charge capture specialist resume example with 17+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
:
Summary
Detail-oriented Charge Capture Specialist with strong time management and multitasking skills and a self-motivated mindset looking for a new role with room for advancement. Highly organized and systematic with excellent verbal and written communication skills gained during 17 + years of related experience.
Skills
Verbal and Written Communication
Decision Making
Team Collaboration
Billing Data Verification
Account Posting
Relationship Building
Microsoft Office
Customer Contact
Work Planning and Prioritization
Billing and Invoicing
Financial Documentation
Billing Document Creation
Data Analysis
Job Billing
Services Rendered Documentation
Charges and Rates Documentation
Managing Deadlines
Handling Denied Claims
Reviewing Account Records
Experience
Charge Capture Specialist, 07/2009 to Current Avera Health – Gregory, SD,
Coding for many specialties such as cardiology, electrophysiologists, nephrology,neurologist,
Reviewed records to check documentation of billable activities.
Collaborated with clinical departments to generate accurate and compliant charges.
Checked billing sheets for daily charges of services rendered.
Reprocessed denied claims and handled other third-party payer issues.
Processed invoice payments and recorded information in account database.
Managed all payments processing, invoicing and collections tasks.
Reviewed engine assigned codes and modifiers to update and verify accuracy.
Generated and distributed month-end statements for customers and resolved related concerns.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
Collected, posted and managed patient account payments.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Performed insurance verification, pre-certification and pre-authorization.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Answered customer questions to maintain high satisfaction levels.
Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
Checked claims coding for accuracy with ICD-10 standards.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
Submitted claims to insurance companies.
Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
Reconciled codes against services rendered.
Certified Professional Coder, 12/2005 to 06/2008 Exact Sciences – Concord, NH,
Emergency Room physician billing
Reviewed clinical data from medical records to assign ICD, CPT and HCPCS codes.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Accurately assigned codes using software and official print copy of code book.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Responded to coding questions from callers and other internal departments.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Communicated with insurance companies to provide patient information.
Entered charge rationale in patient account notes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Quickly responded to staff and client inquiries regarding CPT codes.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Registration/Junior Coder, 01/2004 to 12/2005 Our Lady Of Bellefonte Hospital – City, STATE,
Coded for 5 physician family practice group
Patient registration
Patient account receivable
Appeals to 3rd party payers
Outpatient insurance claims
Collaborated with other teams to resolve issues and cover gaps in knowledge.
Education and Training
coding/billing certificate: Coding/billing, Expected in 09/2006 to Huntington Junior College - Huntington, WV GPA:
Completed Coding Course
4.0 GPA
Member of [Honor Society], 2006
High School Diploma: , Expected in 06/2001 to Boyd County High School - Ashland, KY GPA:
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