Saina Grand

Certified Professional Coder (CPC) and Revenue Cycle Management Specialist with 2+ years of experience in medical coding, billing, and claims management for outpatient and inpatient healthcare services. Skilled in assigning accurate ICD-10-CM, CPT, and HCPCS Level II codes, resolving claim denials and rejections, and performing insurance follow-up with Medicare, Medicaid, and commercial payers. Proven track record of reducing claim denials through coding accuracy and thorough documentation review, while maintaining strict HIPAA compliance.

Comfortable working independently in a remote environment and collaborating with billing, credentialing, and revenue cycle teams to maximize reimbursement.

Medical Billing & Coding Specialist - Dove Healthcare Solutions - Remote

• Reviewed physician documentation, patient charts, laboratory reports, radiology reports, and operative notes to assign accurate ICD-10-CM, CPT, and HCPCS Level II codes.
• Verified patient insurance eligibility and benefits before services and claims submission.
• Prepared and submitted accurate electronic insurance claims for reimbursement.
• Processed medical billing for outpatient and inpatient healthcare services.
• Reviewed denied and rejected claims, corrected coding or billing errors, and resubmitted claims for payment.
• Worked closely with physicians, nurses, and healthcare staff to clarify incomplete or inaccurate documentation.
• Maintained HIPAA compliance and protected patient confidentiality.
• Performed charge entry, payment posting, and account reconciliation.
• Monitored payer guidelines and coding updates to ensure compliance.
• Reduced claim denials by maintaining high coding accuracy and complete documentation.
• Supported revenue cycle management by ensuring timely claim processing and reimbursement.
• Maintained productivity while meeting coding quality and performance standards.

Florida A&M University