Medical Coder Revenue Cycle
Resume:
Yasmin Khaligh
Medical Coder III
******.*******@*****.*** • 310-***-****
• Alamo, CA 94507
Accomplished and dedicated professional with extensive expertise in medical coding and revenue cycle management. Proficient in utilizing key healthcare software, including Medical Office Software, Epic, and ICD-10/CPT Coding, HCPCS, to ensure precise and compliant coding practices. Possess in-depth knowledge of insurance laws and regulations, health insurance contracts, and billing processes to execute a wide range of revenue-focused tasks. Coding for profees, inpatient and outpatient facilities, and selecting appropriate CPT and diagnosis codes for visits and surgeries. Review of patient’s medical chart and communication with providers is also key. Proven ability to submit accurate claims, reconcile patient accounts, manage payments, and resolve complex billing issues. Skilled in delivering exceptional customer service, addressing patient inquiries, resolving discrepancies, and maintaining effective communication with staff and third-party vendors. Recognized for excellence in medical coding and billing, contributing to overall success of organization.
Areas of Expertise
● Medical Coding & Billing
● Revenue Cycle Management
● Medical Records Management
● Denial Management
● Data Analysis & Reporting
● Team Training & Development
● Patient Charting
● Patient Account Management
● Coding Audit & Compliance
Professional Experience
San Francisco Otolaryngology, San Francisco, CA Jan 2024 – Present Medical Coder & Billing Specialist
Perform specialized coding and billing for otolaryngology services, ensuring precision in surgery coding and resolving surgery-related coding denials. Manage patient accounts by processing and coordinating insurance claims, proactively addressing and resolving coding denial issues to streamline operations. Facilitate professional email correspondence with patients, addressing billing inquiries, clarifying coding details, and maintaining transparent communication regarding account statuses.
● Created new patient records and updated existing ones with accurate and pertinent medical information, ensuring proper documentation in patient charts.
● Inputted patient data into electronic medical records systems, including demographics, diagnoses, and medication details, maintaining compliance with healthcare documentation standards. Danville Orthodontics, Danville, CA 2022 – 2024
Medical Biller & Coder
Improved revenue generation through strategic payment arrangements, timely account acquisitions, and diligent follow-up on delinquent accounts. Prepared and distributed weekly billing statements, managed credit card statements, and oversaw medical claims submissions for seamless financial operations. Advised and instructed staff on medical coding best practices, enhancing team's effectiveness in claims management.
● Located and retrieved patient medical records efficiently for healthcare providers, patients, and insurance companies, ensuring a streamlined process.
● Conducted thorough audits of medical records to ensure completeness, accuracy, and compliance with established standards, prioritizing quality and reliability.
● Ensured protection of sensitive patient information by strictly adhering to confidentiality protocols and best practices.
Bass Medical Group, Walnut Creek, CA 2021 – 2022
Medical Coder & Billing Specialist
Supervised critical activities, including workers' compensation insurance underpayments, correspondences, appeals, and account aging, ensuring efficient resolution and compliance. Managed medical templates, patient histories, and referrals utilizing Epic electronic health records system to streamline operations and improve accuracy. Acquired and maintained expertise in coding and diagnostic processes, contributing to enhanced documentation and billing practices. Page 1 2
● Directed inpatient and outpatient coding operations by applying robust managerial skills to optimize workflow and adherence to standards.
● Analyzed and reviewed Explanation of Benefits (EOBs) to identify discrepancies, submitting appeals for rejected services to recover additional compensation.
● Advocated for claims erroneously processed to secure appropriate reimbursement, driving improved financial outcomes.
North Bridge Endodontics, Tiburon, CA 2015 – 2018
Medical Biller & Coder
Ensured efficient and accurate processing, preparation, and documentation of invoices and vendor bills, maintaining meticulous financial records. Maintained and updated general ledger with precision, demonstrating strong accounting skills to ensure accurate financial reporting. Verified and kept patients' medical information accurate and current, ensuring adherence to strict medical coding procedures and guidelines.
● Resolved complex billing issues by collaborating effectively with insurance providers, enhancing operational efficiency and patient satisfaction.
● Analyzed credentials for new doctors, utilizing strong analytical reasoning to support compliance and accreditation.
Additional Experience
Medical Biller & Coder North Bridge Orthodontics, Petaluma, CA Education & Certifications
Certified Professional Coder (CPC) AAPC, 2023
Medical Billing & Coding Carrington College, Sacramento, CA, 2021 Bachelor’s in Graphic Design University of Tehran, Tehran, Iran Volunteer Experience
Dental for Kids Program in Africa Worked alongside a team of dentists providing essential dental care to underserved communities
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