LiveCareer-Resume

medical coding auditor resume example with 1+ 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

I am Highly skilled in reviewing the patients charts and documents and assigning medical codes by ensuring 100% accuracy. very skillful at managing and updating the invoices, creating medical claims, handling insurance verification, and proficient in communicating with the insurance companies. Highly capable and detailed-oriented, seeking remote medical coding position to utilize and enhance industry knowledge, coding experience and education in a growth oriented company. I am looking forward to bringing knowledge and experience in the administrative, billing, and customer service fields to a successful company that offers room for advancement and growth. I am able to learn new tasks quickly and proficiently.

Skills
  • Effectively code ICD-9 and ICD-10 outpatient records
  • Successfully query clinicians with technical guidance
  • Good working knowledge of HCC coding
  • Proficiently billed claims electronically and manually
  • Exemplary planning and organizational skills
  • Medical terminology expert
  • Billing and collection procedures expert
  • ICD-10 (International Classification of Disease Systems)
  • Records management professional
  • Hospital inpatient and outpatient records
  • Understanding anesthesia coding
  • Patient referrals expery
  • DRG and PC grouping
  • Understands insurance benefits
  • Close attention to detail
  • Resourceful and reliable worker
  • Office management professional
  • Excellent problem solver
  • Excellent verbal communication
  • Close attention to detail
  • Adept multitasker
  • Data Entry
  • Reading Comprehension
  • CPT Codes
  • HIPPA
  • Modifier 26
  • Greeting customers with positive greeting.
  • Take messages and answer basic client questions.
  • Understand and use special record notations and make appropriate notes in patient records.
  • Greeting customers entering the establishment, determined nature and purpose of visit.
  • Taking in medical record/history for the vet techs as well as going over the relevant history and initial complaints with the veterinarian.
  • Answering phone calls and forwarding calls
  • Transmit information or documents to customers, using computer
  • Processing payments over the phone
  • answered an average number of calls per day by dressing customer inquiries and solving issues or concerns clients may have
  • Make request policy and account change.
  • Respond to questions and concerns about service, and escalate calls appropriately.
  • Consult with customers to evaluate needs and determine best option.
  • Counsel customers on options for service and coverage.
  • Upgrade service and offer additional service packages or options.
  • Consistently improve customer satisfaction through expert resolution of conflicts, issues, and concerns.
Work History
Medical Coding Auditor, 04/2019 to 11/2019
Cleveland ClinicAmherst, OH,


  • Remote position where a "pre-bill" review of codes assigned by the facility or provider, eliminating the need for resubmission of claims, reducing 'red-flags' for review by CMS.
  • The review process includes physician queries, physician education and coding staff training.
  • Outpatient review for most appropriate ICD-9-CM, CPT codes, and/or APC; including outpatient surgery and interventional radiology Emergency Department facility acuity levels, physician E&M coding Physician Practice E&M coding and primary coding Recommendations always include specific education as to why recommendation was made.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Conscientiously reviewed medical record information to identify appropriate coding based on CMS HCC categories.
  • Initiated, performed and documented quarterly coding audits for physicians.
  • Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
Medical Coder, 07/2020 to 08/2021
First American FinancialNewark, OH,


  • outpatient Medical Coder who reviewed and abstracted relevant clinical data / medical records to select and sequence the appropriate ICD-9-CM diagnosis and CPT codes.
  • Efficiently and accurately input codes into computer system, EHR Checking / verifying medical charts for accuracy and ensuring all information, signatures, dates, etc., for a completed chart Knowledge of federal, legal, insurance and company regulations and guidelines Exhibit sound knowledge of medical terminology Research, appeal and resubmit denied claims with follow-up Coded ER, outpatient, radiology, outpatient surgery and labs.
Remote Customer Service Representative, 05/2023 to Current
MedusindCity, STATE,


  • Greeting customers over the phone with positive greeting.
  • Take messages and answer basic client questions.
  • Understand and use special record notations and make appropriate notes in patient records.
  • Taking in medical record/history as well as going over the relevant history and initial complaints with the patient
  • Responsible for keeping correspondence via email and fax with other hospitals and clinics regarding patients records, referrals, and insurance as well as requests for appointments and filing medications.
  • Answering phone calls and forwarding calls
  • Transmit information or documents to customers, using computer, mail and fax machine.
  • Processing payments and handling collections
  • understanding and use special record/history for the vet techs as well as going over the relevant history and initial complaints with veterinarians
  • answered an average number of calls per day by dressing customer inquiries and solving issues or concerns clients may have
  • Answer customer telephone calls regarding existing accounts.
  • Make request policy and account change.
  • Respond to questions and concerns about service, and escalate calls appropriately.
  • Consult with customers to evaluate needs and determine best option.
  • Counsel customers on options for service and coverage.
  • Upgrade service and offer additional service packages or options.
  • Consistently improve customer satisfaction through expert resolution of conflicts, issues, and concerns.
  • applying HIPPA regulations for every call
Education
: Medical Billing And Coding , Expected in 11/2023 to Medcerts - Livonia, MI,
GPA:
High School Diploma: , Expected in 05/2017 to Monticello High School - San Antonio, TX,
GPA:

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

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.

Resume Overview

School Attended

  • Medcerts
  • Monticello High School

Job Titles Held:

  • Medical Coding Auditor
  • Medical Coder
  • Remote Customer Service Representative

Degrees

  • High School Diploma

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: