Medical Billing Revenue Cycle

Inga Svintradze

Experienced Medical Billing and Coding Specialist 10+ Years of Expertise in Revenue Cycle Management and Healthcare Compliance

Orlando, FL 32821 +1 (321) 287- 6823 **********@*****.*** Summary

Detail-oriented and certified Medical Billing and Coding Specialist with a proven track record of optimizing revenue cycle management, ensuring accurate claim processing, and maintaining healthcare compliance. Skilled in reducing billing errors, improving reimbursement rates, and collaborating effectively with cross-functional teams. Proficient in medical coding (CPT, ICD-10, HCPCS), insurance claim management, and patient billing with a strong commitment to accuracy, efficiency, and confidentiality. Experience

Primary Care at Home

Medical Billing and Coding Specialist

July 2018 - Present

Orlando, FL

Accurately assigned ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and treatments, ensuring precise medical documentation and optimal reimbursement.

Prepared, reviewed, and submitted clean insurance claims, minimizing denials and expediting the payment process through attention to detail and compliance with payer requirements. Investigated and resolved claim rejections and denials by collaborating with insurance companies, patients, and healthcare providers, reducing outstanding accounts receivable. Maintained and updated comprehensive patient billing records, ensuring strict confidentiality and accuracy in adherence to HIPAA and organizational policies.

Partnered with physicians and clinical staff to clarify medical documentation, enhancing coding accuracy and improving revenue cycle management efficiency.

Florida Lung, Asthma & Sleep Specialists

Medical Billing and Coding Specialist

May 2014 - July 2018

Orlando, FL

Accurately assigned ICD-10, CPT, and HCPCS codes for pulmonary, sleep medicine, and allergy services. Managed full-cycle medical billing for a high-volume specialty clinic through effective denial management and appeals. Verified insurance eligibility and prior authorizations for procedures such as sleep studies, pulmonary function tests, and allergy testing.

Utilized EHR systems to maintain accurate patient records and ensure HIPAA compliance in all coding and billing operations. Collaborated with physicians and clinical staff to resolve coding discrepancies, enhancing reimbursement accuracy and streamlining workflows.

Home Physicians Group

Medical Billing and Coding Specialist

January 2008 - May 2014

Orlando, FL

Coded and submitted claims for in-home primary care services, ensuring accurate documentation and timely reimbursement. Handled full-cycle billing operations, from patient intake to final payment posting, across Medicare, Medicaid, and private insurers. Coordinated with providers and home health agencies to verify insurance coverage and obtain necessary authorizations. Investigated and resolved denied or underpaid claims by preparing detailed appeals and supporting documentation. Ensured strict adherence to CMS guidelines and HIPAA regulations while managing patient records and claim data. Education

Akaki Tsereteli State University

Bachelor of Mathematics

Valencia College

Technical Certification in Medical Information Coding and Billing Skills

Medical Coding Proficiency (CPT, ICD-10, HCPCS)

Skilled in accurately assigning medical codes to diagnoses, procedures, and treatments to ensure proper documentation and billing compliance.

Insurance Claim Management

Experienced in preparing, submitting, and following up on insurance claims to minimize denials and maximize reimbursement efficiency.

Revenue Cycle Management

Knowledgeable in overseeing the entire billing process, from patient registration to final payment, ensuring accurate financial reporting and timely collections.

Certifications

ICD-10-CM Coding Certification

AAPC

Certified Professional Coder (CPC)

AAPC

Office Specialist Technical Certificate

Valencia College

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