Melanie A. Sigouin, C.P.C., C.P.B.
Medical Coding Specialist
Medical Billing Specialist
Location
Motivated business professional with over 33 years of dedicated customer service experience, bookkeeping and record retention. Proven leader in Customer Service. Detail-oriented with the ability to problem solve. Combined this experience with recent education in medical billing and medical coding in an environment where accuracy and efficiency are a top priority.
PRIMARY RESPONSIBILITIES
• Translate patient information and into alphanumeric medical code
• Manage patient account payments
• Submit claims to billing company
• Prepare and review patient encounter forms
• Review delinquent accounts and update system for collection purposes
• Maintain strict confidentiality
• Sort and file paperwork
• Ensure healthcare facilities are reimbursed for all procedures
• Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding
• Know several different coding systems, ICD-9-CM and ICD-10-CM, AMA CPT Professional, including Level I HCPCS and Level II HCPCS
• Use computers to read and organized charts
• Training providers on updates or new coding guidelines.
• Follow up to see if a claim is accepted or denied.
• Investigate rejected claim to see why denial was issued.
• Conduct audits on providers to insure proper coding, diagnoses, payments, and compile the information into a compliance report for the University
Courses
- Calculus I (MAT251)
- Foundation in Education (102FND)
- Introduction to Medicine (102IM)
- Medical Coding Fundamentals (203OPM)
- Professional Insurance Processing (204PIP)
- Health Care Processes (101HCP)
- Professional Computer Skills / Windows / Word / excel (101PCS)
- Introduction to Microsoft ACCESS and Skillbuilding (204ASB)
- Professional Medical Coding (305INS)
- Career Planning (306BUS)
- Billing and Coding Forms / CPC Reveiw (306INS)
- Medical Computer Skills (306MCS)
- Allied Health Extership (307MED)
- Algebra & Trigonometry (111)
- Chemistry I (211)
- English Composition (311)
- Introduction Steam Engineering (711)
- Introduction Marine Transport (611)
- Physical Education I (011)
- Western Civilization (411)
- Sea Term I (Engine) (714)
- Sea Term I (Deck) (614)
- Comp. Prog. in Basic (113)
- Chemistry II (212)
- General Biology (912)
- Technical Writing (3315)
- Physical Education II (012)
- College Physics I (221)
- Bio / Chem Oceanography (2305)
- Data Management (913)
- Applied Environmental Math (921)
- Analysis / Interrupt of Literature (312)
- Physical Education III (021)
- American Government (442)
- Probability & Statistics (1306)
- College Physics II (222)
- American Literature (321)
- Physical Education IV (022)
- Economics Today (421)
University of New England
- ICD-10-CM Anatomy & Pathophysiology
- ICD-10-CM General Code Training
- Certified Professional Biller
Certifications
August 2013 – Present
April 2021 – Present
Credentials
Education
Board Certifications and Licenses
CPB - Certified Professional Biller