Gretchen Prince
Lake Charles
Summary
Diverse and experienced customer service professional with excellent medical administrative assisting qualifications and reputation for quality, proficiency, and reliability is seeking career advancement opportunities in the healthcare industry. Expertly manages all administrative duties, attention to detail organizing and prioritizing tasks in order to successfully complete tasks in dynamic, fast-paced environments. Skilled Medical Biller and Coder with comprehensive experience in healthcare billing, coding procedures, insurance claims, and payment processing. Possess strong knowledge of medical terminology, ICD-10 codes, HCPCS and electronic health records. Known for high accuracy rates in coding and billing operations while ensuring compliance with industry regulations. Previous roles highlighted by improved efficiency in medical record management and enhanced revenue recovery efforts.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Falgoust Eye Medical & Surgical
Lake Charles
03.2025 - Current
- Compiled and coded patient data using standard classification systems.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
- Monitored and analyzed coding error trends to improve coding accuracy.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Filed and submitted insurance claims.
- Ensured timely filing of all claims within established guidelines.
- Entered coded data into electronic health record (EHR) systems.
- Prepared financial statements that summarize account activity over a period of time.
- Verified accuracy of patient information and insurance data in billing system.
- Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
- Resolved coding discrepancies and denials to maximize reimbursement.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Handled incoming calls and directed callers to appropriate department or employee.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Analyzed patient charts and records to extract relevant coding information.
Certified Coding Associate
Village Medical
Fort Collins
11.2021 - 08.2024
- Doctors office base coding I read patients charts to accurately apply valid HCC’s
- Well versed in Athena and Risk Acuity
Certified Coding Associate
Encompass Healthcare Data Solutions
Fort Collins
01.2013 - 07.2021
- I properly put diagnoses on patients accounts for Northern Colorado Anesthesiologists Professionals
- I make sure that the proper CPT codes are billed for patients
- I email doctors to make sure they are charging the proper diagnoses and CPT codes for patients
- I make sure charges are correctly posted to patients accounts.
- I make sure patients demographic info is entered into their accounts correctly.
- I did a major Insurance Mapping project when the company switched to NexGen.
- I reconcile Electronic Medical Records and Paper Records.
- I make encounters for patients procedures.
- I do a monthly audit for Northern Colorado Hospitalists
Housekeeping
Days Inn Hotel
Wellington
11.2011 - 11.2012
- Established and maintained clean and hygienic environments.
- Maintained inventory of maintenance supplies.
- Followed all company safety and security policies and procedures.
- Responded promptly to requests and provided exceptional customer service.
Cashier
Wal-Mart
Timnath
03.2012 - 08.2012
- Quickly and accurately processed cash, credit, check, and debit transactions
- Maintained orderly appearance of register area and kept supplies stocked
- Resolved customer issues in a friendly and professional manner
- Ensured store appearance was in compliance with established guidelines
Cosmetologist
Hairmasters
Hastings
01.2007 - 08.2011
- Provide a wide range of hair care services to customers.
- Maintained a clean and sanitized work station.
- Greeted customers and scheduled appointments.
- Updated and maintained customer information records.
- Uphold solid product knowledge and handled purchasing.
- Collected payment from customers for services provided
Cosmetologist
Cost Cutters
Hastings
03.2005 - 12.2006
- Provide a wide range of hair care services to customers.
- Maintained a clean and sanitized work station.
- Greeted customers and scheduled appointments.
- Updated and maintained customer information records.
- Uphold solid product knowledge and handled purchasing.
- Collected payment from customers for services provided
Education
Diploma - Medical
Ultimate Medical Academy
Tampa, FL04.2019
Medical coding -
Devry University
Chicago, IL01.2019
High school diploma -
Deshler High School
Deshler, NE05.1997
Skills
- Medical Coding
- ICD-10 coding
- Insurance verification
- Claim submission
- Electronic health records
- Customer service
- Regulatory compliance
- File System Maintenance
- Data Entry
- Microsoft Office
- Customer Service
- Excel
- Lean
- ICD-10-CM
- CPT
- HCPCS
- Medical Terminology
- Patient Processing & Intake
- Insurance Mapping
- Electronic Medical Records
- Epic
- NexGen
- Anatomy & Physiology
- Charges
- HIPAA Compliant
- Records Reconciling
- ICD Coding
- Insurance Verification
- Medical Billing
- Medical Office Experience
- Microsoft Excel
- Microsoft Word
- HIPAA
- Anatomy knowledge
- Typing
- Windows
- Data entry
- 10 key typing
- Organizational skills
- Communication skills
- Time management
- Analysis skills
Certification
- Certified Coding Associate, AHIMA
- Medical Billing Certification
Additional Information - Authorized To Work
US for any employer
Timeline
Medical Biller and Coder
Falgoust Eye Medical & Surgical
03.2025 - Current
Certified Coding Associate
Village Medical
11.2021 - 08.2024
Certified Coding Associate
Encompass Healthcare Data Solutions
01.2013 - 07.2021
Cashier
Wal-Mart
03.2012 - 08.2012
Housekeeping
Days Inn Hotel
11.2011 - 11.2012
Cosmetologist
Hairmasters
01.2007 - 08.2011
Cosmetologist
Cost Cutters
03.2005 - 12.2006
Diploma - Medical
Ultimate Medical Academy
Medical coding -
Devry University
High school diploma -
Deshler High School
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