Danial Ensley
Rossville,GA
Summary
Dynamic Medical Coding and Billing Specialist with extensive experience at The SEES Group, proficient in ICD-10 and CPT coding. Recognized for reducing billing errors and enhancing revenue cycle management. Adept at training junior coders while maintaining HIPAA compliance and delivering exceptional attention to detail in high-pressure environments.
Diligent Medical coder with comprehensive experience in medical coding and billing, ensuring accurate and timely processing of claims. Successfully facilitated claim approvals and minimized billing errors, contributing to improved revenue cycles. Demonstrated expertise in ICD-10, CPT, and HCPCS coding, and effective communication with insurance companies and healthcare providers.
Professional with expertise in medical coding and billing, prepared for this role. Demonstrates strong analytical skills, accuracy in coding, and proficiency in healthcare regulations. Known for effective team collaboration and adaptability to changing needs. Ensures compliance and optimizes billing processes to achieve results.
Pursuing full-time role that presents professional challenges and leverages interpersonal skills, effective time management, and problem-solving expertise.
Overview
18
18
years of professional experience
3
3
Certification
Work History
Medical Coding and Billing Specialist
The SEES Group
02.2008 - 08.2025
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.
- Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
- Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
Skills
- Medical terminology expertise
- Procedural coding
- Medical coding guidelines
- Revenue cycle management
- Diagnostic coding
- Continuing education
- CPT coding
- Anatomy and physiology
- Medical terminology
- Coding error resolution
- Training and mentoring
- Medical claims coding
- Anatomy
- ICD-10 coding
- Coding appeals
- Attention to detail
Certification
- CPC - Certified Professional Coder
- COPC - Certified Ophthalmology Professional Coder
- OCS - Ophthalmic Coding Specialist
Timeline
Medical Coding and Billing Specialist
The SEES Group
02.2008 - 08.2025
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