Daniela Banco CPC, CPB

**** *** ***** ** • Buford, Georgia 30519 • ad0ymz@r.postjobfree.com • 202-***-**** PROFESSIONAL AFFILIATIONS and CERTIFICATIONS

American Academy of Professional Coders (AAPC), Member in good standing

• Certified Professional Coder, CPC

• Certified Professional Biller, CPB

EDUCATION

AAPC

• Certificate of Completion, CPB Online Medical Billing Course

• Certificate of Completion, Physician Office Medical Coding – CPC Preparation course HIPPA Awareness for Business Associates

• Certificate of Completion

John Hopkins University

• Certificate of Completion Psychology First Aid-Online Course University Hyperion, Bucharest, Romania

• Degree in Psychology and Sociology

Music School of Popular Art Bucharest, Romania

• Associate Degree Canto Classic

RELEVANT SKILLS and TRAINING

CPT ICD-9/10-CM HCPCS

Medical Terminology Anatomy Physiology

Coding Guidelines HIPAA Policies Modifiers

Coding Payment Policies NCD and LCD Edits NCCI Edits Fluent in Romanian Basic German Basic French

Administrative Support Data Assessment & Reporting Customer Service Payment Processing Revenue Cycle Cross-Functional Collaboration Health Information Management Administrative Support Team Coordination PROFESSIONAL EXPERIENCE

Appeals Associate Provider Coding Team, Blue Cross Blue Shields of North Carolina, August 2022- Present

• Responsible for the analysis, research and completion of standard appeals and grievances within the company.

• Initiate claim adjustments on individual cases when necessary and follow and track until completion.

• Audit and oversight of entities where delegation of member and provider appeals exists.

• Demonstrates high degree of appropriate knowledge of all areas of the Coding Guidelines and Coding Policies.

• Apply coding knowledge to analyze/correct CCI Edits and Medical Necessity Accounts. Medical Billing Specialist, Advanced Care Partners, March 2022- June 2022

• Manage billing process, including collecting and entering claim information, posting insurance and patient payments, submitting claims, and appealing any denials or disputes

• Perform timely follow-up with government, commercial, and third-party payors to resolve unpaid claims Temp Non-Clinical Support Staff (Office & Healthcare Administration), Northside Hospital, August 2021 – March 2022

• Identifies problems through critical thinking abilities, proposing corrective action plans, and making efficient decisions for the most productive workplace

• Oversees daily administrative duties such as staff recruitment, processing employment paperwork, answering multi- line phone system, and performing front desk operations

• Participate in meeting and educational events.

Director, FUNGLISH KIDS, International Online Program, 2020 - 2021

• Implemented an international online program for kindergarten aged children during school closings to deliver English lessons online in a fun and interactive ways

• Effectively communicated ongoing teaching barriers with the principal of each school and evaluated solutions to improve teaching standards

Project Manager & Teacher Coordinator Afterschool Gifted Program for Children Baroody Camp Inc, 2019 – 2020

• Designed a learning-oriented curriculum for each course to meet educational rules and standards requirements

• Encouraged growth and development through brand promotion and recognition for school program

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