HIGHLIGHTS OF QUALIFICATIONS * Excellent verbal and written communication skills * Strong customer service problem resolution and satisfaction based on customer surveys and feedback * Certified Professional Coder with knowledge of ICD-10, CPT and HCPCS codes * Demonstrated knowledge of Medical Terminology, Anatomy and Physiology * Proficient in billing, coding, policy guidelines, reimbursement and HIPPA guidelines * Excellent knowledge of Medicare, Medicaid, Managed Care and various other insurances * Extensive knowledge of creating and maintaining claim Edits/rules * Demonstrated experience in QCI concept tools and techniques * Audited claims for major contractors * Served as account manager for major accounts Experienced with working lean processes and root cause analysis * Used charge data tools: Charge Capture Audit, Salesforce & Knowledge source * Maintained productivity standards based on ability to analyze and interpret large and complex data sets * Strong understanding of the impact Charge Quality and Control has on Revenue Cycle management and financial performance

Highlights:

• Billing
• Business Analysis
• Business Analyst
• Publications