Medical Coding and Billing Specialist Resume Example
Love this resume?Build Your Own Now
MEDICAL CODING AND BILLING SPECIALIST
Summary
Cheerful Medical Coder with a career spent assessing provider documentation to ensure that appropriate codes have been assigned. Bilingual individual with a strong work ethic and a can-do demeanor. Well-versed in medical billing and some coding. Ready to tackle new challenges in an office-based environment.
Skills
|
|
Experience
Medical Coding and Billing Specialist
January 2019 to CurrentPacific Dental Services － Olney , MD
January 2019 to CurrentPacific Dental Services － Olney , MD
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Thoroughly reviewed remittance codes from EOBS/AR's.
Office Manager
April 2018 to December 2018Trilogy Health Services － Orleans , IN
April 2018 to December 2018Trilogy Health Services － Orleans , IN
- Increased office organization by developing filing system and customer database protocols.
- Solicited vendor quotes to determine optimal material purchase pricing.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Entered invoice data into company database and updated details, including customer contacts and delivery dates to keep information current.
- Managed daily operations with two office by supporting continuous delivery of excellent services and care.
- Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
- Oversaw digital patient charting, including data entry and administrative duties regarding insurance, billing and accounts receivable.
- Elevated customer satisfaction ratings by resolving client and case issues effectively.
- Communicated with patients to resolve inquiries, schedule appointments and address billing questions.
- Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
- Supported office needs including taking messages, scanning documents and routing business correspondence.
- Trained employees on best practices and protocol while managing teams to maintain optimal productivity.
- Interviewed, onboarded, developed and oversaw daily activities of clerical and administrative office personnel.
- Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls.
Billing Manager
July 2016 to April 2018Elite Sem － San Diego , CA
July 2016 to April 2018Elite Sem － San Diego , CA
- Managed billing calendar and scheduled claims for payments.
- Conducted insurance verification and pre-authorization, coded procedures and managed patient charts.
- Developed improved standard operating procedures to increase billing accuracy and cash flow.
- Helped customers to bring accounts into good standing by implementing payment plans.
- Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
- Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
Medical Coding and Billing Specialist
January 1999 to July 2016Pacific Dental Services － Oregon City , OR
January 1999 to July 2016Pacific Dental Services － Oregon City , OR
- Verified proper coding, sequencing of diagnoses and accuracy of procedures.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
- Verified final claim submissions by comparing account charges with documentation.
- Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Thoroughly reviewed remittance codes from EOBS/AR's.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Quickly responded to staff and client inquiries regarding CPT codes.
Education and Training
High School Diploma : May 1994Immokalee High School － City, State
Associate of Arts : Health Information Technology, December 2016Southern Technical College At Fort Myers － City, State
Associate of Arts : Medical Billing And Coding, December 2016Southern Technical College At Fort Myers － City, State
Certifications
- Certified CPC, 2020
DISCLAIMER
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
Resume Strength
- Formatting
- Typos
Resume Overview
School Attended
- Immokalee High School
- Southern Technical College At Fort Myers
Job Titles Held:
- Medical Coding and Billing Specialist
- Office Manager
- Billing Manager
Degrees
- High School Diploma : May 1994
Associate of Arts : Health Information Technology , December 2016
Associate of Arts : Medical Billing And Coding , December 2016
Similar Resumes
