Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Summary
Hospital Coder with experience supporting 8 physicians in a busy Pain Management office and 3 physicians in REHAB facilities. Excellent multi-tasker and demonstrated team player with a positive attitude.
Communicate Well with Physicians, Insurance Representatives, Patients, and Co-workers
Experience
03/2014 to CurrentHospital CoderMednax | Lawrenceville, GA,
Abstracts data in compliance with national, regional and local policies and interprets
and reviews medical record documentation to assign accurate ICD-10
diagnosis and procedure codes,
Coordinates with clinical staff to obtain patient information for all on call/unscheduled
hospital encounters,
Utilizes individual hospital medical record systems to obtain clinical documents required
for appropriate coding and billing,
Analyze clincial documents for abstract coding,
Enter all procedure charges into PMS according to standard coding guidelines.
11/2012 to 02/2014Coder/Patient RepresentativeDatto | Irvine, CA,
Coder,
Researches and resolves rejected, incorrectly paid and denied claims,
Resubmits claims electronically or on paper as appropriate,
Professionally responds to all billing related inquiries from patients, staff and payers,
Charge Posting,
Completes batch and reconciles to daily log,
Meets production standard for coding, charge entry and/or insurance follow up on a
consistent basis,
Accounts Receivable and Collections,
Review Accounts for overpayment and prepare, Insurance and Patient Refunds,
Researches and resolves unpaid accounts receivable and makes any corrections to ensure
maximum reimbursement.
02/2010 to 04/2012Coder/Payment/AR RepresentativeCommencement Bay Pediatrics | City, STATE,
Charge Posting,
Payment Posting,
Accounts Receivable and Collections,
Review Reports for Timely Insurance Payments,
Review Accounts for over payments,
Electronic Billing
Statements,
Answer Phones Regarding Patient Accounts and Conflict Resolution.
06/2009 to 04/2012Insurance Follow Up Representative; Charge Poster; Patient Account RepresentativeFranciscan Medical Group | City, STATE,
Researches and resolves unpaid accounts receivable and makes any corrections to ensure
maximum reimbursement
Researches and resolves rejected, incorrectly paid and denied claims
Resubmits claims electronically or on paper as appropriate
Professionally responds to all billing related inquiries from patients, staff and payors
Charge Posting
Works with FMG coding team to identify trends and issues related to clinic-based coding
Applies FMG charge entry rules to encounter forms
Completes batch and reconciles to daily log
Meets production standard for charge entry and/or insurance follow-up on a consistent
basis
Accounts Receivable and Collections
Payment Posting
Review Accounts for overpayment and prepare Insurance and Patient Refunds.
08/2006 to 07/2009Medical Billing Specialist/Accounts Representative/ Referral Coordinator/ Charge PosterMedical Billing Specialist and Claims ExaminerDigestive Health Specialists | City, STATE,
Accounts Receivable and Collections,
Review Insurance Contracts for Accuracy of Claims Processing,
Review Reports for Timely Insurance Payments,
Review Accounts for over payments and prepare Insurance and Patient Refunds,
Answer Phones Regarding Patient Accounts and Conflict Resolution,
Payment Posting
Charge Posting/Coding.
02/2006 to 05/2006Accounts RepresentativeSound Family Medicine | City, STATE,
Accounts Receivable/Sending secondary Claims.
2006 to 02/2006Patient Accounts Representative/Medical ReceptionistAccess Family Medicine | City, STATE,
Greet and check-in patients
Verify Insurance/ Enter Demographics
Obtain Referrals
Print Fee Slips
Collect Private Payments and Co-Pays
Payment Posting/Deposits.
Education and Training
Expected in May 2011AAPC, CPC Certificate | Pierce College, Puyallup, WAGPA:
Expected in 2005Medical Billing Certificate | Reseda High School, Reseda, CAGPA:
Skills
10 Key, Accounts Payable, Accounts Receivable, Billing, Interpersonal Skills, Conflict Resolution, Contracts, CPT Coding, Excellent customer service, Dependable, diagnosis, documentation, Filing, forms, ICD-10, ICD-9, Insurance, Medical Billing, Medical Manager, reviews medical record, Medical Terminology, Excel, Windows Operating Systems, Outlook, Microsoft Word, Works, policies, Coding, Fast learner, self-motivated, Team player, Answer Phones, Typing
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School Attended
Pierce College
Reseda High School
Job Titles Held:
Hospital Coder
Coder/Patient Representative
Coder/Payment/AR Representative
Insurance Follow Up Representative; Charge Poster; Patient Account Representative
Medical Billing Specialist/Accounts Representative/ Referral Coordinator/ Charge PosterMedical Billing Specialist and Claims Examiner
