High-performing Medical Coding and Billing Analyst with diverse experience in Business Process, Data Analysis & Requirements Management in Healthcare & Insurance industry. With a thorough understanding of Health Insurance Portability & Accountability Act (HIPAA) standards, Medicaid and Medicare regulations, Health Care Reform (HCR), Electronic Medical Record (EMR) and Electronic Health Record (EHR). ● Proficient in CPT, ICD -10 and HCPCS Coding with modifiers, Local and Clinical Policies as Laid down by CMS, Mckesson Edits and Clear Claim.● Extensive Knowledge of coding conventions, rules, policies and regulations, including state and federal guidelines Medicare/ Medicaid, Commercial -private HMOs, and PPOs, Worker Compensation and No-Fault Insurance established by the AMA and CMS.● Subject Matter Expertise of Insurance, a familiarity with Six Sigma or Lean Operations concepts, KPI and a good working understanding of how Insurance Operations processes.● Core competencies of a successful team member include providing a strong focus on compliance, accuracy and integrity of billing and collections procedures.● Expertise in Revenue Cycle Specialist in medical billing to review and analyze customer accounts, identifying trends and issues, and recommending solutions.Certifications :● Certified Professional Coder (CPC) - AAPC● Certified Billing and Coding – Somerset County Technical Institute.● Certification in Client/Server Development Programming – Middlesex County College.● CCAT – Certified Clinical Accounting Technician by American Association of Healthcare Administrative Management.● Scrum Master Certification 2016Areas of Expertise:• Revenue Cycle Specialist in medical billing and coding• Performance management• Revenue Goal/Growth Attainment• Negotiation, Persuasion, and Communication• Training and Leadership Development• Expert in HIPPA and PHI Technical Skills : Business Applications Modelling Tools: MedInformatix (MI), Coderyte, Epic, McKesson Edits, Infinity, MMIS Medicaid, Image Now, Pocket Script, QuickBooks, RTC, Traceability Matrix.Databases and Operating Systems: Oracle, MS SQL Server, Windows Software: Microsoft Office Suite – MS Word, Excel, PowerPoint, Outlook, MS Visio, MS Office Suite, Gap Analysis, SharePoint.Industry Experiences :• Healthcare• Life Sciences• Financial• InsuranceMulti-Tasker, Team Building and ,Excellent Communicator