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
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
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
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
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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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