masanna
New
96 South Devine Street, Newark, NJ 07106 Cell: 973-687-2280
Email: masanna2000@yahoo.com
Masanna Anderson, CPC
Work Experience
Urology Group of New Jersey- West Orange, NJ
Coder/ Biller -May 2016 to Present
• Review EMR charts for service rendered in hospital, inpatient, outpatient facility and office setting and assigned appropriate diagnosis, procedures codes and modifier’s.
• Conducts audits for missed charge and record information.
• Remains current with CPT and ICD-10 guidelines for coding and diagnostic procedures and federal legislative.
• Remains current with changes in reimbursement regulations with contracted insurance as well as Medicare to minimizes denials.
• Track OCE, NCCI guidelines for proper coding and bundled procedures.
• Query doctors for review for any questionable errors.
• Ability to think/work independently, yet interact positively with team.
• Advanced problem-solving skills and ability to quickly analyze a situation.
• Other functions as deemed necessary to complete and final bill claims accurately.
Healthcare Support – Winter Park, FL Contract Assignment
Conifer Healthcare
Hospital Inpatient & O/P Coder Remote - September 2015 to March 2016
• Investigated and solved edit issues and communicated root cause data to management to solve problems.
• Reviewed EMR charts for service rendered in inpatient, hospital outpatient setting, reassigned appropriate diagnosis, procedures codes and modifiers.
• Assured all claims resubmitted according too federal and insurance guidelines.
• Tracked OCE, NCCI guidelines for proper coding and bundled procedures.
• Query coders for review for any questionable errors.
• Ability to think/work independently, yet interact positively with team.
• Advanced problem-solving skills and ability to quickly analyze a situation.
• Other functions as deemed necessary to complete and final bill claims accurately.
The Center for Ambulatory Surgery - Mountainside, NJ Contract Assignment
Medical Biller and Coder - June 2014 to June 2015
• Abstracted clinical information from a variety of medical records and assigns appropriate ICD, CPT and HCPCS
codes to facility operative/procedure notes following established coding guidelines.
• Enter coded charges and uploaded batches for electronic and paper claims submission.
• Assure all claim are submitted according too federal and insurance guidelines.
• Follow CMS, NCCI edits for proper coding and bundled procedures.
• Provides ongoing feedback to facility personnel regarding dictation flow ensuring delinquent dictation issues.
• Corrected rejected and denied claims applying appropriate modifiers CPT codes and diagnosis.
• Work directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
• Reviewed and monitors transmission of all electronic claims.
• Networks and maintains relationships with physician office coding personnel.
Loving Care Agency - Hasbrouck Heights, NJ Contract Assignment
Patient Account Representative - October 2013 to April 2014
• Worked with 50 accounts/day; approximately 50 calls/day
• Ensured appropriate referrals, authorizations; insurance and benefit verifications have been obtained prior to billing.
• Monitored payments and rejections to maximize reimbursement; determine problems, trend issues and resolutions
while assuring maintenance of compliance with all applicable state and federal laws and regulations.
• Performed aggressive follow up on all outstanding AR / claims with high level knowledge of Managed Care,
Commercial Insurance, 3rd Party and Non-Contracted insurance.
• Ensure accurate data as it relates to charge entry, posting receipts.
• Prepared appeals for unpaid and underpaid claims in a timely manner in coordination with supervisor and
compliance as appropriate and necessary.
• Reviewed and work aging reports by spreadsheets to achieve productively requirement weekly.
• Documented and maintained accurate records of all billing.
• Reviewed and corrected claims and re submit via electronic and paper claim submission.
• Utilized payer website portals for claims status and appeal submissions.
Meadowlands Hospital Healthcare Services - Secaucus, NJ
Medical Biller & Collection Rep - September 2011 to October 2013
• Followed up with insurance companies for payment status and posted payments to patients account.
• Located and monitored overdue accounts, using computer and a variety of automated systems.
• Answered patient’s concerns regarding billing inquiries.
• Created and recorded information on excel spread sheets about outstanding accounts, status of collection process.
• Entered charge entry slips for supplies and services rendered in the facility.
• Performed adjustments to patient accounts accordingly, reviewed EOB’s and remittance advice for proper payments and denials.
• Reviewed UB-4 forms for claims in errors, and submitted claims to insurance companies.
• Corrected all claims in errors and resubmit all unprocessed or returned claims to vendors.
Livingston Services Corporation - West Orange, NJ (Affiliate of Saint Barnabas Health Care Systems)
Medical Billing Coordinator - June 2006 to April 2011
• Accurately followed coding guidelines and legal requirements to ensure compliance.
• Determines the final diagnoses and procedures stated by the physician or other health care providers.
• Provided correct ICD-9 CM diagnosis codes on all diagnoses provided.
• Supplied correct HCPCs codes on all services rendered home care setting.
• Ran billing reports monthly and quarterly, created spreadsheets of revenue gains and losses.
• Reviewed medical charts for all clinical documentation, filed doctor’s orders and required forms.
• Processed referrals retrieved billing information and demographics.
• Audits records to ensure proper submission of services prior to billing claim.
• Followed up on unpaid claims within standard billing cycle timeframe.
• Assisted in planning strategies to improve deficiencies relating to Coding/OASIS assessment and documentation.
• Other duties as assigned.
Education:
Eastwick College Nutley, NJ
Medical Billing & Coding Program
Diploma-*September 2011- June 2012
AAPC-Certification July 2012 –Recertified in June 2016 Certified Professional Coder 01412221
Email: masanna2000@yahoo.com
Masanna Anderson, CPC
Work Experience
Urology Group of New Jersey- West Orange, NJ
Coder/ Biller -May 2016 to Present
• Review EMR charts for service rendered in hospital, inpatient, outpatient facility and office setting and assigned appropriate diagnosis, procedures codes and modifier’s.
• Conducts audits for missed charge and record information.
• Remains current with CPT and ICD-10 guidelines for coding and diagnostic procedures and federal legislative.
• Remains current with changes in reimbursement regulations with contracted insurance as well as Medicare to minimizes denials.
• Track OCE, NCCI guidelines for proper coding and bundled procedures.
• Query doctors for review for any questionable errors.
• Ability to think/work independently, yet interact positively with team.
• Advanced problem-solving skills and ability to quickly analyze a situation.
• Other functions as deemed necessary to complete and final bill claims accurately.
Healthcare Support – Winter Park, FL Contract Assignment
Conifer Healthcare
Hospital Inpatient & O/P Coder Remote - September 2015 to March 2016
• Investigated and solved edit issues and communicated root cause data to management to solve problems.
• Reviewed EMR charts for service rendered in inpatient, hospital outpatient setting, reassigned appropriate diagnosis, procedures codes and modifiers.
• Assured all claims resubmitted according too federal and insurance guidelines.
• Tracked OCE, NCCI guidelines for proper coding and bundled procedures.
• Query coders for review for any questionable errors.
• Ability to think/work independently, yet interact positively with team.
• Advanced problem-solving skills and ability to quickly analyze a situation.
• Other functions as deemed necessary to complete and final bill claims accurately.
The Center for Ambulatory Surgery - Mountainside, NJ Contract Assignment
Medical Biller and Coder - June 2014 to June 2015
• Abstracted clinical information from a variety of medical records and assigns appropriate ICD, CPT and HCPCS
codes to facility operative/procedure notes following established coding guidelines.
• Enter coded charges and uploaded batches for electronic and paper claims submission.
• Assure all claim are submitted according too federal and insurance guidelines.
• Follow CMS, NCCI edits for proper coding and bundled procedures.
• Provides ongoing feedback to facility personnel regarding dictation flow ensuring delinquent dictation issues.
• Corrected rejected and denied claims applying appropriate modifiers CPT codes and diagnosis.
• Work directly with the insurance company, healthcare provider, and patient to get a claim processed and paid.
• Reviewed and monitors transmission of all electronic claims.
• Networks and maintains relationships with physician office coding personnel.
Loving Care Agency - Hasbrouck Heights, NJ Contract Assignment
Patient Account Representative - October 2013 to April 2014
• Worked with 50 accounts/day; approximately 50 calls/day
• Ensured appropriate referrals, authorizations; insurance and benefit verifications have been obtained prior to billing.
• Monitored payments and rejections to maximize reimbursement; determine problems, trend issues and resolutions
while assuring maintenance of compliance with all applicable state and federal laws and regulations.
• Performed aggressive follow up on all outstanding AR / claims with high level knowledge of Managed Care,
Commercial Insurance, 3rd Party and Non-Contracted insurance.
• Ensure accurate data as it relates to charge entry, posting receipts.
• Prepared appeals for unpaid and underpaid claims in a timely manner in coordination with supervisor and
compliance as appropriate and necessary.
• Reviewed and work aging reports by spreadsheets to achieve productively requirement weekly.
• Documented and maintained accurate records of all billing.
• Reviewed and corrected claims and re submit via electronic and paper claim submission.
• Utilized payer website portals for claims status and appeal submissions.
Meadowlands Hospital Healthcare Services - Secaucus, NJ
Medical Biller & Collection Rep - September 2011 to October 2013
• Followed up with insurance companies for payment status and posted payments to patients account.
• Located and monitored overdue accounts, using computer and a variety of automated systems.
• Answered patient’s concerns regarding billing inquiries.
• Created and recorded information on excel spread sheets about outstanding accounts, status of collection process.
• Entered charge entry slips for supplies and services rendered in the facility.
• Performed adjustments to patient accounts accordingly, reviewed EOB’s and remittance advice for proper payments and denials.
• Reviewed UB-4 forms for claims in errors, and submitted claims to insurance companies.
• Corrected all claims in errors and resubmit all unprocessed or returned claims to vendors.
Livingston Services Corporation - West Orange, NJ (Affiliate of Saint Barnabas Health Care Systems)
Medical Billing Coordinator - June 2006 to April 2011
• Accurately followed coding guidelines and legal requirements to ensure compliance.
• Determines the final diagnoses and procedures stated by the physician or other health care providers.
• Provided correct ICD-9 CM diagnosis codes on all diagnoses provided.
• Supplied correct HCPCs codes on all services rendered home care setting.
• Ran billing reports monthly and quarterly, created spreadsheets of revenue gains and losses.
• Reviewed medical charts for all clinical documentation, filed doctor’s orders and required forms.
• Processed referrals retrieved billing information and demographics.
• Audits records to ensure proper submission of services prior to billing claim.
• Followed up on unpaid claims within standard billing cycle timeframe.
• Assisted in planning strategies to improve deficiencies relating to Coding/OASIS assessment and documentation.
• Other duties as assigned.
Education:
Eastwick College Nutley, NJ
Medical Billing & Coding Program
Diploma-*September 2011- June 2012
AAPC-Certification July 2012 –Recertified in June 2016 Certified Professional Coder 01412221