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cpc coder resume example with 20+ 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

Accomplished CPC Pro Fee Coder offering 19 years accurately entering information for insurance and billing purposes. Highly skilled at memorizing frequently used codes and familiar with commerical and private insurance carriers. Demonstrated professionalism when communicating with patients, insurance companies and healthcare staff. meets tight deadlines with multitasking abilities.

Skills
  • Certified Professional Coder
  • Interpersonal Communication
  • Time Management
  • Attention to Detail
  • EMR Systems
  • ICD-10 & CPT Coding
  • Doctor Communication
Experience
CPC Coder, 11/2015 to Current
Lifepoint HospitalsSelma, AL,
  • 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.
  • Kept patient information confidential and respected patients' rights to privacy according to HIPAA requirements.
  • Maintained strict patient privacy and confidential patient information, taking care to meet HIPAA guidelines and statutes for data security.
  • Completed continuing education programs to maintain certifications.
  • Audit Physician Documentation for compliance and government regulations
Patient Account Representative, 06/2014 to 11/2015
Lake Charles Memorial HospitalLake Charles, LA,
  • Collaborated with relevant parties to resolve billing issues, insurance claims and patient payments.
  • Resolved inquiries from patients, families and external payers.
  • Reached out to patients once insurance was billed in order to obtain payments due.
  • Reviewed flagged items daily and resolved issues.
  • Applied organizational policies and complied with regulations for patient privacy.
  • Processed refunds, disbursements and payments.
  • Submitted electronic bills following facility and legal compliance standards.
  • Generated detailed reports outlining billing, flagged items and other important data.
  • Compared statements against patient files.
  • Created letters, invoices and other documents with diverse computer programs such as Medicare
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
CPC Coder, 11/1999 to 01/2014
Lifepoint HospitalsVernal, UT,
  • 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.
  • Assigned value codes and modifiers to provide specific information for services provided.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Collected documentation and clarified ambiguous patient care statements by contacting providers.
  • Communicated with insurance companies to provide patient information.
  • 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.
  • Verified proper coding, sequencing of diagnoses and accuracy of Emergency Department procedures.
  • Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Coded outpatient encounters at rate of 300 per day Emergency Department specialty coding, maintaining 98% accuracy.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Audit Physician documentation for compliance and government regulations
  • Helped develop and maintain database to reconcile chats lacking documentation and chart reconciliation process
  • Administrative Assistive with Physician scheduler for Emergency Department Director
Education and Training
: Medical Terminology Course, Expected in to Apollo University - Fort Myers Beach, FL,
GPA:
: Anatomy and Physiology, Expected in to Apollo University - Fort Myers Beach, FL,
GPA:
: Medical Insurance Coding, Expected in to Science Hill Adult Education - Johnson City, TN,
GPA:
: Clinical Medical Assistant, Expected in to Science Hill Adult Education - Johnson City, TN,
GPA:
Certifications
  • Certified Professional Coder (CPC)

American Academy of Professional Coders #00048492

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Resume Overview

School Attended

  • Apollo University
  • Apollo University
  • Science Hill Adult Education
  • Science Hill Adult Education

Job Titles Held:

  • CPC Coder
  • Patient Account Representative
  • CPC Coder

Degrees

  • Some College (No Degree)

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