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

Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts, and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing, and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.

Skills
  • Health Record Index Maintenance
  • Medical Billing Processing
  • Operational Requirements
  • Reading Comprehension
  • Diagnostic Codes
  • Medical History Recording
  • Insurance Billing
  • Outpatient Coding
  • Certified Professional Coder
  • Patient Medical Records Maintenance
  • Word Processing Software
  • Patient Data Coding
  • 3M Encoder
  • Protected Health Information
  • Electronic Filing System Organization
  • ICD-10 (International Classification of Disease Systems)
  • Patient Health Information Access
  • Medical Histories and Vital Statistics
  • Hospital Inpatient and Outpatient Records
  • Electronic Health Record Applications
  • Medical Records and Documentation
  • Charting and Clinical Documentation
  • EMR Systems
Professional Experience
Medical Coding and Billing Specialist, 09/2022 to Current
Pacific Dental ServicesLutz, FL,
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Accurately selected proper descriptive code when more than one anatomical location was indicated.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Performed billing and coding procedures for ambulances, emergency rooms, and inpatient and outpatient services.
  • Processed insurance company denials by auditing patient files, and researching procedures and diagnostic codes to determine proper reimbursement.
  • Resourcefully used various coding books, procedure manuals, and online encoders.
  • Scanned and filed medical records in alphabetical order to maintain an organized and up-to-date filing system.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Implemented new coding procedures that reduced mistakes by 20% and simplified processes.
  • Utilized active listening, and interpersonal and telephone etiquette skills when communicating with others.
  • Reviewed, analyzed, and managed to code of diagnostic and treatment procedures contained in outpatient medical records.
  • Initiated, performed, and documented quarterly coding audits for physicians.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Medical Assistant, 09/2019 to 03/2020
NrgusaGrand Forks, ND,
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Promoted office efficiency, coordinating charts, completing insurance forms and helping patients with diverse needs.
  • Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.
  • Compiled necessary documents for surgical billing packages.
  • Prepared initial patient charts for admission.
  • Ambulated, turned and positioned patients.
  • Obtained client medical history, medication information, symptoms and allergies.
  • Tested and recorded blood glucose levels.
  • Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Documented vital signs and health history for patients in clinic and hospital environments.
  • Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
  • Completed clinical procedures and gathered patient data for interpretation by physician.
  • Performed clerical duties, such as word processing, data entry, answering phones and filing.
  • Taught patients about medications, procedures and care plan instructions.
  • Obtained pre- and post-treatment vital signs and weight.
  • Sanitized, restocked and organized exam rooms and medical equipment.
Intern, 05/2019 to 07/2019
Altru Health System ClinicCity, State,
  • Sorted, organized and maintained files.
  • Provided clerical support, addressing routine and special requirements.
  • Answered and transferred incoming telephone calls, taking messages for various staff members.
  • Distributed office supplies and files for staff.
  • Researched and reviewed information in support of daily objectives.
  • Assisted with projects by applying strong analytical skills and studies.
  • Collaborated with team to optimize workflow and achieve objectives.
  • Completed research, compiled data and assisted in timely reporting.
  • Gathered, organized and input information into digital database.
  • Generated reports detailing findings and recommendations.
  • Collected, arranged and input information into database system.
Education
Associate of Applied Science: Medical Billing And Coding, Expected in 12/2022 to Bryant And Stratton College - Buffalo, NY,
GPA:
Associate Degree in Medical Assisting: Certified Clinical Medical Assistant, Expected in 08/2019 to West Virginia Junior College - Charleston - Charleston, WV
GPA:
  • Dean's List 2019 3.8 GPA
Certifications
  • CMA - Certified Medical Assistant
  • CCA - Certified Coding Associate
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Resume Overview

School Attended

  • Bryant And Stratton College
  • West Virginia Junior College - Charleston

Job Titles Held:

  • Medical Coding and Billing Specialist
  • Medical Assistant
  • Intern

Degrees

  • Associate of Applied Science
  • Associate Degree in Medical Assisting

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