Montgomery Street, San Francisco, CA94105609 Johnson Ave., 49204, Tulsa, OK Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
Knowledgeable billing manager offering a 7 year background in reviewing, analyzing and managing medical record information to identify appropriate coding. Looking to showcase my knowledge by joining your team as a Clinic Coder. Talented at correcting and resubmitting claims, preparing patient charts for registration and reviewing health records to identify proper relationships between procedure and diagnosis codes.
Work History
01/2014 to Current
Medical Biller/Office Medical CoderTexas Health Resources – Flower Mound, TX,
Train and mentor staff on procedures, compliance requirements and collections techniques
Conduct performance reviews and implemented improvement plans
Review billing problems, researched issues and resolved concerns
Generate financial statements and reports detailing accounts receivable status
Guard against fraud and abuse by verifying all coded data accurately reflected services provided
Submit electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments
Confirm backup and proper storage of sensitive information in event of data breach or outage
Communicate with insurance providers to resolve any denied claims and resubmit
Comply with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
Verify signatures and checked medical charts for accuracy and completion
Reviewed services rendered and completed to reconcile codes
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates
Reviewed 975 medical records per month to select appropriate coding sequences
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Resourcefully used various coding books, procedure manuals and on-line encoders.
Reviewed outpatient records and interpreted documentation to identify all diagnoses and procedures.
09/2012 to 01/2014
Medical Biller/Office Medical CoderCalypso Natural Clinic – City, STATE,
Reviewed services rendered and completed to reconcile codes
Filed and updated patient information and medical records
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments
Efficiently collected payments and communicated with clients
Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies
Scheduled patients in Medical Manager System
Maintained current accounts through aged revenue reporting
Posted payments and collections on regular basis
Communicated with insurance providers to resolve any denied claims and resubmit
Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information
Scanned and filed medical records in alphabetical order to maintain organized and up-to-date filing system
06/2013 to 12/2013
Medical Office ReceptionistFlora Chiropractic And Sports Clinic – City, STATE,
Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing
Organized paperwork such as charts and reports for office and patient needs
Completed and filed financial documentation for accounting purposes
Received, recorded and filed medical payments by check, cash and credit card
Scheduled appointments for doctor visits and procedures using desktop calendar software
Maintained records by recording, obtaining and updating personal and financial information
Restocked each medical room with adequate supply of medications and supplies in preparation for patients
Filed and retrieved patient records for provider
Entered procedure codes and diagnosis codes into medical billing software
Adhered to strict HIPAA guidelines at all times to protect patient privacy
Education
Expected in 12/2017
Bachelors of Science: Technical Management DeVry University Technical Management - Oregon, GPA:
a focus on health care
Expected in 6/2013
Medical Billing & Coding Program Graduated: Carrington College- Portland - Portland, OR GPA:
Certifications
AAPC certified since 2013
•American Red Cross, CPR/BLS Healthcare Provider Level
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