Cassandra Villa
Littleton
Summary
Experienced Certified Medical Coder with over 5 years in reviewing clinical documentation and assigning ICD-10-CM, CPT, and HCPCS codes. Improved claim accuracy and reduced denials while ensuring compliance with payer and regulatory guidelines. Knowledgeable in medical terminology, insurance regulations, and electronic health record systems.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medical Coder
Panorama Orthopedics & Spine Center
Highlands Ranch
10.2019 - Current
- Reviewed and verified medical codes to ensure accuracy and compliance with regulations, reducing potential compliance risks.
- Collaborated with healthcare professionals to clarify and align documentation and coding requirements, enhancing overall coding accuracy.
- Utilized coding software to translate patient records into appropriate billing codes.
- Conducted audits of coded claims to identify errors, streamlining processes and ensuring adherence to coding standards.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Assisted in training new coders on standards and procedures at the center.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- EHR Systems used: Epic and NextGen
Accounts Receivable Clerk
Radiology Imaging Associates
Englewood
09.2016 - 10.2019
- Managed accounts receivable ledger and reconciled discrepancies.
- Resolved denials received from Medicare, Medicaid, and commercial insurances.
- Contacted insurance companies and patients regarding unpaid claims.
- Coordinated with insurance companies to verify patient coverage.
- Assisted in resolving billing inquiries from patients and providers.
- EHR systems used: Merge Financials and MedInfomatix
Accounts Receivable Clerk
Touchstone Medical Imaging
Lakewood
05.2015 - 09.2016
- Managed accounts receivable ledger, reconciling discrepancies to maintain accurate financial records.
- Contacted insurance companies and patients to follow up on unpaid claims, ensuring timely resolution.
- Resolved denials received from Medicare, Medicaid, and commercial insurances.
- Coordinated with insurance companies to verify patient coverage.
- Assisted in resolving billing inquiries from patients and providers to enhance customer satisfaction.
- EHR systems used: Imagine
Education
Associates of Business Management -
Metropolitan State University of Denver
Denver, COSkills
- Medical coding
- CPT & ICD-10 coding
- Coding compliance
- Revenue cycle management
- Coding software
- Claims processing
Certification
- CPC - Certified Professional Coded - June 2019
Timeline
Medical Coder
Panorama Orthopedics & Spine Center
10.2019 - Current
Accounts Receivable Clerk
Radiology Imaging Associates
09.2016 - 10.2019
Accounts Receivable Clerk
Touchstone Medical Imaging
05.2015 - 09.2016
Associates of Business Management -
Metropolitan State University of Denver