Ana Tasco
Sterling,VA
Summary
At New Horizon Pediatrics, P.C., excelled in medical billing and coding, leveraging analytical skills to ensure over 95% accuracy in ICD-9 and ICD-10 coding, significantly streamlining patient account management. Demonstrated expertise in insurance verification and a strong ability to interpret medical reports, enhancing billing efficiency and accuracy.
Overview
8
8
years of professional experience
Work History
Medical Billing and Coder
New Horizon Pediatrics, P.C.
08.2016 - Current
- Provided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes; entered diagnosis codes and patient information into billing software.
- Updated and managed diagnosis lists, coordinated routine documentation and coding audits, and executed qualitative analyses of discharged charges.
- Followed and maintained currency on coding, sequencing, and procedures’ best practices and updates.
- Reviewed and validated accuracy of charges, including dates of service, services provided, location, patient identification, and provider signature.
- Collected, posted, and managed patient account payments, and prepared and submitted claims forms to insurance companies and other third-party payers.
- Performed insurance verification, pre-certification, and pre-authorization.
- Entered procedure and diagnosis codes and requisite patient information into billing software to streamline invoicing and account management; added modifiers, verified diagnoses, and coded narrative diagnoses.
- Responded to staff and client inquiries regarding CPT and diagnosis codes.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Oversee daily Billing Department functions, including medical coding, charge entry, claims, payment posting, and reimbursement management.
- Document patient data and medical records and perform routine medical record audits to comply with insurance company requirements.
Education
CCS Health Information - CCS Health Information
Devry University And Keller Associates
Chicago, IL05.2024
High School Diploma -
Potomac Falls High School
Potomac Falls, VA06.2002
Skills
- CPT, IC-10-CM, ICD-10-PCS, and DRG Coding
- Invoice and claim preparation
- Insurance verification
- Medical Terminology
- Analytical Skills
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Medical Billing and Coder
New Horizon Pediatrics, P.C.
08.2016 - Current
CCS Health Information - CCS Health Information
Devry University And Keller Associates
High School Diploma -
Potomac Falls High School
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