Experienced with medical coding and billing practices, ensuring accurate patient data and claim submissions. Utilizes ICD-10, CPT, and HCPCS codes to optimize reimbursement processes. Track record of maintaining compliance with healthcare regulations and enhancing revenue cycle management.
Overview
18
18
years of professional experience
Work History
Medical Coding and Billing Specialist
Access Medical Care of Monroe County
08.2021 - Current
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
Grant Writing Intern, Project Assistant
HRP Transformation Grant Awarded(S.a.f.e.p.a.t.h.)
01.2022 - 06.2025
HRP TRANSFORMATION GRANT 1.5 Million Awarded
Contributed to a positive organizational culture by promoting open communication, teamwork, and shared success in fundraising efforts.
Generated monthly grant writing activities reports and submitted documentation to director to promote funding program transparency.
Collaborated with program staff to develop compelling narratives for grant proposals, ensuring alignment with organizational goals.
Built relationships with peers in the grant writing field by participating in networking events and online communities, fostering knowledge sharing and collaboration opportunities.
Helped write and assemble proposals to foundations, corporate funders and government agencies.
Supported financial sustainability efforts by tracking and reporting on grant progress, outcomes, and budgetary compliance.
Expanded program reach with successful grant applications, securing funding for innovative projects that addressed emerging community needs.
Ensured compliance with all grant agreements, meticulously monitoring program activities and expenditures against grant requirements.
Streamlined grant submission processes, implementing tracking system for deadlines and requirements, ensuring timely and complete applications.
Optimized use of grant funds, conducting regular budget reviews and adjustments to ensure maximum benefit to programs and adherence to funder expectations.
Contributed to organizational strategic planning efforts through analysis of funding trends and identification of potential revenue streams.
Pem Operator
Storm Power Components
12.2020 - 08.2021
Setting and adjusting the machines to allow proper pressure for the PEM to be properly pressed
Reading and understanding blueprints and work orders
Material Handler/ Forklift operator
Cooper Services
11.2019 - 11.2020
Loading and unloading trucks
Forklift/Tugger licensed
Inventory and stock of the 2 HR in control stores
Stock lines and supply stock for other lines
Repack Parts
Be able to work in a high stress environment
Flexible with teamwork and helpful attitude
Server
Hillbilly Cabin Restaurant
08.2013 - 08.2018
Work in a fast paced environment, effectively and efficiently, while maintaining a neighborhood friendly atmosphere
Correctly serving, cleaning and keeping productivity a constant
Teamwork and communication between guest and co-workers to make sure quick and happy service for return customers
Bartender, Server, Trainer, Expeditor
Texas Roadhouse
01.2008 - 02.2018
Providing excellent guest service to ensure a repeat customer
Ability to learn and correctly make and recite all drinks
Teamwork with other crew members to help make busy night go by without hitch
Ability to problem solve and think in high volume times, while always keeping a smile on your face even during the high stress situations
Training and evaluating the new employee and teaching them company standards and goals
Made 94-105 on monthly secret shopper reports and passed two ABC stings
Real Estate agent
Bluegreen Resorts
08.2007 - 02.2008
Selling vacation properties
Showing the fun and incentives that come with the different types of ownership while staying inside state and nationwide guidelines
My license is now retired
However I am in good standing with the agency and can renew my license at any time
Education
Certified Professional Coder - Medical Coding And Billing
University of Tennessee
Knoxville, TN
03-2022
Skills
ICD-10 proficiency
Medical record review
Medical terminology expertise
HIPAA compliance
Medical coding guidelines
Revenue cycle management
Payment posting
Claims processing
Timeline
Grant Writing Intern, Project Assistant
HRP Transformation Grant Awarded(S.a.f.e.p.a.t.h.)
01.2022 - 06.2025
Medical Coding and Billing Specialist
Access Medical Care of Monroe County
08.2021 - Current
Pem Operator
Storm Power Components
12.2020 - 08.2021
Material Handler/ Forklift operator
Cooper Services
11.2019 - 11.2020
Server
Hillbilly Cabin Restaurant
08.2013 - 08.2018
Bartender, Server, Trainer, Expeditor
Texas Roadhouse
01.2008 - 02.2018
Real Estate agent
Bluegreen Resorts
08.2007 - 02.2008
Certified Professional Coder - Medical Coding And Billing
University of Tennessee
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