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ANN M. TARTAGLIONE

Name : ANN M. TARTAGLIONE
Experience : 10
Specialty : Family Practice, Hospitalist Billing, OB Gyn & Primary Care
Location : Forestdale,MA
Description :

Ann is a CPC, PCA, and CCA with 16+ years of experience as medical biller/coder and auditor, Claim Reimbursement Specialist, Heath Insurance Subrogation Claim Review Specialist, Medical Billing Instructor; Provider Enrollment and Credentialing and has Anesthesia / Surgical / Pain Management /radiology as her specialties. She is also proficient in Microsoft office suite and WordPerfect, Oracle, Medisoft Advanced, MSI Medical Billing System, Meditech, IDX, SSIMED, RIMS, BCBSMA Corporate, Claims and Credentialing Information Systems, WebMD, Emdeon, Insurance Payer Web Access Terminal, and Internet Explorer.  

Possessing exceptional interpersonal skills, she has held the following key responsibilities:

  • Coded as well as audited outpatient medical records; prepared reports and retrieved data for projects; Insurance verification, payer credentialing & contracting; Physician chart audits; quality data reporting
  • Developed, coordinated, and audited educational and training programs regarding elements of the coding compliance program to physicians, billing personnel, and ancillary departments
  • Instruct students for certification in medical law and ethics, medical insurance, billing, coding, pharmacology, Medisoft, collections etc.
  • Review documentation to support maximum reimbursement; follow up on paid and processed claims, analysis & resolution of payment discrepancies
  • Reviewed anesthesia records to accurately apply CPT-4 and ICD-9 codes for outpatient/inpatient services and pain management
  • Instruct students for certification in medical law and ethics, medical insurance, billing, coding, pharmacology, Medisoft, collections etc,.
  • Assumed responsibilities of Radiology Management Sciences as direct liaison between Medical Director Steven Bloch, internal departments and privileged providers and facilities performing diagnostic services