microsoft Office Suite

Professional appearance and demeanor

Solid communication skills both written and verbal

Ability to be resourceful and proactive in dealing with issues that may arise

Ability to organize, multitask, prioritize and work under pressure

Proficient in AMS, Athena Net and eClinical Works EMR systems

Resourceful, reliable and detail oriented

Education

May 2008- July 2015 Chattahoochee Technical College Marietta, GA

Healthcare Assistant Certificate

CPC Certification Accredited by AAPC

ICD-10-CM Proficiency Certification Accredited by AAPC

References

References are available on request.

Contact this candidate