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Medical Biller/Outpatient Medical Coder Resume Example

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MEDICAL BILLER/OUTPATIENT MEDICAL CODER
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
Medical Biller/Office Medical Coder01/2014 to Current
Texas 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.
Medical Biller/Office Medical Coder09/2012 to 01/2014
Calypso 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
Medical Office Receptionist06/2013 to 12/2013
Flora 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
Bachelors of Science: Technical Management12/2017DeVry University Technical Management- City

a focus on health care

Medical Billing & Coding Program Graduated06/2013Carrington College- Portland- City, State
Certifications

AAPC certified since 2013

•American Red Cross, CPR/BLS Healthcare Provider Level

•HIPAA Awareness & Education

Highlights
  • Medical insurance
  • Medical record review
  • Medical billing and coding
  • Medical records review
  • Electronic Medical Records
  • Understanding of medical terms
  • Processing medical claims
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Resume Overview

School Attended

  • DeVry University Technical Management
  • Carrington College- Portland

Job Titles Held:

  • Medical Biller/Office Medical Coder
  • Medical Office Receptionist

Degrees

  • Bachelors of Science : Technical Management 12/2017
    Medical Billing & Coding Program Graduated 06/2013

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