Stacey Anderson
Chalan Pago,Guam
Summary
Knowledgeable medical office, hospital and MTF professional experienced at gathering, organizing, analyzing and providing financial and accounting data and statistical information to leaders and managers. Certified in coding medical records, reviewing and identfying proper diagnosis and procedure codes and entering data into database for billing.
Willingness to help determine organization's operation source of threats and risks to improve compliance and financial certainty and assist on tracking personnel, labor cost assignemnts and educatiob and training. ed
Overview
29
29
years of professional experience
1
1
Certification
Work History
Medical Records Technician
US Naval Hospital
06.2019 - Current
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
Medical Coder II
Guam Memorial Hospital
09.2015 - 06.2019
- Performed medical coding by analyzing and abstracting documentation and applied appropriate International Classification of Diseases, 10th revision (ICD-10)-CM), Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Center for Medicare and Medicaid Services (CMS), Current Procedural Coding System (HCPCS), and Evaluation and Management (E&M) codes from outpatient, ambulatory, emergency room, inpatient, and Interventional Radiology medical records data.
- Performed on-site coding audits of radiology reports to determine accuracy and Joint Commission compliance.
Coding and Billing Manager
ExpressCare
03.2013 - 08.2015
- Reviewed outpatient records to better understand health histories, diagnoses, and treatments; interpreted documentation to identify diagnoses and procedures.
- Interacted with healthcare providers to ensure documentation is complete and accurate
- Increased efficiency in billing processes by implementing new software and automating routine tasks.
- Developed and collaborated with cross-functional teams to implement new standard office procedures to enhance efficiency, accountability and profitability and to resolve billing-related issues swiftly, minimizing negative impacts on overall operations, resulting in reduced outstanding balances and increased cash flow.
- Created and managed customer payment plans.
- Submitted request of precertification to attain approval from health plan of medically necessary procedures, treatment and visits for payment.
- Researched and answered questions regarding health plan benefits, coverage, fees schedules, reimbursements, and non-payment of claims to patients, providers and employees
- Posted and reconciled patient and insurance payments, researched and resolved explanation of benefits inquiries, Prepared weekly, monthly and quarterly patient and insurance aging and AR reports on the activities of claims processing,
- Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
Passenger Service Agent
Continental Micronesia / United Airlines
05.2002 - 01.2013
- Provided customer service, assistance and special passenger support as needed
- Determined air-fares, prepared tickets, and verified customer travel routes
- Accommodated and rescheduled passengers with flight delays and/or cancellations
- Complied with all TSA and FAA security and safety regulations
- Excelled in a strenuous and fast paced work environment
Receptionist/ Office Manager/ Executive Assistant
GentleCare Dental Clinic
05.1999 - 11.2002
- Supervised, evaluated, motivated, and trained front office staff.
- Produced daily, monthly and quarterly patient and insurance aging reports, posted and reconciled patient and insurance payments, researched and resolved Explanation of Benefits payment, inquiry, or denial; balanced day sheet and other bookkeeping tasks.
- Presented treatment plans and financial arrangements, collected and receipted all monies (patient copayments or coinsurance), and submitted and followed up on insurance claims for payment
- Answered multi-line phone system, booked and confirmed appointments; maintained, reactivated, audited, and filed patient charts; and obtained patient medical/dental history and verified patient demographics and insurance eligiblility.
- Helped to resolve employer, co-worker, and patient concerns and complaints.
Health Benefit Specialist/Claims Processor
Intermountain Health Care
03.1997 - 12.1998
- Reviewed medical charts/notes for claims submissions
- Processed requests for pre-certification/authorization for medical procedures/visits
- Reviewed, scrutinized, determined and processed claims for accurate payment, denial, and/or requested for additional information from providers
- Fast and accurate data entry
- Explained medical coverage, benefits or Explanation of Benefits to customers/providers via telephone.
Ophthalmic Assistant
Seventh Day Adventist Eye Clinic
05.1995 - 10.1996
- Obtained patient medical history and records, prepared patient and preformed preliminary eye function tests and measurements, visual field, depth perception, and color vision and assisted Ophthalmologist and Optometrist with exams, tests, and treatment.
- Explained procedures, follow up treatment, and prescription instructions to patients.
Education
Medical Assisting Program -
Bryman School
Salt Lake City, UtahSkills
- DMHRSi user
- HIPAA Compliance
- Certified Professional Coder (CPC)
- Medical Terminology
- Anatomy knowledge
- Insurance Verification
- Payment posting
- Account Reconciliation
Certification
AAPC – (CPC) Certified Professional Coder
Timeline
Medical Records Technician
US Naval Hospital
06.2019 - Current
Medical Coder II
Guam Memorial Hospital
09.2015 - 06.2019
Coding and Billing Manager
ExpressCare
03.2013 - 08.2015
Passenger Service Agent
Continental Micronesia / United Airlines
05.2002 - 01.2013
Receptionist/ Office Manager/ Executive Assistant
GentleCare Dental Clinic
05.1999 - 11.2002
Health Benefit Specialist/Claims Processor
Intermountain Health Care
03.1997 - 12.1998
Ophthalmic Assistant
Seventh Day Adventist Eye Clinic
05.1995 - 10.1996
Medical Assisting Program -
Bryman School
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