Janice L. Miller, MBA, CPC, CPMA
Medical Coding Specialist Profile
********@***.*** • 609-***-****
• Chatsworth, NJ 08019
Dedicated professional with extensive experience coding healthcare claims to obtain reimbursement while adhering to set procedures and policies. Skilled in auditing records to guarantee correct submission of services prior to billing. Known for training and advising physicians on proper documentation and code assignments to ensure accuracy and completeness. Elite communicator, adept at encouraging staff members, developing rapport with co-workers, and creating positive work environment. Willing to work remotely.
Areas of Expertise
Medical Coding
Medicare Insurance Regulations
Data Entry
Report Generation
Regulatory Compliance
Problem Resolution
Documentation Management
Staff Training & Mentoring
Billing Operations
Professional Experience
Hackensack Meridian Health – Hospice, Manahawkin, NJ 2021 – 2022
Data Entry Coordinator – Per-Diem
Perform data entry tasks, such as coding illnesses, therapies, and mental diagnoses in accordance with standard nomenclature and categorization system. Address patients’ concerns over phone and resolve problems by directing calls to respective staff members. Demonstrated extensive knowledge of coding while working in hospice environment.
New Lisbon Developmental Center, New Lisbon, NJ 2005 – 2021
Medical Records Technician 2012 – 2021
Senior Clerk Typist 2005 – 2012
Followed standard nomenclature and categorization system to code illnesses, treatments, and mental diagnoses. Analyzed rejected claims to verify correct coding and billing in accordance with Medicare regulations. Facilitated management in decision-making by conducting audits of claim bills. Ensured compliance with HIPAA, Medicare, Medicaid, and government policies for documentation and code selection. Performed inspections to check errors and streamline billing operations. Maintained essential database records regarding trends and statistics within departments. Completed paperwork and submitted applications for Medicaid, Medicare, and social security benefits. Managed burial accounts and provided information to clients regarding funeral expenses.
●Increased revenue and updated billing systems by conducting extensive research on Medicare regulations.
●Led, mentored, and guided physicians and staff members on medical billing, documentation, facility procedures, and monthly statistical reporting.
●Liaised with government and private agencies to exchange data, resolve issues, and process applications.
Additional Experience
Managing Director, A General Construction Company, Chatsworth, NJ
Administrative Assistant, Cooper University Hospital, Camden, NJ
Education
Master of Business Administration (MBA) in Health Services Administration (GPA: 4.0)
Strayer University, Cherry Hill, Nj
Licenses & Certifications
Certified Professional Medical Auditor (CPMA®) – AAPC
Certified Professional Medical Coder (CPC) – AAPC