Provides successful team leadership, based on genuine mentor approach and individual development. Maintain charge entry for 96+ clinics ensuring all claims are submitted to Clearinghouse within 48 hours. Works closely with Waystar Clearinghouse house for specialized claim rules for automated rejections to prevent coding denials lowering aging days for A/R. Problem solving skills are one of greatest attributes in research and fact driven feedback for solutions. Collaboration with team/payers/patients for account credits ensuring accurate reimbursement.

Billing/Coding SupervisorPerform application screenings, resumes, testing and interviews for my team or department open positions.Assign job duties to provide team efficient performance.Train new staff and Established employee training to provide ongoing development.Perform employee corrective action plans when necessary.Assist in updating billing policies and implantation of procedures.Perform biweekly team meetings and monthly individual meetings along with annual employee reviews.Perform weekly time and attendance review. Provide attendance memos when necessary.Monitor and update ICD-10 data in billing software NextGen.Monitor and update NextGen claim edits.Excellent performance of identifying recurring processing errors and provide recommendations for resolutions.Run and review reports to minimize claim denials.Team provides ICD-10 coding support for 20 clinics, review/application of modifiers.CPT/HCPCS review and corrections when needed.Created coding audit and process for team and department to follow to minimize claim denials and increase A/R turn around time.Perform mass bill of all Manage Care claims.Review and correct rejected claims from Clearinghouse RCM Availity.Oversee A/R Medicare, out of network, private pay and TMC employee insurance billing and accounts.Oversee account turnover to collection agency upload reports for payments and adjustments.Promotes teamwork and facilitates company goals by assisting with overflow workload.Excellent problem solving skills.7+ years of experience in medical claims professional coding and processing.Experience in reading, interpreting and applying Medicare and CMS Claims and Policies (NCD/LCD/NCCI).Experience with CLIA requirements and CLIA waived modifiers QW for UHC and Medicare.AAPC Member - CPC certified