Medical Billing Records
Resume:
Chrisshanna Davis
Orange Park, FL *****
**************@*****.***
Professional Summary
Dedicated medical billing and coding specialist committed to implementing comprehensively organized billing, and documentation policies.
Adept at the analysis and interpretation of medical documentation coordinating with medical providers to ensure care, and preparing and submitting claims to insurance companies. Specialize in auditing medical accounts, and verifying medical documents. Work Experience
Medical Bill Analyst
Select Rehabilitation-Orange Park, FL
October 2022 to Present
• Accurately assigned medical codes to patient records using ICD-10 and CPT coding systems
• Review and verify the documentation for completeness, accuracy, and compliance with coding guidelines
• Identify and resolve coding errors or discrepancies to ensure accurate billing and reimbursement
• Collaborate with healthcare providers to obtain missing or additional information needed for proper coding
• Maintain up-to-date knowledge of current coding regulations, policies, and procedures
• Perform regular audits on coded records to ensure compliance with regulatory requirements
• Managing a high volume of medical records while maintaining a high level of accuracy in coding assignments
• Utilizing electronic health record (EHR) systems to access patient information for coding purposes
• Working closely with insurance companies to resolve any billing issues or denials related to coding discrepancies
• Assisting in the development and implementation of training programs for new coders on proper coding techniques
• Collaborating with the billing department to ensure timely submission of claims based on accurate coding practices
• Implementing quality control measures to minimize errors in the coding process and improve overall efficiency
• Maintain confidentiality of patient information in accordance with HIPAA regulations at all times
• Participating in regular meetings or trainings related to changes in medical billing and coding guidelines
• Providing support during internal or external audits by preparing necessary documentation related to coded records
• Ensure compliance with federal, state, and local regulations regarding medical billing practices
• Communicating effectively with physicians, nurses, and other healthcare professionals regarding specific documentation needs for accurate code assignment
• Research complex cases or unusual diagnoses/procedures requiring further investigation before assigning appropriate codes
• Collaborating with revenue cycle management team members on strategies for improving reimbursement rates through accurate code assignment
• Maintain a high level of productivity while meeting quality standards for coding accuracy
• Assist in the resolution of denied claims by reviewing coding and documentation to identify areas for improvement
• Utilizing medical billing software systems to enter, update, and maintain patient demographic information
• Verify insurance eligibility and obtained necessary authorizations for medical procedures or services Reconciliation Analyst
Parallon Business Solutions (ICS)-Orange Park, FL
October 2014 to October 2022
Collector ( Independent Client Services)
Reviewed insurance claims by utilizing tools provided to determine if claims have processed correctly and in a timely manner.
Contacted insurance companies for escalation on unresolved claims. Updated patient account with the information needed to process each claim. Contacted patients for assistance in claim resolutions. Contacted physician offices (as needed) for additional assistance for claim resolution. Submitted E-request for coding, billing and other claim issues. Reviewed and submit adjustments on accounts.
Maintained established departmental policies and procedures. Provided training for new hires.
Medical Billing Specialist
Martin Gottlieb & Associates-Jacksonville, FL
August 2013 to October 2014
# Responsibilities include :Billing for all medical carriers, following up on unpaid accounts or denying claims for their status, heavy data entry tasking, answering phones,filing,faxing and copying documents.
# Looking up ICD-9 codes to verify if a code has been changed and entered deposited. Updated patient’s demographics.
# Sent appeals to insurance companies.
# Patient seen twice in one day appeals.
# Non par appeals
# Past timely filing appeals.
Education
Business (Bachelor Degree)
UNF-Jacksonville, FL
August 2009 to May 2013
High School Diploma
Orange Park Highschool
August 2005 to June 2009
High school diploma or GED
Skills
• Medical Coding
• Medical office experience
• Accounts receivable
• Insurance Verification - Insurance verification experience (11-15 years)
• Analysis skills
• Microsoft suite (10+ years)
• HIPAA
• Medical records
• Documentation review
• Medicare
• Computer skills
• Hospital billing (8 years)
• Physical therapy medical billing (3 years)
• Medical Records
• Attention to detail
• Medical Terminology
• Revenue cycle management
• Medical collection
• Typing
• Medical billing
• Windows
• Leadership
• Emergency room doctors medical billing (2 years)
• Power point
• HCPCS
• Customer service (10+ years)
• Supervising experience
• Accounting
• Records management
Languages
• English
Certifications and Licenses
Driver's License
CPR Certification
Certified Professional Coder
Non-CDL Class C
Contact this candidate