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Inpatient Coder Resume Example

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INPATIENT CODER
Professional Summary

Enthusiastic HIM professional eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of medical coding and data analytics and training in EPIC. Motivated to learn, grow and excel in revenue cycle and healthcare. Executive Assistant with over 8 years of successful experience in project management and organization. Recognized consistently for performance excellence and contributions to success in healthcare industry. Strengths in detail oriented and technical backed by training in database management.

Work History
Piedmont Healthcare- Inpatient Coder
Atlanta, GA10/2019 - Current
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Coded Observations and Inpatient Professional Services at average rate of 15 per hour.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
  • Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Piedmont Healthcare- Executive Assistant
Athens, GA03/2015 - 11/2019
  • Coordinated complex annual meeting involving 6-8 presenters, 120 global attendees, and budget of $1,000.00encompassing livestream production, remote location arrangements, and senior executive accommodations.
  • Orchestrated successful conferences, including associated travel for all speakers and attendees, facilities and support services.
  • Managed administrative functions, including complex calendar management with focus on proper allocation of executive availability.
  • Organized and updated schedules for more than 4 Information Technology executives.
  • Developed and updated spreadsheets and databases to track, analyze and report on performance and sales data.
  • Worked with senior management to initiate new projects and assist in various processes.
  • Tracked and maintained monthly and year-end vendor rebates totaling $200,000.00.
  • Worked with GME group to coordinate and complete special projects for Cactus and provider credentials.
  • Assisted senior management with major initiatives and projects including new EMR system installation and training by organizing and project management for training.
M&M Billing- Medical Billing and Collections Specialist
Athens, GA12/2017 - 03/2019
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Completed and submitted HCFA and UB40 claims for timely filing through Office Ally clearing house
  • Analyzed EOB for payments, denials, rejections and processed appeals through written and electronic submissions via Availity, Navinet, or Optum Link
Pediatric Partners- Medical Assistant
Watkinsville, GA03/2012 - 03/2015
  • Maintained detailed records of test results by entering data and patient information into computer.
  • Completed clinical procedures and gathered patient data for interpretation by physician.
  • Educated patients by providing medication and diet information and clarifying physicians' orders, answering questions thoroughly.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Obtained client medical history, including medication information, symptoms and allergies.
  • Prepared blood, urine, stool and sputum lab specimens for diagnostic evaluation.
  • Participated in Continuous Quality Improvement (CQI) activities.
  • Performed or scheduled preventive maintenance on equipment to promote longevity of use, troubleshooting technical issues and coordinating repairs.
Accomplishments
  • Current on Federal guidelines, Medicare requirements, and Healthcare management.
  • Expertise in Microsoft office, HIPAA, ICD-10, and CPT, coding, Release of Information, and medical terminology.
  • Excellent problem solver and close attention to details.
  • Train physicians on Epic Access and retrieving medical records via PiedmontLink.
  • Experience Administrative Assistant within a healthcare industry with a strong ability to manage multiple projects simultaneously and foster a cohesive staff.
  • Decreased costs for consultants and vendors by negotiating and verifying billing purchases a savings of over $200,000.00.
Affiliations
2016-2019: Georgia AHIMA: Board member/Newsletter Coordinator 2018 -2019: North Georgia AHIMA: HIM Community Awareness Chair 2012-2015 - Indian Association of Greater Athens (IAGA) Board Member and Social Media Chair Volunteer for In their Shoes 2
Skills
  • AP/AR
  • Contracts
  • Database
  • Diagnosis
  • Documentation
  • Due diligence
  • Financial
  • Information Systems
  • Insurance
  • Invoicing
  • Legal
  • PeopleSoft
  • Policies
  • Processes
  • Coding
  • Project management
  • Risk Management
  • Scheduling
  • Technician
  • Written
  • Team management
  • Problem resolution
  • Relationship development
  • Process improvement
  • Project organization
  • MS Office
  • ICD 10 CM/PCS codes
  • Data validation
  • Enterprise application integration
Education
DeVry UniversityDowners Grove, ILBachelor of Arts: Business Administration
Ogeechee Technical CollegeStatesboro, GAAssociate of Science: Health Information Management
  • Majored in Health Information Management
Athens Technical CollegeAthens, GAAssociate of Applied Science: Medical Assistant
Registered Health Information Technician
Certifications

Registered Health Information Management (RHIT)

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Resume Overview

Companies Worked For:

  • Piedmont Healthcare
  • M&M Billing
  • Pediatric Partners

School Attended

  • DeVry University
  • Ogeechee Technical College
  • Athens Technical College

Job Titles Held:

  • Inpatient Coder
  • Executive Assistant
  • Medical Billing and Collections Specialist
  • Medical Assistant

Degrees

  • Bachelor of Arts : Business Administration
    Associate of Science : Health Information Management
    Associate of Applied Science : Medical Assistant
    Registered Health Information Technician

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