Medical Billing and Coding Specialist

I have 3 years of hands-on experience in medical billing, specializing in Medicare claims processing and reimbursement procedures. My role involved preparing and submitting claims, verifying patient information, reviewing clinical documentation, and applying accurate ICD, CPT, and HCPCS codes. I handled end-to-end billing cycles, monitored claim statuses, and resolved denials by identifying errors, correcting documentation, and communicating with payers. I consistently ensured compliance with Medicare regulations, payer policies, and internal quality standards. Throughout my billing work, I maintained high accuracy, met productivity metrics, and collaborated closely with healthcare teams to support efficient revenue cycle operations.

I have 3 years of medical coding experience focused on Medicare documentation and reimbursement. I perform accurate ICD, CPT, and HCPCS code assignment, review clinical records, and support clean claim submission. I am skilled in analyzing documentation for completeness, coordinating with healthcare providers for clarifications, and maintaining strict adherence to coding policies, quality metrics, and HIPAA regulations. I consistently deliver high accuracy and contribute to efficient revenue cycle processes.

I have experience in medical credentialing, handling provider enrollment, verification, and compliance with payer and facility requirements. My work includes processing provider credentialing applications, verifying licensure and qualifications, and ensuring timely completion of recredentialing tasks. I also support provider relations by coordinating updates, addressing credentialing concerns, and facilitating clear communication between providers and payers. I am skilled in reviewing documentation for completeness, maintaining accuracy in credentialing records, and adhering to regulatory and organizational standards.