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medical coding and billing specialist resume example with 6+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Motivated high school student with a track record of academic excellence looking for part-time work. Intends to develop professional work experience utilizing excellent communication and time management skills.

Responsible and motivated student ready to apply education in the workplace. Offers excellent technical abilities with software and applications, ability to handle challenging work, and excellent time management skills.

Skills
  • Healthcare claim coding
  • Medical terminology
  • Documentation oversight
  • Data entry
  • Patient data identification
  • Medical record security
  • First Aid/CPR
Experience
Medical Coding and Billing Specialist, 10/2021 to Current
Pacific Dental ServicesCharlotte, NC,
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Verified proper coding, sequencing of diagnoses and accuracy of [Type] procedures.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Utilized effective research, extensive study and active questioning skills to maintain working knowledge of medical terminology, diseases and medical procedures.
  • Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
  • Collected documentation and clarified ambiguous patient care statements by contacting providers.
Patient Access Representative, 01/2021 to 02/2022
Southcoast Health SystemNorth Dartmouth, MA,
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Called insurance companies and verified patient coverage.
  • Interviewed patients upon entrance to hospital, gathered appropriate information and entered data into electronic system.
  • Received and stored patients' valuables and other belongings, as requested.
  • Submitted fees and claims to insurance companies manually or digitally.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.
  • Explained various admission forms and policies, acquiring signatures for consent.
  • Registered patients by completing face-to-face interviews to obtain demographic, insurance and medical information.
Patient Access Representative, 12/2019 to 01/2021
Southcoast Health SystemProvidence, RI,
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Obtained necessary signatures for privacy laws and consent for treatment.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Assembled registration paperwork and placed identification bands on patient.
  • Reviewed eligibility responses to assess patient benefit level and prepare estimates.
  • Communicated financial obligations to patients and collected fees at time of service.
  • Called insurance companies and verified patient coverage.
  • Obtained health, financial and religious information from patients at time of admission.
Patient Care Technician, 03/2015 to 02/2019
Ochsner Health SystemBay St Louis, MS,
  • Documented patient intake and dietary requirements and aided with feeding and monitoring.
  • Obtained patient vital signs and reported results to staff nurse or physician to identify changes from prior measurements.
  • Looked for physical, emotional and symptomatic changes in patient condition and obtained necessary care for medical concerns.
  • Promoted patient satisfaction by assisting with bathing, dressing and exercising.
  • Restocked unit frequently with necessary medical supplies.
  • Kept instruments and equipment clean and sanitized.
  • Transported patients to other areas of hospital in wheelchairs and gurneys for tests, treatments and therapies.
  • Recorded patient conditions and vital signs before and after medical operations.
  • Examined and treated patient lacerations, contusions and physical symptoms and referred patients to other medical professionals.
  • Prepared patient chart for admission and compiled appropriate paperwork.
  • Performed variety of delegated basic patient care services to support nursing functions and activities of daily living.
Education and Training
Diploma: Medical Billing And Coding , Expected in 11/2022 to Fortis College - Baton Rouge, LA
GPA:
High School Diploma: , Expected in 05/2014 to Central High School - Tuscaloosa, AL,
GPA:

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Resume Overview

School Attended

  • Fortis College
  • Central High School

Job Titles Held:

  • Medical Coding and Billing Specialist
  • Patient Access Representative
  • Patient Access Representative
  • Patient Care Technician

Degrees

  • Diploma
  • High School Diploma

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