Medical Biller And Coder Resume Example Mercy Clinic

MEDICAL BILLER AND CODER

Summary

Accurate Medical Billing Coder capable of performing all aspects of medical billing, including coding, charge entry, transmission, correction and resubmission. Offering 20 years of experience in working hand-in-hand with front office to validate proper information for claims processing. Detail-oriented and helpful professional with expertise in resolving billing issues and reviewing claim denials.

Hardworking and reliable with strong ability in Medical Coding and Billing. Highly organized, proactive and punctual with team-oriented mentality.

Skills

Medical coding and billing
Medical terminology understanding
Medical insurance understanding
PC proficiency
EPIC EMR knowledge

HIPAA and confidentiality
Excellent oral and written communication
Ethical business standards
Insurance procedures understanding
Customer service excellence

Experience

Mercy Clinic | St Louis, MOMedIcal Biller and Coder01/2018 - 05/2020

Performed with precision by entering data accurately and researching to resolve questions.
Oversaw day-to-day operations in billing department, including medical coding, charge entry, claims and denials for three Women's Health practices.
Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Utilized electronic charge capture systems to consolidate and streamline billing processes.
Reviewed all claims for accurateness and appropriateness.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Verified final claim submissions by comparing account charges with documentation.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Added modifiers, coded narrative diagnosis and verified diagnoses.
Checked claims coding for accuracy with ICD-10 standards.
Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.

Mercy Clinic Women's Health | St Louis, MOMedical Receptionist and Coder12/2000 - 12/2017

Maximized office efficiency by answering more than 100 incoming calls per day to provide office information and transfer calls to desired personal.
Scheduled and confirmed patient appointments for diagnostic, surgical and consultation services in busy office with 4 providers.
Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
Set up appointments for physician visits and procedures using calendar software.
Took messages from patients and promptly relayed to appropriate staff.
Delivered high-quality administrative and customer service to sustain patient and work flows.
Straightened up the waiting room so that it remained neat and organized.
Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files.
Observed strict HIPAA guidelines at all times according to company policy.
Answered multi-line phone system and directed callers to requested personnel and departments.
Communicated with all partners throughout the practice including physicians, nursing staff, technicians and medical assistants.
Informed patients of financial responsibilities prior to rendering services.

Dr. Amy Ruggeri | St Louis, MOIn-Home Childcare Provider09/1996 - 12/2000

Prepared meals and snacks for children, teaching table manners and keeping fed appropriately without allowing overindulgence.
Instructed children on proper routines and techniques for eating, tooth-brushing, toilet use and hand-washing.
Taught children basic skills and encouraged creativity in painting, drawing, arts and crafts, music and other expressive activities.
Conferred with parents to inform on type of daily activities, successes, strengths observed and potential obstacles to healthy development.
Supported healthy emotional and social development through intervention in conflict between children, positive reinforcement techniques and encouraging cooperation.
Monitored children's activities at all times, mindful of safety hazards and development of good hygienic and social habits.
Changed diapers and dressed children, assisting and educating children on proper use of clothing, such as tying shoelaces.
Discussed new developments, misbehavior and concerns with parents or guardians.
Provided nurturing and appropriate environment for children ranging in age from newborn to 7 years old.
Kept children safe and secure at all times.
Cared for up to 2 children ranging in age from newborn to 9.
Led children in tidying up, handwashing and [Task] to teach responsibility.
Enforced rules to teach manners and maintain safe environment.

Education and Training

Southeast Missouri State University | Cape Girardeau, MOAssociate of Arts in Social Sciences

Mehlville High School | St. Louis, MOHigh School Diploma06/1989

Accomplishments

Daisy Award winner for excellence on customer service.

Fifteen Year Service Award for Mercy Clinic.

Resume Overview

Companies Worked For:

Mercy Clinic
Mercy Clinic Women's Health
Dr. Amy Ruggeri

School Attended

Southeast Missouri State University
Mehlville High School

Job Titles Held:

MedIcal Biller and Coder
Medical Receptionist and Coder
In-Home Childcare Provider

Degrees

Associate of Arts in Social Sciences
High School Diploma

MedIcal Biller and Coder Resume Example

Resume Score: 80%

Resume Overview

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