Medical Coding, Billing, and Audit Professional
Resume:
Belinda Thibedeau
Sierra Vista, AZ *****
**********@*****.***
Professional Summary
ICD Coding and Medical scheduling
Work Experience
Audit Processor
CIOX Health-Sierra Vista, AZ
September 2021
• Wrote clear, accurate correspondence letters for various health insurance companies
• Reviewed and analyzed medical charts to pull required information based on specific insurance company guidelines.
• Ensured all letters followed regulatory standards, including plain language guidelines and appropriate reading levels.
• Worked remotely, managing chart pulls and documentation from over 13 different secure healthcare systems.
• Collaborated with internal teams to meet deadlines and maintain quality across all communications.
• Communicated directly with clinical and medical teams to gather information and understand letter requirements
Audit Processor
CIOX Health Remote,-AZ, United States
September 2021 to July 2024
Identify, compile, abstract, and code patient data, using standard classification systems Medical Coder and Biller
Sunbelt Medical Group-Tucson, AZ
January 2021 to April 2021
Keep records of invoices and support documents
Resolve discrepancies in accounting records
Match statements with batches of canceled checks by account numbers Medical Coder and Biller
Sunbelt Medical Group-Tucson, AZ
January 2021 to April 2021
· Worked as a medical coder and biller remotely under contract.
· My duties with handling denied claims, mainly calling insurance companies to verify details, and correcting claims to resubmit for payment. I also answered patient calls, took payments, submitted them through an online platform, and tasked the clinics I was assigned.
· This company manages 150 different clinics. At the start of each day, we would access the higher denial clinics and work accordingly.
· Medical Scribe
Medical Assistant
Desert Spine and Sports Physicians, PLLC-Sierra Vista, AZ January 2020 to March 2020
· Worked as a medical scribe for a local physician and well as with physicians at the tucson location. Medically transcribed the patients visits and kept their records updated with current conditions and plans for treatment. Put in order for medications, faxed, filed, and did other medical office duties as well. Admissions Associate
Canyon Vista Medical Center-Sierra Vista, AZ
August 2019 to December 2019
Arrange hospital admissions for patients
Schedule tests or procedures for patients, such as lab work or x-rays, based on physician orders Interview patients to complete documents, case histories, or forms, such as intake or insurance forms Complete insurance or other claim forms
Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations Admissions Associate
Canyon Vista Medical Center-Sierra Vista, AZ
August 2019 to December 2019
· Worked as an admissions associate, checking patients in for their radiology, surgery, lab appointments.
· Verified insurances. Worked with several medical databases, and EMR's, collected money as payments(and co pays), called insurance companies for approval, authorizations, some scheduling, faxing, running medical ICD-10 codes through
Medicare for verification, billed third party insurances, as well as prepped patients for procedures on the administrative side. This was a fill in position.
Accounting Clerk
Lifecare Sierra Vista,-AZ, United States
October 2018 to April 2019
Reconcile records of bank transactions
Classify, record, and summarize numerical and financial data to compile and keep financial records, using journals and ledgers or computers
Calculate, prepare, and issue bills, invoices, account statements, and other financial statements according to established procedures
Accounting Clerk
Lifecare-Sierra Vista, AZ
October 2018 to April 2019
· Accounts receivable work to include billing all primary, secondary and tertiary insurance, imputing medical chart information, greeting patients (covering the front office), as well. Filing, calling insurances, medical coding and rebilling.
My main responsibility was billing out all claims and follow up. Collecting them when denied, reading EOB's, many other medical coding and billing duties. Medical Billing and Coding
HCPP Sierra Vista,-AZ, United States
June 2017 to June 2018
Resolve discrepancies in accounting records
Load machines with statements, cancelled checks, or envelopes to prepare statements for distribution to customers or stuff envelopes by hand
Perform general administrative tasks, such as answering telephones, scheduling appointments, and ordering supplies or equipment
Also certified; billing out daily encounters with the physicians, and coding surgery sheets from the hospital and outpatient
Medical Records Specialist
HCPP-Sierra Vista-AZ
June 2017 to June 2018
· I worked as a medical coder and biller, also certified; billing out daily encounters with the physicians, and coding surgery sheets from the hospital. I also billed out secondaries, and worked with many different medical softwares.
Coding medical diagnoses and billing and correcting claims, and sending them out electronically was a great deal of my position, as well as looking over sheets that came over from the hospital needing to be transposed into medical codes to be billed. I also worked AR, locating claims that weren't paid. This was for a
Gastroenterologist in town. Getting authorization for daily procedures was a part of the position as well. Medical Records Field Technician
Enterprise Consulting Solutions
June 2015 to July 2017
· This position I worked as a medical records field technician, retrieving medical records both locally and some out-of-town locations. It's a temporary/ seasonal position.
· My primary job was to pull records from the site's computer via flash drive through intricate steps, as well as scanning paper charts depending on the site's needs. I worked for different doctors on a daily basis and used a lot of the training I've received over the years in this position.
· A vast medical terminology base was required, as well as working independently, and having the ability to navigate through different EMR systems.
Home Health Aide
Legacy Home Health Care
April 2014 to May 2015
· I worked as an in-home care provider, assisting with client/patient needs. Duties include; personal care for clients, cooking meals & managing minor medical needs, also charting electronically into a medical database. I also assist with bathing, and household responsibilities as well. I work very independently with this position and schedule my own patients. I drive to the patient's home and provide exceptional care to sustain their everyday needs. It's a very rewarding position. Medical Records Clerk
Anchorage Neighborhood Health
August 2011 to January 2012
· Restoring lost files, scanning medical documents, transmitting pertinent information to doctors, and maintaining patient's personal information.
· A great deal of my work pertained to scanning information into the data base, restoring lost files, and locating lost information.
· Also categorizing patient information into the appropriate areas within the patient file was a very important duty, daily. Lots of data was included throughout the day, typing, and navigating through computer systems, among various other duties, as needed.
· Windows Word Excel Access
· Medical Manager Medical Office Software
· Financial Management
· CPT and ICD 2011 to 2011
· Proficient in Windows Word Excel Access
· Medical Manager Medical Office Software
· Financial management for medical offices
· Reception to include; Data entry, filing, typing, answering multiple telephone lines, categorizing. Scheduling
· Records management
· Medical billing
· CPT and ICD-9 coding
· CMS-1500 Claim Forms
· Third Party billing.. Certified Medical Transcriptionist (2011) Education
Nursing
University of Alaska Anchorage-Anchorage, AK
January 2001 to December 2003
Upper secondary education
Associate's degree
Skills
• Clerical experience
• NextGen
• Patient demographics
• 10+ years
• Record keeping
• Salesforce
• ICD Coding (3+ years)
• Medical administrative support - Medical administrative support experience (6-10 years)
• Records management
• Medical billing
• Clinical confidentiality policies
• Patient complaint handling
• Phone call management
• Managed Licensed Practical Nurses (LPNs)/Licensed Vocational Nurses (LVNs)
• Customer returns handling
• Insurance prior authorization
• Maintaining patient confidentiality
• Data entry
• Patient registration
• Electronic Health Record (EHR) access control systems
• Healthcare Documentation (3+ years)
• DME (Durable Medical Equipment)
• Managing patient records
• Customer service
• Medical terminology
• Allscripts
• Client follow-up
• Microsoft Powerpoint
• Athenahealth
• Physiology knowledge
• Health information management
• Records maintenance
• Attention to detail
• Escalation handling
• Assisted living facility administrative experience
• Microsoft Access
• Client interaction via phone calls
• Travel scheduling
• Patient appointment follow-ups
• Customer support
• Verifying release of information authorizations
• 10 key typing
• QuickBooks
• Compliance
• Patient service
• Live chat
• Organizational skills
• Customer records maintenance
• Grammar Experience
• Acute care
• Medical records clerk experience
• Written communication
• Filing
• HCPCS
• Account reconciliation
• Clinic administrative experience
• Client communication
• Phone communication
• Executive administrative support
• Medical data exporting
• Medical payment processing
• Analysis skills
• Clerical and Administrative Support
• Health information technician experience
• Release of information request management
• Letter Writing & Healthcare Correspondence (3+ years)
• Managing customer accounts
• HIPAA compliance management
• Travel planning
• Greeting customers
• Handling customer exchanges
• Insurance Letter Preparation (3+ years)
• Communication skills
• Basic math
• Technical Proficiency
• Healthcare referral management
• Medical Terminology Accuracy (10+ years)
• English
• Medical Insurance Processing (5+years)
• Electronic Medical Records (EMR) Systems
• Document archiving
• Patient charting
• AdvancedMD
• EMR/EHR
• Tebra
• Electronic health records (EHR) management
• Medical Terminology & Transcription
• Medical billing and coding data entry
• Professional email communication
• Centricity
• 3 years
• Computer literacy
• Revenue cycle management
• Typing
• Phone Etiquette & Front Office Operations
• Clinical documentation
• Windows
• Hospital experience
• Handling customer inquiries
• Conducting sales calls
• Patient insurance coordination
• Group home
• Appointment scheduling
• Workflow management (operations management method)
• Wound care
• Administrative experience
• Writing skills
• Redaction of protected health information
• Clear verbal communication
• Office experience
• Client email correspondence
• Computer operation
• Customer issue escalation
• Medical records
• Email management
• Handling patient inquiries
• Data collection
• Medical data importing
• Medical claims
• eClinicalWorks
• Patient interaction
• CPT coding
• Cerner
• Microsoft Office
• Meditech
• Medical transcription
• ICD-10
• ICD-9
• Medical Scheduling & Patient Triage
• Health insurance authorizations
• Collaborate with healthcare professionals
• Patient scheduling systems
• Medical coding software
• Health information data integrity
• Virtual client meetings
• CRM system proficiency
• Billing troubleshooting
• EMR systems
• Phone inquiries
• HIPAA compliance
• Scanning
• Health information regulatory compliance
• Rehabilitation center experience
• Report preparation
• Medical data abstraction
• Health regulation policy knowledge
• Medical office experience
• SimplePractice
• Multi-line phone systems
• Medical collection
• Medical records specialist experience
• Outpatient clinic experience
• Microsoft Outlook
• Athena
• EHR systems
• Telehealth platforms
• Phone etiquette
• Epic
• Medical Records Management & Documentation Review
• Microsoft Word
• Medical coding
• Clinic
• Care plans
• Call center
• Word processing
• Remote work experience
• Insurance verification
• Patient monitoring
• Time management
• Microsoft Excel
• Copy machines
• HIPAA
• Calendar management
• Computer skills
• Medical scheduling
Languages
• English
Certifications and Licenses
Medical coding and billing certificate
Driver's License
AHIMA
Medical Billing Certification
Certified Professional Coder
Certified Coding Associate
Certified Coding Specialist
Certified Medical Assistant
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