I have over three years of experience in medical billing and coding, primarily in a hospital setting. I am proficient in using various billing software and have a strong understanding of ICD-10 and CPT codes. My experience includes managing claims, resolving billing discrepancies, and ensuring compliance with insurance regulations.

I approach complex reimbursement issues by first thoroughly understanding the problem and then researching relevant policies and guidelines. I collaborate with the finance and clinical teams to gather necessary information and documentation. My approach involves a systematic review of claims to identify errors or gaps, followed by corrective actions to ensure timely and accurate reimbursement.

To ensure compliance, I regularly update my knowledge of healthcare regulations and stay informed about changes in policies. I conduct regular audits of billing practices and train staff on best practices. Additionally, I maintain detailed documentation of all billing processes to demonstrate adherence to regulatory requirements and facilitate audits.

I prioritize tasks based on urgency and impact on revenue. I use tools like task lists and calendars to manage my workload effectively. I also communicate regularly with the team to ensure alignment on priorities and to delegate tasks when necessary. This approach helps me manage deadlines and maintain a high level of productivity.

One successful project I led involved streamlining the claims submission process, which reduced claim denial rates by 20%. I coordinated with the IT department to implement a new billing software, trained the billing team, and established new protocols for claim submission. This initiative not only improved efficiency but also increased revenue collection.