Kaitlyn Mclean Email & Phone Number

Asheville, Nc, Us

Asheville, North Carolina, United States

Conduct quality assessment reviews as pre-billing audits and include outpatient, inpatient, and surgical records; Perform pre-billing audits of evaluation and management services for patient encounters by utilizing national coding and payer specific guidelines to ensure accuracy of diagnosis codes and provider documentation; Track accuracy and trend data to identify areas for improvement; Review claim denials pertaining to coding and medical necessity issues and collaborates with key stakeholders to implement corrective actions to include education or workflow changes; Provide provider education based on the quality monitoring review findings and trends

Asheville, North Carolina, United States

Code and process medical claims in a timely manner to ensure reimbursement for client services; Educate and work with clinical staff to eliminate inefficiencies in claims and maximize revenue; Move and transfer electronic files and data to ensure timely payments; Understand billing guide and inform staff of changes when they occur. Review patient claims from clinical services, assign the appropriate medical codes and process medical claims in a timely manner. Receive and post insurance payments into EHR. Create insurance files and send them electronically through the clearinghouse. Review encounters and working error reports from EHR, HIS and clearinghouse prior to claim submission in order to reduce billing errors and denials. Clinic checkout; create Superbills; route patients correctly; schedule patients accordingly; distribute vouchers appropriately; collect payment.

Greenville, North Carolina, United States

Education record

Associate Of Science - As, Medical Office Management/Administration

Certified Risk Adjustment Coder, Medical Coding

Certified Professional Biller, Medical Billing

Certified Professional Coder, Medical Coding