Barbara Cortnie Smalley, CPC-A

Lexington,SC

Summary

Certified Professional Coder Apprentice with 8+ years of medical billing experience in physician practice environments. Proficient in medical billing processes with working knowledge of CPT and ICD-10-CM coding, supported by strong expertise in medical terminology and a general understanding of anatomy and physiology. Experienced in charge entry, claim submission, insurance verification, and payment posting, with the ability to accurately interpret clinical documentation for billing and basic coding purposes. Knowledgeable in payer guidelines, compliance standards, and denial follow-up, demonstrating strong attention to detail and a commitment to timely and accurate reimbursement.

Overview

years of professional experience

Certification

Work History

Medical Billing and Coding Specialist /Team Leader

Capital City Therapy Group

Lexington, SC

10.2022 - Current

Developed streamlined processes to improve overall workflow in billing/coding department.
Maintained strict confidentiality in accordance with HIPAA regulations, ensuring secure storage and handling of sensitive patient information.
Reduced error rates in medical billing by maintaining thorough knowledge of insurance regulations and guidelines.
Served as liaison between coders and clinical staff, addressing questions or concerns regarding proper documentation practices.
Research clinical documentation to accurately use CPT and ICD-10-CM coding for submission of clean claims
Audit patient accounts diligently to ensure accurate documentation on file per payer regulations
Investigate denied claims for accuracy and collaborate with insurance companies and physicians to resolve payment issues
Initiate and monitor authorization status and update patient charts with returned correspondence and notes
Efficiently track and update documentation, including incoming patient referrals and appointment needs
Utilize practice policies to resolve outstanding balances and transfer to collections as needed
Attend regular team meetings to obtain updates related to office practices and industry updates
Lead and support the administrative team, overseeing daily operations, mentoring staff, resolving workflow issues, and promoting efficient, patient-centered care

Surgical Scheduler Coordinator

Lexington Women's Care

West Columbia, SC

02.2014 - 06.2019

Managed communication between patients and surgical teams to ensure seamless coordination.
Utilized EPIC EMR system to maintain accurate patient information and scheduling data.
Collaborated with providers to prioritize urgent cases, ensuring timely interventions for patients.
Monitored and adjusted daily schedules based on cancellations or changes in surgical priorities.
Researched appropriate CPT and ICD-10-CM codes for OB/GYN procedures to ensure accurate benefits for patients
Provided administrative support and scheduling of OB/GYN surgeries for five physicians and four midwives
Obtained and documented patients’ insurance eligibility, benefits, and authorizations for medical procedures In EPIC EMR system
Analyzed reports and claims, and submitted feedback to medical staff to ensure accurate coding and timely claims processing
Worked with patients to collect payments and resolve financial concerns and balances

Server

Mellow Mushroom

Lexington, SC

09.2020 - 10.2022

Delivered exceptional customer service in fast-paced dining environment.
Trained and mentored new staff on menu items and service protocols.
Developed strong relationships with regular customers, fostering loyalty and repeat business.
Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.

Education

Certificate - Certified Professional Coder

Palmetto Medical Coding Academ

Columbia, SC

09-2024

Certificate - Pre-Healthcare

Midlands Technical College