Melanie A. Sigouin, C.P.C., C.P.B.
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