HIM Coder/Remote Resume Example KPC Promise Healthcare

HIM CODER/REMOTE

Summary

Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.

Skills

Planning and coordination
Organization

Team management
Problem resolution

Experience

KPC Promise Healthcare | Wichita Falls, TXHIM Coder/Remote05/2016 - Current

Consistently ensured proper coding, sequencing of diagnoses and procedures.
Quickly responded to staff and client inquiries regarding CPT codes.
Interpreted medical reports to apply appropriate ICD-10 codes.
Maintained 95-97% accuracy rate on daily production.
Coded inpatient encounters at rate of 10-12 per day and 5 complex specialty coding, maintaining 94-96% accuracy.
Verified final claim submissions by comparing account charges with documentation.
Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Assigned procedure and diagnosis codes for insurance billing using Wellsky
Coded medical observations and professional services delivered for each patient.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.

Dr. Desire | Wichita Falls, TXMedical Biller, Accounts Receivable08/2015 - 05/2016

Reconciled accounts receivable and prepared income summary reports and cash reports.
Prepared appropriate documentation for income summaries, cash reports and accounts receivable reconciliation.
Entered, posted and scanned accounts receivable documents into software program.
Kept accounts receivable tracking database current with relevant client information, collection and billing progress and program changes.
Resolved collections by examining customer payments, payment history and coordinating contact with collections.
Answered inbound calls to provide information, answer questions or discuss payment options.
Coordinated with clients and internal departments resolve account discrepancies.
Calculated estimated weekly invoicing, prepared and posted payments and followed up on all aged receivables.
Assisted with time-sensitive functions, including recording credit memos, processing invoices and completing month-end reports.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Reviewed bank account statements to reconcile accounts by documenting correct financial information in general ledger.
Applied mathematical skills to calculate totals, check figures and correct problems with physical and digital files.
Reconciled bank accounts, documented payments and produced invoices.
Assessed data and information to check entries, calculations and billing codes for accuracy.
Documented and filed patient data and medical records.
Filed and submitted insurance claims.
Recorded cash, checks and credit card transactions to complete customer payments.
Completed outbound collection calls and sent emails to encourage customer payment of overdue invoices.
Verified final claim submissions by comparing account charges with documentation.

BCBS of Texas | Wichita Falls, TXCustomer Advocate02/2009 - 05/2013

Consulted with customers to discuss concerns and offer detailed information.
Used different knowledge banks to research customer problems and develop accurate responses.
Conducted surveys to measure customer satisfaction and identify top issues.
Performed extensive research on all inquiries and concerns to achieve complete client satisfaction.
Leveraged key resources to develop strategies to reduce claims.
Engaged with customers and worked to resolve product and service issues.
Reached out to providers to help develop comprehensive solutions.
Researched problems with benefits, accounts and services with speed and accuracy.
Consulted with customers to determine best methods to resolve service and billing issues.
Reviewed customers medical claims for proper filing and called medical providers to correct billing issue for customer.
Asked probing questions to determine service needs and accurately input information into electronic systems.

Education and Training

Vernon College | Vernon, TXAssociate of Applied Science in Health Information Technology05/2016

Certifications

Registered Health Information Technology (RHIT)

Resume Overview

Companies Worked For:

KPC Promise Healthcare
Dr. Desire
BCBS of Texas

School Attended

Vernon College

Job Titles Held:

HIM Coder/Remote
Medical Biller, Accounts Receivable
Customer Advocate

Degrees

Associate of Applied Science in Health Information Technology

HIM Coder/Remote Resume Example

Resume Score: 80%

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