virtual Assistant, Business Analyst

Rebecca (Becky) Belanger

352-***-**** *****.*********@******.***

***** * ***** **, ****** City, FL 34436

Medical Billing and Coder

Analytical and detail-oriented healthcare professional with a background in clinical informatics and certified training in medical billing and coding. Experienced in working with EHR systems, healthcare data, and documentation accuracy to ensure proper coding, billing compliance, and optimized reimbursement. Skilled in translating clinical data into standardized codes (ICD-10, CPT, HCPCS) while maintaining HIPAA compliance in remote environments.

Areas of Expertise

Records Maintenance Data Management Research Documentation Workflow Analysis/Optimization/Process Operational Support Cross- Functional Coordinator Electronic Health Records (Epic, Cerner, Meditech, etc.) Clinical Decision Support (CDS) Data Analytics & Reporting (SQL, Power BI, Tableau) Interdisciplinary Collaboration Medical Billing & Coding (CPT, ICD-10, HCPCS) Insurance Claims & Denial Management HIPAA Compliance & Patient Confidentiality Revenue Cycle Management Data Entry & Record Accuracy Payment Posting & Account Reconciliation Communication & Customer Service Knowledge of Payers (Medicare, Medicaid, Private Insurance). Skill Sets/Duties

Medical Billing and Coder Analyst Skills

● Evaluated medical billing workflows to identify errors, streamline claim submissions, and ensure compliance with payer requirements.

● Reviewed and analyzed medical billing and coding data to identify claim errors and ensure accurate reimbursement.

● Prepared detailed reports on billing trends, payer denials, and coding compliance to support revenue cycle improvement.

● Collaborated with clinical and administrative teams to streamline billing processes and reduce claim rejections.

● Worked with physicians, coders, and insurance representatives to ensure accurate documentation and coding. IT Experience Skills

● Building and maintaining interfaces between disparate healthcare systems.

● Proficiency with tools like Visio, Jira, SQL, Tableau, or Power BI, Salesforce.

● Managing and maintaining data in JIRA related to the SGO Team. System Admin. for Salesforce for the SGO Department.

● Supporting hospital IT infrastructure — secure Wi-Fi, VPNs, VLANs, PACS systems.

● Ensuring uptime for critical care systems and telehealth solutions.

● Familiarity with medical IoT and connected device networks.

● Familiarity with HL7, FHIR, DICOM, CCD, CDA standards.

● HL7 interface experience and troubleshooting of issues. Familiarity with interoperability standards (HL7, FHIR) Clinical Informatics Specialist/Medical Billing & Coding Trainee Skills

● Proficient in multiple EHR systems (Epic, Cerner, Meditech, eClinical, etc.) for accurate code entry and claims processing

● Applied knowledge of clinical workflows to improve billing accuracy and reduce coding discrepancies

● Ensured completeness and accuracy of patient and encounter data used for claim submission

● Collaborated with clinicians to verify proper documentation supporting CPT and ICD-10 coding

● Ensured adherence to HIPAA and payer guidelines for data security and compliant billing practices.

● Supported EHR data audits and coding database updates to maintain consistency in charge capture.

● Assisted in documentation review to align provider notes with accurate diagnosis and procedure codes.

● Monitored claim performance metrics to identify trends in denial and improve reimbursement efficiency. Compliance Skills

● Maintained strong clinical knowledge of healthcare trends, policy, regulatory, and compliance issues.

● Identified impacted policy and procedure documents needing to be changed during workflow/process changes.

● Assisted with policy and procedure development for designated department/function responsibilities.

● Evaluated and Update all Policy and Procedures twice a year to make sure accurate for Joint Commission visits.

● Evaluated MEC handbook to verify policies and procedures were correct and followed correctly by Providers.

● Regulatory Compliance knowledge (HIPAA, CMS, Joint Commission)

● Maintain user confidence and protect operations by keeping information confidential.

● Knowledge of ICD-10, CPT, SNOMED, LOINC coding systems.

● Professional Experience

Evicore/CIGNA Healthcare August 2020 - April 2025

Manager, Business Analyst

Managed a team of business analysts, guided the development of analytical tools and techniques, and communicated findings to stakeholders.

HCA Healthcare Corporate November 2019 - August 2020 Senior Business Analyst

Review, analyze and evaluate business systems to convert information to new version - Lawson V9 to Infor CSF for the EAS Department. Document requirements, define scope and objectives and formulate systems to parallel overall business strategies.

TEK Systems, Inc./HCA Corporate March 2019 - November 2019 Business Analyst/Contract Position

Analyzing JIRA Application for SGO Department at HCA. Recommending reconfiguration of workflow process to work with application. MorCare, LLC/Harris Healthcare Company June 2018 - March 2019 Application Specialist

Discussed and interpreted customer utility business practices and worked through solutions to accommodate customer requirements. IT Works December 2017 - June 2018

Report Writer - (Contractor)

Edited, Developed, Processed Data Reports in Business Objects for a hospital who just implemented Cerner First Net in the ER Department. LifePoint Health - Brentwood, TN October 2017 - December 2017 Senior Morcare Analyst - (Contractor)

Supported all LifePoint facilities with all technical issues revolving around MorCare. Troubleshoot tickets through the ticketing system ServiceNow. Adventist Health Systems, FHNP December 2011 - October 2017 Clinical Informatics/Phys. Liaison

Optimizing electronic health record (EHR) systems, enhancing clinical workflows, and leveraging data analytics to improve patient outcomes and operational efficiency. Skilled at bridging the gap between clinical practice and technology to drive quality, safety, and compliance in healthcare delivery.

Adventist Health Systems, FHNP June 2004 - December 2011 PACS Assistant & Operations Manager

Implemented configuration settings associated with picture archiving and communication system (PACS) based on clinician feedback and known workflow processes. Responsible for PACS Server maintenance and interfaces to operational systems. Created CDs with patient images to provide to patients, attorneys and providers. Understanding of Release of information due to completing this process and providing patient to patients. Personal Rehab May 2000 - February 2001

Office Manager

Organized and improved operations, managing administrative systems, and supporting cross-functional teams. Skilled in office administration, vendor management, budgeting, and employee coordination to ensure seamless day-to-day operations.

Highlands County School Board October. 1989 – June 1999 Data Operator

Efficiently managed and maintained large volumes of data by entering, verifying, and updating information in the school database and system. Ensured data accuracy, consistency, and confidentiality while supporting reporting and analysis activities.

Certifications Memberships

● CPC Certification - In Progress

● Lean Six Sigma Yellow Belt (2022)

● CAHIMS Certification (2017)

● Complete SQL Database Training Certificate (2017)

● Project Management Professional Certificate (2020)

● Agile Project Management: Scrum Step to Step with examples (2020)

● Agile: Prioritization and Risk Management of Project Management (2020)

● e-learning center CompTIA A+ Essentials 220-601 networks (2008)

● Netlearning Certification (2014)

● SABA - ALN Training/Certification

● Healthcare Information and Management Systems Society (HIMSS) Member Notable Accomplishments

● Improved Cross-functional process and communication between IT and Business Operations teams.

● Improved Cross-functional process and communication within IT - Product and Planning team with Engineering teams.

● Promoted from Lead Business Analyst to Manager. Overseeing On-shore and Off-shore teams.

● Experience in downsizing a backlog of 250-300 tickets to less than 170 within 6 months.

● Increasing ticketing turn-around time from 120 days to 90 days within 6 months.

● Coordinated and implemented applications, transforming paper-based system to one capable of achieving HIMSS 7 technical requirements.

● Led HIMSS 7 recertification 2016 and achieved HIMSS 7 certification in 2012, moving from HIMSS 1 within one year.

● Participated in Big Bang rollout in 2012 as Lead Cerner Physician Trainer, helping North Pinellas location to be first FloridaHospital to achieve full electronic medical record (EMR), CPOE, and Meaningful Use qualifications.

● Provided support in hospital achieving “A” rating for Leapfrog Group’s Hospital Safety Record

● Project manager for multiple initiatives, including Anesthesia SurgiNet System Application, Leapfrog Testing for certification, M*Modal and Dragon Voice Recognition rollout, PDI project, ICD 10 rollout to providers, and PowerChart Touch Application for providers.

● Led projects for preparation and participated in Agency for Health Care Administration (AHCA) and Joint Commission reviews. Project Manager over ER Outpatient center opened in December 2016. Awards

● CIGNA Standout Recognition - 2 in 2020, 3 in 2021, 5 in 2022, 5 in 2023, 7 in 2024, 3 in 2025

● Employee Recognition Support Services of the Month for September 2016

● Employee Recognition Support Services of the Year 2016.

● Employee of the Month, January 2009

● Star Performer Award, August 2007

● Employee of the Month, August 2007

● Employee of the Month, December 2006

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