Providing consultant and auditing services to physician practices and tutoring services to individuals working towards an AAPC Certification.

Responsible for practice compliance with all federal and state health care laws, labor regulations, and compliance programs, including the creation, review, revision, and implementation of policies, procedures, and operational workflows and processes.Successfully developed and administered staff training programs to improve overall office operation and ensure compliance, including, but not limited to: medical coding, billing and insurance; HIPAA, HITECH, identity theft prevention, and electronic health records and practice management processes. Conducted compliance and coding audits, identification of risk areas, recommend changes, implement recommendations, reassess after changes, and document all findings.Effectively and efficiently managed all medical coding and billing operations, including oversight of of the practice coder and coding interns, conducting coding audits, providing staff and physician education, working insurance and patient accounts receivable, analyzing practice financial report, and recommending changes in response to financial trends and changes in insurance payer mix.Successfully implemented and administered the electronic health record, patient portal, and practice management systems and met meaningful use requirements every year post implementation.Responsible for all day-to-day office operations, physician credentialing, and practice administration.

Assisted the practice manager with managed care contracts, fee schedules, physician credentialing, practice reporting and analysis, office workflow, and operational improvements.Successfully served as administrator of the practice electronic health record and practice management systems through creation, revision, and implementation of EHR documentation and workflow templates; conversion of paper forms to an electronic format; download and installation of hardware and software upgrades; troubleshooting IT problems and operational inefficiencies; and creation training manuals and user guides and provide staff training.Responsible for surgery coordination and medical billing, including the scheduling of surgeries and diagnostic testing; verification of insurance benefits, HMO referrals, and prior authorization; calculating and collection patient financial responsibilities prior to treatment; managing payment plans, reviewing EOB denials and filing medical claim appeals.

Quickly promoted from front office duties involving patient registration, co-payment collection, and appointment scheduling to higher level responsibilities including the scheduling of surgeries and diagnostic testing; verification of insurance benefits, HMO referrals, and prior authorization.Responsible for posting medical charges, filing insurance claims, working insurance accounts receivable, transcription and medical record processing.