Open To Work
Gail Pifer
Indiana Regional Medical Center
Reynoldsville
Work Preference
Desired Job Title
Physician CoderPhysician CoderBilling Specialist
Work Type
Full Time
Location Preference
Remote
Important To Me
Work-life balanceFlexible work hoursHealthcare benefitsWork from home optionPaid time off401k matchPaid sick leave
1
Certification
2027
years of professional experience
Detail-oriented physician coder with proficiency in ICD-10 and coding compliance and a strong background in medical billing and coding compliance. Known for exceptional attention to detail and commitment to data accuracy, consistently achieving optimal reimbursement rates while maintaining regulatory adherence.
Work History
Physician Coder
3 Years 4 Months- Reviewed and assigned appropriate ICD-10 and CPT codes for various medical services.
- Collaborated with healthcare providers to clarify documentation and improve coding accuracy.
- Ensured compliance with federal regulations and billing guidelines in coding practices.
- Maintained professional certification through ongoing education, keeping abreast of changes in industry standards and guidelines.
- Resourcefully used various coding books, procedure manuals, and online encoders.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Physician Coder
3 Years 7 Months- Achieved optimal reimbursement rates by assigning accurate coding levels based on provider documentation and established criteria.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed and assigned appropriate ICD-10 and CPT codes for various medical services.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Billing Specialist
- Processed billing statements accurately, ensuring timely submission and adherence to regulatory guidelines.
- Reviewed and verified patient accounts, resolving discrepancies to maintain billing integrity.
- Developed standard operating procedures for billing processes, streamlining workflows and reducing errors.
- Researched and resolved billing discrepancies to enable accurate billing.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Managed monthly billing cycles to ensure timely issuance of invoices and statements.
- Contributed to positive work environment by offering support and guidance to junior billing staff.
Education
Associate of Science - Administrative Medical Assistant
- President's Honor List for 5 terms
- Awarded Business Achievement Award
- 3.74 GPA
- Awarded Perfect attendance 4 terms
Skills
Insurance coding (ICD-10 and CPT)
ICD-10 proficiency
Medical billing
Specialty coding
Revenue cycle management
Coding compliance
HIPAA regulations
Regulatory compliance
Medical terminology
Data accuracy
Strong attention to detail
Certification
- CPC - Certified Professional Coder
- EMT - Emergency Medical Technician
Timeline
Physician Coder
Indiana Regional Medical Center
03.2023 - CurrentRead More
Physician Coder
Penn Highlands DuBois
08.2019 - 03.2023Read More
Billing Specialist
Penn Highlands DuBois
2004 - 09.2019Read More
DuBois Business College
Associate of Science from Administrative Medical Assistant
Read More