Experienced Medical Coder/Biller

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Magdalene M. Dorsey
616 Gold Sand Road, Louisburg, NC 27549
Home: (919) 853-9000 – Cell: (919) 441-0408 - magdalene5836@gmail.com

Education
Associate of Applied Science
Vance Granville Community College
Area of study: Medical Coding
Cumulative GPA: 3.773
Graduated: May 2014
High School Diploma
Christian Academy

Skills
  • Certified in ICD-10, HCPCS, and CPT Coding
  • Medical terminology knowledge
  • Understands coding guidelines
  • Knowledge in Electronic Health Records (IMS, eClinicleWorks, MedSuite, Advanced MD)
  • Expert in Microsoft Word, Excel, and Power Point
  • Excellent problem solver
  • Outstanding multi-tasker
  • Detail oriented
Achievements
  • Certified Professional Coder (CPC) as of 2015
  • Dean’s list 2011-2014
  • Graduated with honors
Employment

Missions in Australia
12/2019- 4/2020
  • Taught scripture in the high school and elementary school
  • Worked with Barrenjoey Anglican Church to serve the community
  • Served in the 10:00 service by doing children’s church
  • Taught youth group

Coding and Audit Support
8/2019- 12/2019 MEDNAX/American Anesthesiology
  • Reviews clinical documentation to determine adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and Pediatrix Algorithms and coding policies as necessary.
  • Coordinated Medical Direction with medical providers.
  • Following Medical Coding Audit and Education policies and procedures, provides medical coding education to ensure compliant coding practices for MEDNAX Services, Inc..
  • Develops reviews and recommends changes to audit and education documents and templates as needed to enhance the overall auditing and education process.
  • Performs miscellaneous compliance audits and company-based audit and education projects as required or requested by senior management.
  • Participate in audit, education and coding team meetings to discuss solutions to coding guidance or presentation issues.
  • Meets or exceeds required departmental deadlines and goals on a consistent basis.
  • Maintains strict confidentiality in accordance with HIPAA regulations and Company policy.
Coding Integrity Analysist
6/2018- 8/2019 MEDNAX/American Anesthesiology
  • Goes over all codes, charges, and personnel involved in the visit to ensure accuracy.
  • Verifies that anesthesia times entered in the system for each visit are correct.
  • Assists in researching eligibility submission problems/new client submissions.
  • Confirms accuracy of the physician procedure count to ensure all slips were coded by the Coder.
  • Validates that the number of cases charged agrees with the number of anesthesia cases for each physician, by date of service.
  • Authenticates patient information using links to hospitals and web-based sites.

Medical Billing and Collection
7/2017- 6/2018 MEDNAX/American Anesthesiology
  • Effective and efficient accounts receivable management of assigned payers.
  • Telephone contact with payers as well as patients, working high volume collection reports and correspondence, auditing accounts, appealing denied claims as necessary, updating accounts as needed, identifying carrier related denial trends.
  • Extensive high-volume collections involvement with HMO’s, and PPO’s.
  • Ensures that claims are processed accurately through review and audit functions to ensure timely payment.
  • Monitors aging of claims to ensure timely follow-up and payment.
  • Ensures follow-up and reimbursement appeals of unpaid and inappropriately paid claims.
  • Reviews error codes associated with claims to ensure correction, resubmission, and subsequent payment.
  • Ensures corrected claims are sent out and monitored for payment.
  • Maintains a working knowledge and understanding of CPT and ICD-10 codes.
  • Performs assignments accurately and on time, as directed.
  • Maintain strict confidentiality in accordance with HIPAA regulations and Company policy, including divulging any patient private health information (PHI) only on a need-to-know basis to payers requiring the information for claims payment processing.

Office Coordinator and Medical Biller
04/2017- 6/2017 Wake Forest Personalized Hematology- Oncology
  • Answer phones and transfer to the appropriate staff member
  • Coordinate appointments, cancel/ schedule all appointments
  • Sends the claims to their respective insurance companies
  • Workes the incorrectly paid claims
  • Sends out corrected claims in a timely manner
  • Send out and receive referrals and records
  • Verify insurance and copay, collect appropriate payment
  • Get preauthorization for anything ordered by the Doctor that requires such

Patient Coordinator
11/2015- 04/2017 Avance Primary Care
  • Maintains confidentiality of patient information as regarding to HIPAA laws
  • Relay important messages the providers have sent in response to patients request
  • Responsible for obtaining, verifying, and inputting all information accurately in the system
  • Answer telephones and Live Chat promptly for general questions and scheduling
  • Responsible for verifying insurance, collecting co-payment, or payment toward the deductible
  • Explains fees, services, policies and responsible for collecting balances
  • Understands EClinicalWorks/EHR and how to navigate through it

Receptionist
9/2014- 3/2015 Louisburg Veterinary Clinic
  • Answer a multi-line telephone efficiently, and in a professional and friendly manner
  • Educates clients on over the counter flea, tick, heartworm, and shampoo products etc.
  • Handles client appointment reminders, sympathy letters, and follow up calls

References
Mrs. Juanita Henne: Office Manager (850) 292-6579
Mr. Patrick O’Brien: Billing Team Lead (919) 873-9533
Mrs. Marge Akers: Insurance Team Manager (561) 282-8982
 
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