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certified medical biller medical coder resume example with 16 years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Accurate medical biller who performs all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Brings a little over 2 years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with nearly 17 years in the medical office setting on both the clinical and clerical side. I have worked in family practice, otolaryngology and allergy offices.

Skills
  • Insurance Billing
  • Patient Data Coding
  • Attention to Detail
  • Medical Billing Processing
  • Clerical Functions
  • Certified Professional Coder
  • Appointment Scheduling
  • Data Entry
  • Knowledgeable in Athena, Modernizing Medicine and some Epic software.
  • Medical Terminology
  • ICD-10 Coding
Experience
Certified Medical Biller/Medical Coder, 10/2018 to Current
Providence Health & ServicesLadera Ranch, CA,
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Communicated with insurance companies to provide patient information.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Verified proper coding, sequencing of diagnoses and accuracy of surgical and office procedures.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Submitted and accurately processed insurance claims with related medical code verifications and assessments.
  • Reviewed claims for coding accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Handled billing for full complement of practice providers.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
Surgery Scheduling Coordinator, 10/2018 to Current
Johns Hopkins UniversityBaltimore, MD,
  • Worked with operating facilities to schedule procedures on behalf of two otolaryngology surgeons.
  • Distributed treatment and procedural information to patients.
  • Checked patient insurance and collected pre-authorizations from providers.
  • Scheduled follow-up appointments as designated by physician.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
Certified Medical Assistant, 05/2015 to 09/2018
KinetixSchoolcraft, MI,
  • Performed preliminary physical tests to accurately record results in patient history summary.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
  • Scheduled appointments for patients via phone and in person.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
  • Collaborated with local pharmacies to resolve and clarify issues with patient medication.
  • Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
Registered Medical Assistant, 12/2005 to 04/2015
Mineral Area Regional Medical CenterCity, STATE,
  • Scheduled appointments for patients via phone and in person.
  • Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process.
  • Prepared treatment rooms for patients by cleaning surfaces and restocking supplies.
  • Educated patients about medications, procedures and physician's instructions.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing.
  • Recorded vital signs and medical history for patients each shift.
  • Performed preliminary physical tests to accurately record results in patient history summary.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
  • Collaborated with local pharmacies to resolve and clarify issues with patient medication.
  • Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analysis.
Education and Training
Associate of Applied Science: Medical Billing, Expected in 05/2016 to Mineral Area College - Park Hills, MO
GPA:
Associate of Applied Science: Medical Assisting, Expected in 12/2005 to Allied Medical College - Fenton, MO,
GPA:
Certifications
  • Certified Professional Coder (CPC)
,

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Resume Overview

School Attended

  • Mineral Area College
  • Allied Medical College

Job Titles Held:

  • Certified Medical Biller/Medical Coder
  • Surgery Scheduling Coordinator
  • Certified Medical Assistant
  • Registered Medical Assistant

Degrees

  • Associate of Applied Science
  • Associate of Applied Science

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