Livecareer-Resume
JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (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.
Skills
  • ICD-10, ICD-9 and CPT Coding
  • Billing Programs Including: Medical Manager, Centricity, Logician, Healthwind, Physicians Billing, NextGen
  • Windows Operating Systems
  • Microsoft Word, Excel, and Outlook
  • Patient Billing/Collections/Refunds
  • Insurance Billing
  • HCFA-1500 & UB92
  • Electronic Claim Submission
  • Medical Terminology
  • Accounts Receivable
  • Accounts Payable
  • Timely Filing
  • Typing 60 wmp
  • 10 Key
  • Communicate Well with Physicians, Insurance Representatives, Patients, and Co-workers
Experience
03/2014 to Current Hospital Coder Mednax | 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 02/2014 Coder/Patient Representative Datto | 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 04/2012 Coder/Payment/AR Representative Commencement 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 04/2012 Insurance Follow Up Representative; Charge Poster; Patient Account Representative Franciscan 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 07/2009 Medical Billing Specialist/Accounts Representative/ Referral Coordinator/ Charge PosterMedical Billing Specialist and Claims Examiner Digestive 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 05/2006 Accounts Representative Sound Family Medicine | City, STATE,
  • Accounts Receivable/Sending secondary Claims.
2006 to 02/2006 Patient Accounts Representative/Medical Receptionist Access 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 2011 AAPC, CPC Certificate | Pierce College, Puyallup, WA GPA:
Expected in 2005 Medical Billing Certificate | Reseda High School, Reseda, CA GPA:
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
  • Accounts Representative
  • Patient Accounts Representative/Medical Receptionist

Degrees

  • AAPC, CPC Certificate
  • Medical Billing Certificate

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