Medical Billing Coding Specialist

Kanako Mehra Phone:818-***-****. Email:*********@*****.***

Certified Medical Coding Specialist (CCS)

Summary of Qualifications

Focused, detail oriented, Certified Coding Specialist (CCS) with over 5 years of experience working within a Physician’s Office and Ambulatory Surgical Center in Medical Billing and Coding. Self-motivated leader who creates positive outcomes for colleagues and the company as a whole through excellent services. Strong communication skills to work with individuals of all professional levels and personal backgrounds. Proven record in accomplishing goals accurately and on time.

Areas of Expertise

Medical Billing and Coding (Inpatient ICD-10-PCS and Outpatient CPT/HCPCS) Information Gathering and Processing Records and Report High Volume Internal and External Communications Account Management Medical Terminology Coding Standards, Regulations, and Procedures

Highlighted Accomplishments

Consistently met or exceeded objectives in all positions and earned high marks on employment reviews.

Continually given increased responsibility and management-level duties due to outstanding performance.

Increased clean claims and avoided denial claims through extensive knowledge of medical billing and coding.

Developed new ways to make billing and coding operations more efficient for Health Advantage.

Assist in additional projects as needed.

Experience in Medical Billing and Coding

HRC Fertility, as Medical Billing and Coding Specialist Pasadena, CA 2018-Current

Per standard process reviews and evaluates participant medical records to identify diagnoses and procedures and accurately assigns and sequences ICD-10-CM and CPT/HCPCS codes for fertility surgery done at the Ambulatory Surgery Center.

Abstracts and validates information documented on the operation report by cross-referencing via chart review and chart auditing.

Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.

Ledgent Finance and Accounting, as Billing Specialist for Veteran Claims Los Angeles, CA 2018

Facilitated a wide range of claims for veteran and civilian patients in specialties that included general medical, OB/GYN, diagnostics, dental, mental health, and audiology services.

Health Advantage Physical Medicine, as Medical Billing and Coding Specialist Pasadena, CA 2017 – 2018

Support the Medical Billing Supervisor and the office as a whole with the entire medical billing cycle, from information gathering, coding, and processing to submittals, payments, and ongoing records management.

Work directly with internal and external contacts that include providers, patients, insurance specialists, and other billing personnel. Build rapport and develop solid working relationships while gathering information and processing claims. Serve as a main point-of-contact for questions and issues. Provide bilingual service to Japanese patients.

Process all information for billing and claims. Analyze medical records to verify procedures and diagnosis. Code all records properly. Submit invoices to insurance companies. Post charges and complete claims in a timely manner. Regularly print and audit records. Investigate claim denials to ensure maximum reimbursement for services provided.

Educate providers and patients on billing processes to offer advice on how to choose treatment, eliminate confusion, and increase the speed of claims processing.

Assist with other duties, including incoming calls, managerial assistance, and monthly goal updates.

Education, Certifications, and Training

Completed AHIMA CEUs for Certified Coding Specialist 2019

Certified Coding Specialist (CCS) 2017

Career College Consultants, AHIMA Accredited program 2016-2017

Certificate of Achievement for completion of Medi-CAL Provider Training Seminar 2016-2017

Completed numerous seminars, conferences, and on-the-job training sessions on topics involving customer service, medical billing and coding, data processing, records management, team leadership, and general business operations.

Technical Skills

Proficient computer skills (Word, Excel, Outlook, PowerPoint, Electronic Medical Record Software)

Billing and Financial Management (QuickBooks, Office Ally)

Knowledge of coding guidelines, payer guidelines, federal billing guidelines

Coding experience and knowledge in medical terminology

Ability to research coding related issues

Knowledge of anatomy, physiology and disease processes

Languages

Bilingual in English and Japanese

References

Excellent references and professional recommendations can be provided on request.

Contact this candidate