Hardworking professional applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills. Medical Billing and Coding Specialist with 9 years providing administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes.
Skills
Attention to Detail
Certified Professional Coder
Medical Billing Processing
Interpersonal Communication
Patient Medical Records Maintenance
Epic Systems
Verbal and Written Communication
Patient Data Abstracts
Education
Indiana University NorthwestGary, INExpected in 06/2020 ā āBachelor of Science:Health Sciences - GPA:
DeVry UniversityDowners Grove, ILExpected in 12/2013 ā āAssociate of Science:Registered Health Information Technology - GPA:
Work History
Hca - Medical Biller and Coder Bradenton, FL, 02/2021 - 09/2021
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Used Athena and Epic to input information into computerized patient record system.
Initiated, performed and documented quarterly coding audits for physicians.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Implemented new coding procedures that reduced mistakes and simplified processes.
Used EMR's to assign procedure and diagnostic codes to patient records for billing purposes.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Utilized active listening, interpersonal and telephone etiquette skills when communicating with others.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Air Methods - MRI Coordinator Phoenix, AZ, 05/2017 - 02/2021
Managed filing systems for electronic and hard copy documents to keep organized records.
Maintained master schedule and set up appointments.
Gathered and organized materials to support operations.
Drove workflow improvements by streamlining processes.
Aided colleagues, managers and customers through regular communication and assistance.
Coached employees through day-to-day work and complex problems.
Maintained current and compliant financial records, monitoring and addressing variances through detailed analyses.
Interpreted management directives to define and document administrative staff processes.
Managed office activities by maintaining communication between clients, tracking records and filing all documents.
Oversaw technical, operational, clerical and customer service support activities.
Entered data, generated reports and produced tracking documents.
Cape Cod Healthcare Inc. - Medical Billing and Collections Specialist Plymouth, MA, 05/2015 - 02/2021
Compiled and tracked outstanding balances owed to medical facilities.
Logged charges and payments within Athena and Epic.
Corrected, completed and processed claims for multiple payer codes.
Processed online and paper appeal submissions and refund requests.
Processed billing calls and answered questions from patients and third-party carriers.
Assisted in reconciling deposit and patient collections.
Used data entry skills to accurately document and input statements.
Executed billing tasks and recorded information in company databases.
Generated financial statements and reports detailing accounts receivable status
Monitored equipment to check for proper operation.
Posted data and kept other records concerning costs of goods or services or shipment of goods.
Created improved filing system to maintain secure client data.
Responded to customer concerns and questions on daily basis.
Promoted consistent accuracy of billing information by reconciling accounts monthly.
Received and sorted mail, prepared packages for delivery and scanned documents.
McNeil Healthcare - Medical Coder City, STATE, 01/2013 - 04/2015
Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
Coded Observations and Inpatient Professional Services at average rate of 8 per hour.
Entered orders into EMR system efficiently and without errors.
Reviewed patient charts to better understand health histories, diagnoses and treatments.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Accurately selected proper descriptive code when more than one anatomical location was indicated.
Initiated, performed and documented quarterly coding audits for physicians.
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