Medical Biller/Outpatient Medical Coder Resume Example Northwest Spine And Sport

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
Northwest Spine and Sport – MCMINNVILLE, OR

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 – MCMINNVILLE, OR

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 – MCMINNVILLE, Oregon

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- Oregon

a focus on health care

Medical Billing & Coding Program Graduated06/2013Carrington College- Portland- Portland, OR

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

Resume Overview

Companies Worked For:

Northwest Spine and Sport
Calypso Natural Clinic
Flora Chiropractic And Sports Clinic

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

Medical Biller/Outpatient Medical Coder Resume Example

Resume Score: 80%

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