Mel Raghnall
@melraghnall
Detail-oriented medical coder with expertise in billing and compliance.
What I'm looking for
I am a dedicated medical coder and biller with extensive experience in streamlining coding processes and ensuring compliance in healthcare documentation. At One Health Ohio, I developed comprehensive guidelines and conducted physician audits that significantly enhanced the accuracy and efficiency of our medical coding practices. My commitment to excellence is reflected in my ability to prepare and submit clean claims to insurance companies, minimizing denials and ensuring timely reimbursements.
Previously, I worked at 360 Care, where I honed my skills in managing account receivables and resolving billing discrepancies. My role involved coordinating with healthcare providers to maintain accurate patient billing records and generating financial reports to track performance trends. My experience as a Patient Access Supervisor at Mercy Health further solidified my expertise in the revenue cycle, where I developed training materials and programs to enhance team performance and compliance.
Experience
Work history, roles, and key accomplishments
Medical Coder and Biller
One Health Ohio
Sep 2023 - Present (1 year 8 months)
Developed guidelines and conducted audits to enhance medical coding processes. Implemented an Excel spreadsheet for tracking incomplete charts, ensuring accuracy in documentation and billing. Assigned ICD-10, CPT, and HCPCS codes, and prepared clean claims for insurance reimbursement.
Medical Coder and Biller
360 Care
May 2023 - Sep 2023 (4 months)
Prepared and submitted insurance claims using standardized codes. Coordinated with healthcare providers for accurate documentation, resolved billing discrepancies, and maintained patient billing records while generating financial reports.
Patient Access Supervisor
Mercy Health
Jan 2022 - Mar 2023 (1 year 2 months)
Oversaw patient access operations, ensuring accurate MRN assignments and compliance checks. Developed training materials for new hires and coordinated with the Market team to align revenue cycle processes.
Education
Degrees, certifications, and relevant coursework
Mel hasn't added their education
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