Alana Simmons
Knoxville,TN
Summary
To obtain a role in medical billing and coding.
Overview
15
15
years of professional experience
Work History
Analyst Assistant
ut medical center
10.2022 - Current
- Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency in the facilities inpatient and outpatient pharmacy billing process.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
- Validated results and performed quality assurance to assess accuracy of data.
- Recommended process improvements to continually identify, analyze and fix constraints and challenges.
- Conducted workplace compliance training to reduce liability risks and operate effectively.
Medical Coder and Biller
University PHYSICIANS’ Association-University Cancer Specialists
03.2013 - 10.2022
- Review chemotherapy records and accurately diagnose them and apply administration codes for multiple locations
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
- Stay up to date on all chemotherapy and immunotherapy pharmaceutical updates and regulatory guidelines
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Read all dictations and record evaluation and management in the office setting and hospital consult charges, apply the appropriate diagnosis codes to match the physician’s notes
- Follow up on denials in each location
- Answer and triage telephone calls from patients with billing issues
- Ensure pharmacy and administration charges are correct before the claim is released to insurance.
- Maintained accurate billing for 12 physicians and their nurse practitioners
Medicare Biller Representative
University Of tennessee medical center
11.2009 - 03.2013
- Follow up on all medium balance Medicare accounts and collect the balance from the insurance company
- Ensured compliance with HIPAA and other relevant regulations through diligent record-keeping practices.
- Stay up to date with the Medicare billing guidelines for all inpatient and outpatient stays
- Follow up on denials.
- Enhanced revenue collection with timely submission of accurate and complete Medicare claims.
Education
Certified Professional Coder - Medical
AAPC
Salt Lake City, UT05.2022
High school diploma -
Gibbs High School
Corryton, TN05.2008
Skills
- Excel
- Time Management
- Able to problem solve on my own
- Enjoy organization
- Positive Attitude
- Excellent computer skills
Timeline
Analyst Assistant
ut medical center
10.2022 - Current
Medical Coder and Biller
University PHYSICIANS’ Association-University Cancer Specialists
03.2013 - 10.2022
Medicare Biller Representative
University Of tennessee medical center
11.2009 - 03.2013
Certified Professional Coder - Medical
AAPC
High school diploma -
Gibbs High School
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