Results-driven Medical Coder and Biller with over 9 years of experience in medical coding, billing, revenue cycle management, claims processing, payment posting, denial management, and insurance appeals. Proven track record of improving reimbursement rates, reducing claim denials, and ensuring compliance with coding and billing regulations.
Experienced in assigning accurate CPT, ICD-10-CM, and HCPCS codes across multiple specialties while maintaining high coding accuracy and productivity standards. Skilled in reviewing medical documentation, resolving coding discrepancies, submitting clean claims, and preparing successful appeals for denied services.
Core Competencies:
Medical Coding (CPT, ICD-10-CM, HCPCS)
Revenue Cycle Management (RCM)
Insurance Verification & Authorization
Claims Submission & Payment Posting
Denial Management & Appeals
Medicare, Medicaid & Commercial Payers
Compliance & Documentation Review
Accounts Receivable Follow-Up
Surgical and Office-Based Coding
Electronic Medical Records (EMR/EHR)
EMR/EHR: Kareo/Tebra, NextGen, AdvanceMD, Practice Fusion, Athena, OfficeAlly, Simple Practice, ModMed.
Specialization: RPM, CCM, Wound Care, Inpatient Coding, OP Coding, Ambulatory Surgery, Podiatry, Physical Therapy, Chiropractic, SDS, Behavioral and Mental Health, Pediatrics, Pain Management, Dermatology, Hand Surgery, Gastroenterology.
Throughout my career, I have collaborated closely with providers, practice administrators, and billing teams to optimize revenue, ensure coding compliance, and streamline workflows. I am passionate about staying current with coding guidelines and healthcare regulations while delivering accurate and efficient billing solutions.
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: Less than 6 months
Experience: Less than 6 months
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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