Certified Professional Coder Resume Example Ascension Health Ministry Service Center

CERTIFIED PROFESSIONAL CODER

Summary

Accomplished Administrator offering 29 years accurately entering information for insurance and billing purposes. Highly skilled at memorizing frequently used procedure and diagnosis codes. Demonstrated professionalism when communicating with patients, insurance companies and healthcare staff. Detail-oriented, hardworking professional with attention to deadlines in fast-paced environments.

Accuracy in billing and invoicing being of utmost priority. Dependable and focused on delivering exceptional results through strong time management, communication and team work abilities. Highly organized, proactive with proven ability to foster team spirit and inspiration to

colleagues.

Skills

Database management
Billing procedures
Medical recordkeeping
Insurance billing
Process improvement
Organization

Operational improvement
Relationship development
Problem resolution
Business operations
Customer service
Communications

Experience

Certified Professional CoderAscension Health Ministry Service Center | Kalamazoo, MI | Nov 2019-Current

Assigned procedure and diagnosis codes for insurance billing using Athena Health /Cerner EMR.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Communicated with insurance companies to provide patient information.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
Entered patient insurance, demographic and health information into software and confirmed records.
Provided respectful assistance to all parties, including patients, staff members and insurance company representatives.

CPC- Certified Professional Coder/Medical Biller, Accounts ReceivableSturgis Hospital - Sturgis Medical Group | Sturgis, MI | Jul 2012-Oct 2019

Responded to coding questions from callers and other internal departments.
Assigned procedure and diagnosis codes for insurance billing using Meditech/Cerner/Athena
Communicated with insurance companies to provide patient information.
Assigned value codes and modifiers to provide specific information for services provided.
Accurately assigned codes using software and official print copy of code book.
Recorded, stored and reported medical coding information to create statistics of healthcare encounters.

Office Administrator/Billing SpecialistMNA Medical Center | Sturgis, MI | Jul 1991-Jun 2012

Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances.
Resolved variances in accounts and reconciled histories with bank statements.
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
Tracked timely receipt of invoices, monitored and identified late invoices and contacted vendors to obtain tardy invoices.
Reviewed existing billing processes and spearheaded ongoing simplification initiatives and operational strategies that improved company collections and customer satisfaction.
Prepared monthly and year-end closing statements, financial documents and invoices.
Reduced operating expenditures annually by partnering with cost-effective vendors.
Eliminated billing inaccuracies by reconciling accounts monthly.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Facilitated payment of invoices due by sending bill reminders and contacting clients.

Education and Training

Medical Insurance Billing And CodingAmerican Academy Of Professional Coders

BBA: Accounting/Auditing And EconomicsUniversity Of Mumbai, India | Jun 1976

Major in Accounting/Auditing and Business Administration
Minor in Economics and Commerce

Accounting/Auditing Institute Of Chartered Accountants Of India | | Bombay, India | Jun 1974

Foundation/Entrance Examination Certification for

advancement to CPA associate qualification.

Other Interests

Certified Yoga Instructor since February 2013. Enjoy culinary activities, foreign travel, walking and volunteering.

Resume Overview

Companies Worked For:

Ascension Health Ministry Service Center
Sturgis Hospital - Sturgis Medical Group
MNA Medical Center

School Attended

American Academy Of Professional Coders
University Of Mumbai, India
Institute Of Chartered Accountants Of India

Job Titles Held:

Certified Professional Coder
CPC- Certified Professional Coder/Medical Biller, Accounts Receivable
Office Administrator/Billing Specialist

Degrees

Medical Insurance Billing And Coding
BBA : Accounting/Auditing And Economics
Accounting/Auditing

Certified Professional Coder Resume Example

Resume Score: 80%

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