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compliance analyst resume example with 20+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Professional Summary

Medical Coder with 10+ years experience in outpatient coding.I do have some background in hospital coding as well. Familiar with commercial and private insurance carriers. Desire a position in outpatient records coding. CPC certified.

Licenses

CPC Certification

,
Skill Highlights
  • Maintains strict confidentiality
  • Extensive anatomy/physiology knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • CPT and HCPCS coding
  • Patient-focused care
  • Strong work ethic
  • Team player with positive attitude
  • Deadline-driven
  • Good written communication
  • Exercises good judgment
Professional Experience
Compliance Analyst, 03/2012 to Current
Vista Equity PartnersBurlington, NC,

Carefully reviewed medical records for accuracy and completion as required by insurance companies.Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.

Medical Assistant/Office Manager, 08/2004 to 03/2012
Cornerstone Premier CareCity, STATE,

Strictly followed all federal and state guidelines for release of information.Wrote clear and detailed clinical phone messages for physicians.Directed patient flow during practice hours, minimizing patient wait time.Acquired insurance authorizations for procedures and tests ordered by the attending physician.Prepared prescription refill requests on behalf of the physician.Scheduled patient appointments.Provided administrative support for three physicians.Resolved and clarified issues with patient medications and collaborated with local pharmacies.Quickly responded to staff and client inquiries regarding CPT codes.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Confirmed patient information, collected copays and verified insurance.Posted charges, payments and adjustments.Consistently informed patients of their financial responsibilities prior to services being rendered.Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans.

Check in/check out Rep, 06/2002 to 08/2004
The Imaging CenterCity, STATE,

Efficiently performed insurance verification and pre-certification and pre-authorization functions.Consistently informed patients of their financial responsibilities prior to services being rendered.Posted charges, payments and adjustments.Communicated with medical transcriptionists regarding patient medical records.Confirmed patient information, collected copays and verified insurance.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Accurately entered procedure codes, diagnosis codes and patient information into billing software.Scheduled radiology exams for patients.Completed registration quickly and cordially for all new patients.Scheduled patient appointments.Strictly followed all federal and state guidelines for release of information.Recorded and filed patient data and medical records.

ER Registration Rep, 08/1988 to 04/2001
Randolph HospitalCity, STATE,

Strictly followed all federal and state guidelines for release of information.Arranged and assisted with hospital admissions.Completed registration quickly and cordially for all new patients.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Confirmed patient information, collected copays and verified insurance. Registered ER patients as they came in. Assisted in the ER when needed. Previously Nationally EMT certified with excellent patient care. Excellent customer service skills.

Education and Training
: EMS, Expected in to Guilford Technical Community College - Jamestown, NC
GPA:

Studied Emergency Medical Science for 1 year. Had to quit because of an injury to my knee.

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Resume Overview

School Attended

  • Guilford Technical Community College

Job Titles Held:

  • Compliance Analyst
  • Medical Assistant/Office Manager
  • Check in/check out Rep
  • ER Registration Rep

Degrees

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