I have over five years of experience working with healthcare billing and coding systems, including proficiency in ICD-10, CPT, and HCPCS coding. I am well-versed in using electronic health record (EHR) systems like Epic and Cerner, ensuring accurate billing and compliance with regulatory standards. My role involved reconciling discrepancies, submitting claims, and resolving denials, which has honed my ability to navigate complex billing processes efficiently.

I stay updated on healthcare financial regulations, such as HIPAA and CMS guidelines, by attending workshops and reviewing industry updates. I implement compliance checks during billing processes, conduct regular audits, and maintain detailed documentation. By collaborating with legal and compliance teams, I ensure that all financial practices align with current laws, minimizing risks of penalties or audits.

In a previous role, I resolved a billing dispute involving a denied claim due to incorrect coding. I reviewed the patient’s records, identified the error, and resubmitted the claim with proper documentation. I also communicated with the insurance company to expedite the process. The claim was approved, and the patient’s balance was resolved, showcasing my problem-solving skills and attention to detail.

I prioritize tasks by assessing urgency, deadlines, and impact on revenue cycles. I use tools like Excel and financial management software to track progress and set reminders. By categorizing tasks—such as resolving denials first—I ensure timely processing. Regular communication with stakeholders also helps me adjust priorities as needed, maintaining efficiency and accuracy.

I focus on reducing claim denials by ensuring accurate coding and documentation. I analyze denial trends to identify root causes and implement corrective actions. Additionally, I streamline workflows by automating repetitive tasks and training staff on best practices. These strategies have consistently improved revenue cycle performance in my previous roles.