Mary Rose D.

I am a detail-oriented and knowledgeable Billing Edits Representative and Medical Coder with a strong understanding of medical terminology, coding principles, and compliance guidelines. With experience in reviewing and correcting medical claims, I specialize in ensuring coding accuracy, and compliance, and reducing claim denials. In my previous roles, I have demonstrated proficiency in reviewing medical records, identifying coding errors, and applying appropriate billing edits to ensure clean claim submissions. I have collaborated with healthcare providers and billing teams to clarify diagnoses, procedures, and documentation, ensuring adherence to ICD-10, CPT, HCPCS, and payer-specific guidelines. My expertise helps streamline the revenue cycle process, improve claim approval rates, and minimize reimbursement delays.