Aspiring Medical Coding and Billing Specialist

Shelley Story-Mattesich

Medical Coding and Billing Professional

954-***-**** *****************@*****.*** Cape Coral, FL 33914

PROFESSIONAL SUMMARY

Enthusiastic and dedicated Medical Coding and Billing Professional transitioning from the restaurant industry into healthcare. Possesses strong organizational, communication, and customer service skills, with a commitment to accuracy and attention to detail. Eager to apply knowledge of medical terminology, coding systems, and billing procedures to contribute to the healthcare field. Reliable and quick to adapt, with a solid foundation in managing complex tasks in fast-paced environments. Seeking an entry-level opportunity to develop and grow in the medical coding and billing profession.

PROFESSIONAL SKILLS

•Review patient records and assign numeric/alphanumeric codes for each diagnosis and procedure

•Possess in-depth knowledge of the CPT coding system and familiarity with the ICD-10-CM and HCPCS Level II coding systems

•Handle issues related to medical necessity claim denials, bundling issues, and charge capture

•Adhere to medical coding guidelines, regulations, and compliance

•Assign accurate medical codes for professional (physician) procedures, services, and diagnosis

•Understand various insurance types, carriers, and plans and appropriate rules for coverage determination

•Recognize ICD-10-CM, CPT, HCPCS, and modifiers and how to utilize them for billing

•Comprehend payment adjudication various claim statuses and the resubmission process

•Audit medical billing and prevent fraud and abuse assigning diagnostic and procedure codes and how to submit clean claims for reimbursement

•Submit reimbursement claims to insurers and optimize healthcare providers maximum payment for medical procedures performed

EDUCATION

MedCerts Livonia, MI Jan 2024 - Nov 2024

Medical Coding and Billing Professional Program

•AMCA: MCBC Certified (MCBC-8560 Expires Feb 2027)

•AAPC: CPC-A Certified (In progress)

PROFESSIONAL EXPERIENCE

Mainely Seafood Punta Gorda, FL Jul 2014 - Present

Co-Owner

•Lead daily operations, including managing customer service, accounting, and cash flow, ensuring smooth and efficient business processes

•Oversee pricing strategies and marketing, demonstrating attention to detail in financial documentation and record-keeping

•Train and manage employees, emphasizing accuracy, efficiency, and compliance in daily operations

•Foster teamwork and maintain organizational structure, demonstrating strong communication and leadership skills

•Demonstrate accountability by overseeing financial transactions and ensuring accuracy in business documentation

iSXPERIA Fort Myers, FL Aug 2006 - Jul 2014

Administrative Assistant to the CEO and President

•Oversee daily operations, including managing a team, inventory control, and optimizing processes to ensure smooth and efficient workflow

•Utilize Excel to manage invoices, track accounts receivable and payable, and maintain accurate financial records to support billing and documentation accuracy

•Analyze data and performance metrics to drive operational improvements, demonstrating strong organizational skills and attention to detail

•Provide exceptional customer service, fostering positive relationships and ensuring satisfaction, while maintaining professionalism and clear communication

•Collaborate with team members to meet goals and enhance operational efficiency, showcasing teamwork and leadership skills in a fast-paced environment

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