TANYA EASTMAN CCS, CCS-P
Thomaston,GA
Summary
I have a history in medical claims coding and patient data identification. At Velocity Healthcare Collaborative LLC, I am a knowledgeable Coder III with a solid background in coding. I am a hardworking professional that applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. I am a Confident Medical Coder that adheres to data confidentiality and privacy rules in all workflows, excel in maintaining medical record security and multitasking under pressure. At Upson Regional Medical Center, I enhanced revenue by resolving billing discrepancies and ensured data accuracy, showcasing my reliability and detail-oriented approach. My commitment to ethical standards and continuous education in healthcare claim coding sets me apart. I was a knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. I offer a background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. I am a Medical Billing and Coding Specialist with 13 years of experience in providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Overview
19
19
years of professional experience
Work History
Coder III
Velocity Healthcare Collaborative LLC
12.2014 - Current
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in inpatient and outpatient medical records.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Reviewed inpatient and outpatient records and interpreted documentation to identify diagnoses and procedures.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Input data into computer programs and filing systems.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Verified accuracy of patient information in medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Transcribed and entered patient medical information into electronic medical records systems.
- Researched and resolved medical record discrepancies.
Coder III
Upson Regional Medical Center
05.2011 - 12.2014
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Maintained accuracy, completeness, and security for medical records and health information.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Input data into computer programs and filing systems.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Researched and resolved medical record discrepancies.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Medical Biller, Accounts Receivable
Upson Regional Medical Center
01.2006 - 05.2012
- Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
- Maintained confidentiality of patient information by adhering to strict HIPAA regulations throughout the billing process.
- Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Resolved complex billing issues involving multiple parties by effectively coordinating communication among healthcare providers, insurers, and patients.
- Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.
- Reduced account receivables aging through diligent follow-up on outstanding claims and prompt resolution of denials.
- Organized and filed all necessary documentation related to medical billing procedures, maintaining a streamlined office environment conducive to efficient operations.
- Established effective relationships with insurance company representatives to expedite claim processing times and increase reimbursement rates.
- Collaborated with the collections department to address overdue accounts and recover outstanding payments.
- Implemented quality assurance measures to minimize errors in data entry, leading to increased claim approval rates from insurers.
- Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.
- Improved cash flow by negotiating payment plans with patients experiencing financial difficulties.
- Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Adhered to established standards to safeguard patients' health information.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
- Monitored outstanding invoices and performed collections duties.
- Maintained accurate records of customer payments.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Education
High School Diploma -
Manchester High School
Manchester, GA05-1992
Skills
- Inpatient/Outpatient records coding (ICD-10-CM, PCS)
- Medical coding and abstracting
- Code assignment research
- Insurance Coding
Timeline
Coder III
Velocity Healthcare Collaborative LLC
12.2014 - Current
Coder III
Upson Regional Medical Center
05.2011 - 12.2014
Medical Biller, Accounts Receivable
Upson Regional Medical Center
01.2006 - 05.2012
High School Diploma -
Manchester High School
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