Medical Coder Administrative Assistant
Resume:
Audriana Gordon
Certified Medical Coder and Biller
Precise and enthusiastic Medical Coding
and Billing professional. Great system
research and analysis skills. Working
knowledge of X12, CPT, ICD-10 Data, UB-
04 and relevant EDI software and tools.
Seeking a career home with a company
that takes pride in exceeding goals. Ability
to handle confidential or sensitive
information with discretion while following
HIPPA guidelines.
Experience Education
2024 - Current
Administrative Assistant Halo Homecare Services
Utilized Therap and the DDSN portal to input accurate codes for billing. Running daily reports to balance accounts receivable. Auditing caregivers’ hours using Pheonix to maintain state records. Following up on denied claims until payment is posted ton the ledger. Submitting billing for Medicaid, Medicare, contracted and private pay clients. Exceeding monthly billing goals by 20% quarterly. Deposit and record payments via Excell worksheets. Recruiting and scheduling caregivers. Communicating with case managers to provide optimal service.
2022 – 2024
Patient Care Coordinator MUSC Prosthetic and Orthotics Using data to do analytical tasks and charting tasks related to patient information. Participated in optimizing the billing process flow to create a 25% increase in revenue. Input diagnosis codes and ICD-10 codes for inpatient and outpatient billing. Managing patient accounts with contact information, insurance billing and financial information in a confidential manner. Researching Epic for doctors’ notes, referrals, prior authorizations and needed insurance documents for streamlining billing. Ensuring services comply with state and federal regulatory requirements. Researching, correcting and resubmitted denied claims.
2022 – 2023
Healthcare Coordinator Optum
Demonstrates outstanding service to identify the source of the caller's issue and work to resolve the inquiries in a timely and professional manner. Daily I provide service members with the information they need to make better decisions about their health, helping them get access to the right care the first time decreasing complaints by 30%. All while providing compassionate and empathetic support to 50 to 70 callers inbound and outbound providing guidance, support, and resolution for escalated issues. 2019 – 2022
2003 – 2007
HS Diploma
Essex Count Vocational HS
2024 – 2025
Certified Medical Coder and
Biller # X4H3Z3S6
Carmichael Medical Training School
2023 – 2026
Bachelor of Science Health
Administration
University of Pheonix
Skills
Attention to details
Analytical Skills
Time Management
Organized
Effective communicator
Contact
Charleston, SC
**********@*****.***
EDI Operator II PGBA- BlueCross BlueShield
Provides first and second level technical support to a variety of customers for Tricare and TriWest comprising the submitter community, as well as basic internal support via analysis and research into EDI related issues as required by business contracts. Provides quality, timely internal/external customer technical support services for a variety of insurance contracts assigned including linking EOBs to the correct trading partner ID. Assisting my department with increasing our production goal by 30% via the Press Gainey. This encompasses, but is not limited to, support of communication interfaces, transactions, functions as required by insurance laws (such as support of claims, remit advice, inquiry/ response for claims status/eligibility, enrollment, premium payment etc.) Responsible for the setup of all electronic transactions and electronic explanation of benefits submission by processing enrollment applications, updating associated system files, and managing customer notification.
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