Shannon Nicole Joyner

Professional Summary

Goal-oriented individual with a pleasant personality and a tenacity that knows no restrictions. A multitasking Physician, Facility, and Insurance Carrier Liaison considered highly ambitious, willing to meet or exceed monthly quotas and capable of maximizing brand awareness. Motivated Medical Billing and Coding Specialist with over 7 years of experience in Healthcare Operations Management, Billing, and Coding. Expertise in ICD-10, CPT, and HCPCS coding. Highly skilled in Analyzing and Validating patient information, diagnoses, and billing data. Demonstrated leadership skills that enable the process of high volumes of patient information to achieve revenue generation goals. Efficient Medical Assistant skilled in tackling administrative and patient-oriented tasks in a fast-paced medical office. Seeking a new position where my strong work ethic and exemplary time management skills will be appreciated. Knowledgeable Medical Biller with an eye for detail and a commitment to accurate work. Professional with expertise submitting medical claims to insurance carriers. Seeking a new position where a strong work ethic and exemplary time management skills will be appreciated.

Work History

Center for Interdisciplinary Spine/Boutique Acupuncture – Medical Coder

Sacramento, CA

09/2018 – 11/2019

Perform compliance audits for designated providers/centers consistent with established audit protocol

Work with nationally recognized HIM professionals and a coding team of more than 250 colleagues in 35 states

Works closely with the client’s HIM and other support departments

May be asked to participate in hospital revenue cycle or work flow enhancement/continuous improvement initiatives

Participates in provider/client/network meetings, which may include provider education through written communication.

Provide real time support and coordination with Primary Care Providers and MRA Coders as it relates to coding HEDIS and STARS

Assist in providing coding training to new physicians

Work overtime as requested by management

Work with cutting edge technology, including various EMR systems, complex abstracting programs and the best encoders in the business

Alpha One Ambulance Medical Services - Medical Billing and Coding Specialist

Sacramento, CA

09/2015 - 10/2018

●Accurately codes office procedures for providers to ensure proper completion of Electronic Health Records and proper assignment of ICD – 10 – CDM, HCPCS and CPT codes

●Maintain up-to-date Coding knowledge by reviewing materials disseminated by Department Manager

●Engage in provider/department contact and education as the primary liaison for clarification of documentation and coding

●Worked directly with Medical Billing and Coding Departments, processing, TARS and CMS-1500 electronic Medi-Cal Insurance claim forms with accuracy, for success, to reduce backlog and achieve approved claims that are paid in full.

●Oversee daily Billing Department functions, including medical coding, charge entry, claims, payments posting, and reimbursement management.

●Document patient data and medical record, and perform routine medical record audits to comply with insurance company requirements.

●Follow up on past due invoices and delinquent accounts to reduce numbers of unpaid and outstanding balances.

●Accounts Receivables and Accounts Payables

Edington Medical Group - Status Coordinator/Medical Assistant

Sacramento, CA

01/2010 - 08/2015

●Implemented marketing strategies which resulted in 12% growth of customer base.

●Verified data integrity and accuracy.

●Worked directly with Attorneys, Clients, Doctors and Management to achieve worker’s compensation reports transcribed and available on time for court hearing.

●Scheduled appointments for our patients to be evaluated by our Doctors.

●Analyzed departmental documents for appropriate distribution and filing.

UC Davis Medical Center - Medical Biller

Elk Grove, CA

11/2008 - 02/2010

●Efficiently collected payments and communicated with clients.

●Reviewed patient records, identified the medical codes and created invoices for billing purposes.

●Reviewed outgoing bills for eligibility and accurateness.

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●Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.

●Transferred balances to correct payers.

Accomplishments

●Followed up and kept track of expected orders from court and correspondence from opposing attorneys.

●Revamped the existing insurance reimbursement system with three new modules, which improved the system's effectiveness by 50%

●Excelling at balancing multi tasks within deadline-driven environments while providing top-level organization and communication skills and improving operational system.

●Reduced back log by processing 584 insurance claims successfully within 7 hours.

adbs0d@r.postjobfree.com

530-***-****

9065 North Camden Drive, Elk Grove, CA 95624

Skills

AAPC- American Academy of Professional Coders

ICD-10 Coding

CPT and HCPCS Coding

HMOs, PPOs, Medicare, Medi-Cal and Tricare

Operations Management

Quality Assurance and Auditing Medical Records Management

Patient Confidentiality

HIPAA Law -Abiding

Solid Foundation in Software Applications, Database Management and Data Entry.

Highly Experienced with Accounts Payables and Accounts Receivables.

MS Word, MS Excel and MS Power Point

Strong knowledge of GEM mapping

Medical Terminology

Harris Tracker, Medisoft, Kareo Skills, AdvancedMD, Epic, Centricity, Flash Code.

Education

2018

Carrington College California - Sacramento

Sacramento, CA

Certified MBC: Medical Biller Coder

2007

Western Career College

Sacramento

Certified MA: Medical Assistant

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