Seeking a position with Medical A/R Revenue Solutions, LLC that will provide opportunities for growth and advancement, utilizing the knowledge and skills acquired from an education in professional medical coding and billing.
Knowledge of medical terminology.
Knowledge of anatomy, physiology, pathophysiology, and pharmacology.
Knowledge of medical coding and billing fundamentals.
Utilization of ICD-10-CM, ICD-10 PCS, CPT, and HCPCS II.
Familiarity with HIM reimbursement processes.
Familiarity with HIPAA.
Strong analytical skills.
Strong communication and customer service skills.
EDUCATION AND TRAINING
Professional Medical Coding and BillingCareer Step
AHIMA-approved 640 hour curriculum.
Graduated with honors.
Massage TherapyScherer Institute of Natural Healing － Santa Fe, NM, USA
Bachelor of Arts: AnthropologyFlorida State University － Tallahassee, FL, USA
05/2015 to 05/2016
Medical Disability ExaminerDepartment of Health, Division of Disability Determinations － Tallahassee, FL
Managed an electronic caseload, utilizing multiple computer screens and typed case notes.
Ensured timely processing of claims.
Communicated directly with claimants, medical facilities, and attorneys to obtain required information.
Secured and analyzed a variety of medical records to document the presence of disabling physical and mental impairments.
Rendered formal written decisions of disability based upon the evidentiary requirements of Social Security laws and regulations.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
12/2013 to 05/2015
Appeals RefereeDEO, Office of Appeals － Tallahassee, FL
Conducted single and two-party telephone hearings.
Questioned each party to obtain vital information.
Reviewed documentary evidence.
Wrote and issued formal decisions regarding a claimant's eligibility for receipt of reemployment assistance benefits under the law based upon the testimony taken and the submitted documentary evidence.
05/2011 to 12/2013
Medical Disability ReviewerShook and Stone, Chtd. － Las Vegas, NV
Managed case assignments electronically and remotely.
Reviewed and analyzed a variety of medical records to extract medical evidence to support alleged disabilities.
Created exhibit outlines of the medical evidence of record.
Ensured timely processing of outlines.
09/2004 to 04/2011
Office AssistantGrandview Golf Club － Spencer, TN
Maintained employee records, benefits, payroll, and bookkeeping.