Dina Goldberg, CPC
San Tan Valley
Summary
Knowledgeable Practice Manager offering more than 25 years' experience working for several well-known medical providers. Well-versed in all aspects of medical billing and surgery scheduling. Pursuing a similar position specializing in Medical Billing and Coding.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Revenue Integrity Specialist
John Muir Health
San Ramon
08.2020 - 03.2022
- Electrophysiology, Cardiology, OB/GYN, Pediatrics
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
- Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and in office procedures
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Initiated, performed and documented quarterly coding audits for physicians.
Medical Practice Manager
John Muir Health
San Ramon
01.2014 - 08.2020
- Electrophysiology, Cardiology, OB/GYN, Pediatrics
- Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures, and financial reporting
- Implemented on-boarding for new employees
- Developed policies and procedures for effective practice management
- Orchestrated day-to-day operations of medical billing , including ICD/CPT coding, charge posting, authorizations and surgery scheduling
- Completed special projects from project start through delivery by managing timeline's and making proactive adjustments
- Reviewed monthly operations to assess compliance with budgets and determine necessary adjustments for future plans
- Delivered business strategy and developed systems and procedures to improve operational quality and team efficiency
- Established and administered annual budget with effective controls to prevent overage, minimize burn rate and support sustainability objectives
- Increased revenue streams by reducing costs, managing schedules and performing variance and risk analysis to implement corrective actions
Medical Billing Manager
Self Employed
Dublin
03.2010 - 12.2013
- OB/GYN, Plastic Surgery
- Translated and interpreted medical billing codes with strong accuracy to ensure swift payment from insurance agencies
- Reviewed services rendered and completed to reconcile codes
- Reviewed patient records, identified medical codes and created invoices for billing purposes
- Researched and followed up on denied insurance claims
- Reviewed patient diagnosis codes to ensure accuracy and completeness
- Ensured proper submission of workers comp and MVA claims
- Verified proper ICD and CPT coding on claims
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections
- Analyzed complex Explanation of Benefits forms to ensure insurance carriers were charged correctly
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
Medical Practice Manager
Tri Valley Plastic Surgery
Dublin
01.2011 - 02.2013
- Coordinated financial operations, including budgeting, accounting, expenses, and financial reporting
- Created and implemented policies and procedures for effective practice management
- Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures, and financial reporting.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Ensured compliance with OSHA and HIPAA regulations.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Expertly managed all surgery services, including planning, scheduling and coordination, and procurement of supplies and equipment.
Medical Practice Manager - OB/GYN
Stephen R. Wells, MD
Walnut Creek
01.1995 - 03.2010
- Coordinated financial operations, including budgeting, accounting, expenses, and financial reporting
- Created and implemented policies and procedures for effective practice management
- Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures, and financial reporting.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Ensured compliance with OSHA and HIPAA regulations.
- Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
- Expertly managed all surgery services, including planning, scheduling and coordination, and procurement of supplies and equipment.
- Developed and maintained electronic record management systems to analyze and process data.
- Created and implemented organizational policies and procedures.
- Ordered all office supplies and kept check on inventory levels.
Education
Certified Professional Coder - Medical Coding
American Academy of Certified Professional Coders
Salt Lake City, UT04.2019
Skills
- Policy & procedure development
- Strategic business planning
- Organizational Skills
- Workflow management
- Strong communication skills
- Problem Solving Skills
- ICD, CPT, HCPCS
- Surgical/Office Coding
- Medical Terminology
- Claims analysis & review
- Practice management
- Workflow planning
- Medical billing code accuracy
- Process improvement
- Relationship Development
- EMR: EPIC, NextGen, Kareo
Timeline
Revenue Integrity Specialist
John Muir Health
08.2020 - 03.2022
Medical Practice Manager
John Muir Health
01.2014 - 08.2020
Medical Practice Manager
Tri Valley Plastic Surgery
01.2011 - 02.2013
Medical Billing Manager
Self Employed
03.2010 - 12.2013
Medical Practice Manager - OB/GYN
Stephen R. Wells, MD
01.1995 - 03.2010
Certified Professional Coder - Medical Coding
American Academy of Certified Professional Coders
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