Resume

Sign in

Medical Billing

Location:
San Francisco, CA
Salary:
15/hr
Posted:
April 28, 2020

Contact this candidate

Resume:

Angela Waller adczwy@r.postjobfree.com

Novato, CA 707-***-****

Experience:

Patient Services Coordinator/Medical Records Coordinator 2019-2020

Marin General Hospital - Contract, San Rafael, CA

Scheduled patient appointments and enters required information in the computer system in an

accurate and timely manner.

Obtained demographic, insurance and financial information from patient or guarantor.

Explained all required forms to the patient or guarantor and obtains the necessary signatures.

Ensured medical necessity compliance by obtaining necessary data, reviewing compliance system, communicated information to the patient or guarantor and obtaining necessary signatures.

Protected the financial integrity of the facility by collecting patient liability, establishing payment

arrangements, discussing payment options and screening for eligibility.

Medical Coder Billing Manager 2018

Arcadia Ambulance Service - Contract, San Ramon, CA

Responsible for coding, billing and collection processes for a growing Ambulance Service.

Completed billing and coding, answers inquiries from insurance companies and patients, and explained

all actions pertaining to the billing/coding/collections processes.

Timely billing and compliance with government regulations, professional standards and organizational

policies.

Ensured effective cash flow for the daily operation of the business through timely billing schedule.

Managed and coordinate all activities in the Billing Department.

Focused on ensuring cash flow and follow up on accounts receivables.

Streamlined and improved upon daily functions of the billing department.

Certified Professional Coder 2018

USCB AMERICA - Contract, Sacramento, CA

Coded professional services for UCLA ER/Trauma Center.

Coded ER services. Utilizing ICD-10, ICD-9, CPT and HCPC codes.

Entered procedure and diagnosis codes into billing software.

Performed random chart audits.

Acted as a liaison between the business department, billers and third-party payers in resolving

billing and reimbursement accuracy.

Certified Professional Coder 2016-2017

Sutter Physician Services, Novato, CA

Worked the claim denials in the Revenue Cycle department.

Using Encoder Pro, multiple payor-based programs and the experience and my team, we were able

to get claims paid after being triggered as a denied claim.

Performed insurance eligibility, authorizations and referrals.

Coded ER services thru Epic. Entered procedure codes, diagnosis codes and patient information

into billing software.

Executed random chart audits to create tools to better educate our providers on proper documentation.

Educated our coding staff on proper capture of revenue in the medical record.

Certified Professional Coder, Coding Auditor 2016

Sterling Medical - Contract, Fairfield, CA

Coded ER services. Utilizing ICD-10, ICD-9, CPT and HCPC codes and modifiers based on documentation.

Entered procedure and diagnosis codes into billing software.

Performed random chart audits.

Acted as a liaison between the business department, billers and third-party payers in resolving billing

and reimbursement accuracy.

Certified Professional Coder, Coding Auditor 2007-2014

Sante Health System, Inc. Fresno, CA

Reviewed the medical record for accuracy and completion of all required documentation.

Applied ICD-9, CPT-4, HCPCS codes, along with modifiers (if applicable). The charges were then

entered into Intergy.

Performed random chart audits.

Proficiently coded Emergency Room and Urgent Care. Specialty clinics including; Uro-Gyn, OB,

pulmonology, pediatrics and dermatology.

Acted as a liaison between the business department, billers and third-party payers in resolving billing

and reimbursement issues.

Outpatient Coder/Trauma Coder 2003-2007

Community Medical Centers, Fresno, CA

Proficient outpatient ED coder. Capturing ICD-9, CPT, HCPCS and modifiers.

Evaluated the accuracy of provider charges, including dates of service, applying ICD-9, CPT-4,

HCPCS codes as well as modifiers.

Recognized and captured those accounts and process them according to Level 1-3 trauma guidelines.

Coded our ancillary accounts for laboratory and x-ray.

Skills:

Healthcare Management

Inpatient

Revenue Cycle

Outpatient

Business Process Improvement

Trauma

Medicare/Medicaid Reimbursement

Ambulance

Coding Auditor

EPIC

Medical Terminology

3M

Medical Billing

HIPAA

Clinical Research

ICD-10/ICD-9-CM

Compliance CPT

DOD HCPCS

E/M Modifiers

Education:

Certificate of Completion from San Joaquin Valley College Fresno, CA

High School Diploma from Yosemite High School Oakhurst, CA

Credentials:

CPC (Certified Professional Coder) 2009

AAPC #01100784



Contact this candidate