Certified Medical Coder
Resume:
Usha Terukoti
**************@*****.***
Detail-oriented and certified medical coder/biller with 3+ years of experience specializing in ENT specialty. Seeking to leverage expertise in remote coding and EMR systems to contribute to the Coding Network's mission of providing top-tier medical coding services.
Certifications:
Certified Professional Coder (CPC-A) – AAPC 2023
Professional Experience :
ENT /Biller
ENT Billing, Worcester
June 2021 – Present
Accurately enter insurance and patient payments, ensuring timely and precise billing.
Perform client follow-ups and manage accounts receivables, enhancing cash flow and reducing outstanding balances.
Handle denials and insurance appeals, review EOB’s and coordinating with insurance companies to resolve disputes.
Conduct insurance follow-up and inquiry phone calls, maintaining effective communication with providers and payers.
Manage client and patient phone calls and inquiries, ensuring prompt and courteous service.
Issue billing statements to patients, optimizing revenue cycle management and collections.
Conduct detailed reviews and accurate coding of ENT procedures, adhering to ICD-10, CPT, and HCPCS coding standards.
Utilize EMR (eClinicalWorks) systems to retrieve and input patient operation reports, ensuring data confidentiality and security.
Collaborate with physicians and healthcare staff to clarify diagnoses and procedure codes, facilitating accurate coding and prior authorization for denials.
Stay updated on coding and billing regulations
.
Technical Skills
Proficient in EMR systems (eClinicalWorks)
Knowledge of CPT, HCPC, ICD10 codes
Analyze billing and claims for accuracy and resolve submission issues and denials
Advanced knowledge of medical terminology and anatomy.
Strong understanding of HIPAA and data security protocols
Academic education:
Master of Science (Biochemistry) from the Andhra University, INDIA 2007
Bachelor of Science from the Andhra University, India, with Chemistry and Biochemistry as the major and Biology as the subordinate in 2005.
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