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Welcome to Mass Medical Billing

Welcome! I’m a highly versatile Medical Billing Coder and Subject Matter Expert with deep experience in medical coding, auditing, and HCC/Risk Adjustment. I combine strong organizational and communication skills with a results-focused approach—leading cross-functional teams, aligning stakeholders, and delivering consistent monthly, quarterly, and annual outcomes.

I quickly identify process gaps and implement practical improvements, including developing and delivering training for staff and providers (online via PowerPoint or onsite). I’m experienced in managing both onshore and global teams with clear direction, accountability, and respect—driving benchmarks and deliverables with minimal supervision.

Equally effective working independently (remotely from a fully equipped office) or onsite, I help organizations reduce costs and improve cash flow through accurate coding, CCI edit review, and cleaner claims submission—supported by strong documentation, prior authorization, and insurance verification. With 16+ years in Revenue Cycle Management, I thrive in fast-paced environments and communicate complex or challenging information clearly and confidently.

 

Career Highlights

SME:

Anesthesia, Pain Management

Document Education:

ICD-10-CM, MIPS, MACRA, E/M, DME, Part B Out-Patient

Accounts / Audit:

Revenue Cycle Management, Accounts Receivable, RADV, ZPIC, Commercial/Government Payer

  • Anesthesia Management/CRNA group for seven years.
  • Assisted medical provider in a complete overhaul of Pain Management clinic - within three years company was positioned for successful sale.
  • Oversee accounts receivable, including posting payments via manual post/ERA, balancing with client’s CPA @ month-end along with provider payroll duties; full management including analytics and remote staff direction.
  • CMS, Medicaid, Workers Comp, and Private Payer guidelines for the analyses and auditing of claims for billing and coding accuracy.
  • EMR Template consulting along with documentation improvement integrity practice programs (EcW, Athena, HealthPac, Medisoft, AdvancedMD, Pr.Fusion, NueMD, Sevocity, EMD’s, etc.).
  • MIPS/MACRA formerly PQRS reviews along with CMS year-end report reviews.
  • Contract reviews - EOB, fee schedules, coding, modifiers, RVU, MUE, ASA units, ASA time units, RVRBS, LMRP, CCI Edits.
  • Appeals and Corrected Claims - gather supporting documents and medical records for claims appeals; assess and interpret medical records for resubmission.
  • Deliver consistent support and training to staff and global teams, including problem-solving as it relates to Revenue Cycle Management because of coding and modifiers.
  • National Speaker at Rise Health Risk Adjustment, Coding-Con FLA, Revenue Cycle Management, and ACO-VBP.
  • Performance trained: Risk Adjustment, HCC, MIPS-MACRA, Correct Coding Initiatives, HEDIS.

Experience Snapshot

  • 6+ years managing Global RCM/Coding Departmental Teams
  • 2 years Medical Summation/review
  • 1+ year of HCC coding
  • 10+ years consecutive Anesthesia Coding
  • 7+ years Pain Management Coding
  • 3+ years remote coding: Neurology, OBGYN, Laboratory, Ambulance, Gen. Surgery, Chiropractic, IDTF, Physical/Occupational/Speech Therapy, Radiology, Family, Gastroenterology, Internal Medicine, Urgent Care

LinkedIn: linkedin.com/in/kim-dues-10-CM