Sheila Reddic Email & Phone Number

Atlanta, Ga, Us

Atlanta, Georgia, Us

Baltimore, Md, Us

• Review medical records to abstract all relevant diagnosis codes that map to CMS Hierarchical Condition Categories and Risk Adjustment policies

•Code medical records to correctly and completely assign CPT and ICD codes as necessary •Evaluate insurance claims to maximize reimbursement for clients, investigating any issues and suggesting methods to anticipate and avoid future problems

• Reviewed medical documentation of ambulance services, identifying all services provided and assigning all correct CPT and ICD codes as necessary • Supervised a team of 9 employees to support an efficient and productive team • Processed claims, verifying insurance and pre-authorizations, and analyzing denials to appeal for payment

• Processed home health and DME service orders for patients receiving Worker’s Compensation benefits, providing detailed reports to patients as requested • Implemented quality control programs and measures to optimize department performance • Trained all new employees to ensure efficient and effective transitions

Certificate Of Completion, Medical Insurance Coding Specialist/Coder

Education record