I have over three years of experience working with medical billing and coding systems, including proficiency in ICD-10, CPT, and HCPCS coding. I am well-versed in using software like Epic and Medisoft to process claims, verify patient eligibility, and ensure compliance with insurance regulations. My role required me to resolve discrepancies, submit accurate claims, and follow up on denials, which has honed my attention to detail and problem-solving skills.

To ensure accuracy, I meticulously review patient records, insurance details, and coding guidelines before submitting claims. I cross-check data against payer requirements and use automated tools to flag potential errors. Additionally, I stay updated on regulatory changes and attend regular training sessions to maintain compliance. This systematic approach minimizes errors, reduces claim denials, and ensures timely reimbursements.

In a previous role, I handled a claim denial due to mismatched patient and insurance information. I investigated the issue, identified the root cause, and collaborated with the billing team and insurance provider to correct the data. I resubmitted the claim with proper documentation, resulting in successful reimbursement. This experience taught me the importance of persistence, communication, and thorough documentation in resolving complex denials.

I stay updated by subscribing to industry newsletters, attending webinars, and participating in professional organizations like AAPC. I also regularly review updates from CMS and other regulatory bodies. This proactive approach ensures I remain compliant with evolving policies and can effectively apply new guidelines to my work, minimizing risks and optimizing reimbursement processes.

I prioritize tasks by assessing urgency, complexity, and deadlines. I use task management tools to organize workflows and set reminders for critical deadlines. For example, I prioritize claims nearing their submission cutoff and those requiring immediate follow-up. This structured approach ensures timely processing, reduces backlogs, and maintains efficiency in handling multiple claims simultaneously.