I have over five years of experience working with medical coding and billing systems, including ICD-10, CPT, and HCPCS. In my previous role, I utilized these systems daily to review and process medical claims, ensuring accuracy and compliance with payer guidelines. I am proficient in using electronic health records (EHR) and billing software, which has allowed me to efficiently manage large volumes of claims while maintaining a high level of precision.

To ensure accuracy, I meticulously cross-check each claim against the patient's medical records, treatment plans, and payer policies. I also stay updated on the latest coding standards and regulatory requirements. By maintaining a systematic approach and double-checking details, I minimize errors and ensure that claims are processed correctly, reducing the risk of denials or delays.

When handling denied or disputed claims, I first analyze the reason for the denial by reviewing the claim details and payer feedback. I then gather supporting documentation, such as medical records or coding references, to address the issue. If necessary, I communicate with the healthcare provider or payer to resolve discrepancies. My goal is to resubmit the claim promptly and accurately to ensure timely reimbursement.

In one instance, I noticed a pattern of duplicate claims submitted for the same service. After investigating, I discovered a billing error caused by a system glitch. I immediately reported the issue to the billing department and worked with them to correct the error and prevent future occurrences. This experience reinforced the importance of vigilance and attention to detail in identifying and resolving discrepancies.

I stay current by regularly attending webinars, workshops, and training sessions focused on healthcare regulations and payer policies. I also subscribe to industry newsletters and participate in professional organizations, such as the American Academy of Professional Coders (AAPC). This proactive approach ensures that I remain informed about changes that could impact claim processing and compliance.