Medical Billing Specialist resume example with 13+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Summary
Highly trained HIM coder with strong clinical abilities and a successful career in both hospital and private practice facilities. Proactive and organized with passionate commitment to first-rate patient care. Licensed with AHIMA since 2006. Authorized to work in the US for any employer
Skills
Cost control
Database management
Diagnosis
Electrocardiogram (EKG)
Forms
Government
Inventory
Laboratory tests
Materials
Office
Neat
Personnel
Research
Statistics
Word processing
Files and records management
Quality-oriented team player
Data entry
Understands medical procedures
Charting expertise
Medical billing
Advanced anatomy knowledge
Experience
10/2018 to CurrentMedical Billing SpecialistKabafusion | Elizabethtown, NY,
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs.
Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
Thoroughly reviewed remittance codes from [Type] and [Type] sources.
Collaborated closely with other departments to resolve claims issues.
Completed appeals and filed and submitted claims.
Precisely completed appropriate paperwork and system entry regarding claims.
Meticulously tracked and resolved underpayments.
Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Maintained timely and accurate charge submission through electronic charge capture, including billing and account receivables (BAR) system and clearing house.
Submitted refund requests for claims paid in error.
07/2018 to 10/2018Medical CoderCape Cod Healthcare Inc. | Plymouth, MA,
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Interpreted medical terminology and pharmacological information to translate information into coding system.
Reviewed medical record information to identify all appropriate coding based on [Type] and [Type] categories.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Assigned procedure and diagnosis codes for insurance billing using [Software].
Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Categorized health services and assigned a specific [Type] code to each one.
Consistently ensured proper coding, sequencing of diagnoses and procedures.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Carefully coded disease and injury diagnoses, acuity of care and procedures in inpatient setting.
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
Quickly responded to staff and client inquiries regarding CPT codes.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Coded medical observations and professional services delivered for each patient.
Recorded, stored and reported medical coding information to create statistics of healthcare encounters.
Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
06/2005 to 04/2010Medical recordsDependable Health Services | Henderson, NV,
Use computers for various applications, such as database management or word processing.
Protect the security of medical records to ensure that confidentiality is maintained.
Review records for completeness, accuracy, and compliance with regulations.
Retrieve patient medical records for physicians, technicians, or other medical personnel.
Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or
treatment in computer.
Release information to persons or agencies according to regulations.
Complete and maintain patients' medical records to document condition and treatment and to provide data
for research or cost control and care improvement efforts.
Process and Prepare businesses or government forms.
Process patient admissions and discharge documents.
Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software.
Identify, compile, abstract, and code patient data, using standard classification system.
05/1999 to 06/2005Medical assistantBeacon Health System | Mishawaka, IN,
Record patients' medical history, vital statistics, or information such as test results in medical records.
Prepare treatment rooms for patient examinations, keeping the rooms neat and clean.
Authorize drug refills and provide prescription information to pharmacies.
Explain treatment, procedures, medications, diets, or physicians examine and test patients, handing them
instruments or materials.
Perform routine laboratory tests and sample analyses.
Contact medical facilities or departments to schedule patients for test or admissions.
Operate electrocardiogram (EKG).
Inventory and order medical, lab, or office supplies.
Education and Training
Expected in 2001Associate of science | MedicalTrinidad State Junior College, Alamosa, COGPA:
Expected in 1995 | Cochise College, Douglas, AZGPA:
Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.