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Zeno Ward
Medical Billing and Coding Specialist
Summary
Highly skilled and experienced Medical Billing and Coding Specialist with over 8 years of experience. Proven ability to process over 1,000 claims per day with 99% accuracy, ensuring compliance with HIPAA regulations and maximizing revenue for healthcare organizations. Expertise in medical terminology, CPT Coding, ICD-10-CM Coding, and HCPCS Coding.
Education
Associate’s Degree in Medical Billing and Coding
July 2018
Skills
- Medical Terminology
- CPT Coding
- ICD-10-CM Coding
- HCPCS Coding
- Insurance Verification
- Patient Billing
Work Experience
Medical Billing and Coding Specialist
- Provided expert guidance to physicians and other healthcare professionals on proper coding and billing procedures, improving compliance and reducing the risk of audits.
- Collaborated with insurance companies to resolve billing disputes and negotiate favorable payment terms, maximizing revenue for healthcare organizations.
- Managed a team of medical coders, providing training, mentoring, and performance evaluations to ensure high standards of quality and productivity.
- Participated in industry conferences and workshops to stay abreast of the latest coding and billing regulations and best practices.
Medical Billing and Coding Specialist
- Utilized industryleading software such as EncoderPro, Lytec, and Medisoft to process over 1,000 claims per day, ensuring accuracy and compliance with HIPAA regulations.
- Successfully implemented new coding guidelines, resulting in a 5% increase in reimbursement rates for a major healthcare provider.
- Consistently achieved 99% accuracy in claims processing, significantly reducing denials and increasing revenue for a large hospital network.
- Developed and maintained a comprehensive coding manual for a team of 15 medical billers, ensuring consistency and accuracy in medical coding practices.
Accomplishments
- Successfully implemented a new medical billing software system, resulting in a 15% increase in billing accuracy and a 20% reduction in processing time.
- Developed and implemented a comprehensive training program for new medical billing and coding staff, leading to a significant reduction in errors and improved overall productivity.
- Identified and resolved billing discrepancies, resulting in the recovery of $100,000 in lost revenue for the organization.
- Collaborated with the IT department to implement a secure electronic health records (EHR) system, streamlining the medical billing process and improving patient data management.
- Developed a process for auditing medical records to ensure compliance with regulatory guidelines, minimizing the risk of denials or audits.
Awards
- Received the Excellence in Medical Billing and Coding award for consistently achieving exceptional accuracy and efficiency in billing and coding processes.
- Recognized by industry peers for outstanding contribution to the field of medical billing and coding through active participation in professional organizations and conferences.
- Honored with the Top Performer award for consistently exceeding performance targets, ensuring timely and accurate billing submissions.
- Recipient of the Certified Medical Billing and Coding Specialist of the Year award, demonstrating exceptional knowledge and expertise in the field.
Certificates
- Certified Professional Coder (CPC)
- Certified Coding Specialist (CCS)
- Certified Medical Reimbursement Specialist (CMRS)
- Registered Health Information Technician (RHIT)
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How To Write Resume For Medical Billing and Coding Specialist
- Highlight your experience and skills in medical billing and coding.
- Quantify your accomplishments with specific metrics, such as the percentage increase in reimbursement rates or reduction in denials.
- Demonstrate your knowledge of the latest coding and billing regulations.
- Showcase your soft skills, such as communication, teamwork, and problem-solving.
- Proofread your resume carefully before submitting it.
Essential Experience Highlights for a Strong Medical Billing and Coding Specialist Resume
- Process medical claims accurately and efficiently, ensuring compliance with HIPAA regulations.
- Implement and maintain coding guidelines to maximize reimbursement rates.
- Resolve billing disputes with insurance companies and negotiate favorable payment terms.
- Provide expert guidance to physicians and other healthcare professionals on proper coding and billing procedures.
- Train, mentor, and evaluate a team of medical coders to ensure high standards of quality and productivity.
- Stay abreast of the latest coding and billing regulations and best practices through industry conferences and workshops.
- Collaborate with other departments within the organization to ensure smooth and efficient billing processes.
Frequently Asked Questions (FAQ’s) For Medical Billing and Coding Specialist
What is a Medical Billing and Coding Specialist?
A Medical Billing and Coding Specialist is responsible for processing medical claims, ensuring that they are accurate and compliant with HIPAA regulations. They also assign codes to medical procedures and diagnoses, which are used to determine reimbursement rates.
What are the educational requirements for a Medical Billing and Coding Specialist?
Most Medical Billing and Coding Specialists have an associate’s degree in medical billing and coding or a related field.
What are the job responsibilities of a Medical Billing and Coding Specialist?
Medical Billing and Coding Specialists are responsible for processing medical claims, assigning codes to medical procedures and diagnoses, resolving billing disputes with insurance companies, and providing guidance to physicians and other healthcare professionals on proper coding and billing procedures.
What are the key skills for a Medical Billing and Coding Specialist?
Medical Billing and Coding Specialists should have strong knowledge of medical terminology, CPT Coding, ICD-10-CM Coding, and HCPCS Coding. They should also be proficient in using medical billing software and have excellent communication and interpersonal skills.
What is the job outlook for Medical Billing and Coding Specialists?
The job outlook for Medical Billing and Coding Specialists is expected to grow faster than average in the coming years.
What is the average salary for a Medical Billing and Coding Specialist?
The average salary for a Medical Billing and Coding Specialist is around $45,000 per year.
What are the benefits of working as a Medical Billing and Coding Specialist?
Medical Billing and Coding Specialists enjoy a stable career with good pay and benefits. They also have the opportunity to make a difference in the lives of patients by ensuring that they receive the medical care they need.