Seeking a challenging career as a Medical Billing, Coding and Collection specialist, delivering a wide variety of billing services to a medical group. More than 11 years of extensive experience as a Medical Biller and Coder
*AAPC Certified Professional Coder (CPC)
*Strong background in Medical Terminology, Medical Billing & Coding
*Experience with Advanced MediSoft, Office Ally, Prognosis and MediTouch and EPIC softwares.
Education and Training
Bachelor of Science (B.Sc: Chemistry and Zoology92Andhra UniversityBhimavaram, IndiaChemistry and Zoology
Web Design, Graphic Design, Adobe PhotoshopDec 2000Evergreen Valley CollegeSan Jose, Californiaand Adobe Illustrator Successfully completed web development classes Developed a Web site for Ananda Group Adult Community Education Sunnyvale, California Medical Terminology, Billing and Coding ---
Proficient with ICD-10, CPT-4 and HCPCS and modifiers
To enhance my efficiency, I have acquired strong skills in MS word, MS Excel, Typing and 10 keyboard
Self-motivated to learn new tools, innovative and efficient implementations and techniques.
Enjoy working in team environments, assisting and sharing knowledge with colleagues.
Creative, very well organized, excellent with numbers and visualization skills.
Remote and onsite work experience
Tool Set Office Ally, Advanced Medisoft, MediTouch, Epic Microsoft Word, Excel, Key boarding, Adobe Illustrator, Adobe Photo shop
Programming Languages HTML, JAVA Script, Visual Basic 5.0
RDBMS Oracle 7 Windows NT, XP, Mac
Remote Medical Coder -----02/2015 to CurrentStanford HealthcarePalo Alto, California
Involved in working denial queues by reviewing clinical documentation and extracting appropriate ICD-9-CM , ICD-10-CM and CPT-4 codes for multiple specialties.
Responsible for accurately coding outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, clinic, urgent care and observation service encounters) conditions and procedures as documented in the ICD-9-CM & ICD-10-CM Official Guidelines for Coding and Reporting.
Identify and report error patterns associated with the billing process Assisted in the design and implementation of work flow changes to reduce billing errors.
Assigned unique coding required by Medicare, Medi-Cal or other third party payers Experienced with Medassets and 3M CPT Assistant tools.
Familiar with NCCI edits.
01/2012 to 05/2012RevenueXL, IncCupertino, CA
Worked closely with offshore team in India and onsite with U.S providers Provided billing and coding guidance to the offshore team Unpaid claims follow-up Experience with PPO, HMO and Medicare claims Querying the providers if the documentation is not clear and also requested them to provide detail documentation for reimbursement.
Medical Biller12/2008 to 06/2014Aasha Pediatrics, IncSan Jose, California
Medical Biller and Coder for Group Practice ----- Create claims for PPO,HMO and Medi-cal and other third party claims Post payments and adjustments using Office ally and MediTouch Follow-up on unpaid accounts with the payers either by phone or via websites Perform provider appeals with the payers Fixing rejected claims and resubmitting to the payers as needed Entering Patient and insurance information Extremely familiar with Paper and electronic Claims Provided additional information for payer denials based on claim process adjudication Remote and Onsite experience.
Familiar with paper and electronic PM 160s claims for Medi-cal Verified insurance eligibility and claims status through online Sending bills to the patients for the balance dues Perform monthly AR reports and patient's Ledgers Ability to answer Billing questions Working knowledge of Collections Knowledge of enrolling the provider to Network Groups Experience with Electronic Medical Records (EMR) Extensive knowledge of ICD-9, CPT-4 , HCPCS and modifiers Querying the providers if the documentation is not clear and also requested them to provide detail documentation for betterreimbursement Attend billing/ coding seminars and webinars and Coder for Cardiology.
Medical Biller and Coder12/2005 to 06/2008Eternal Health Acupuncture CenterSan Jose, California
Posting charges and Payments using Medisoft Creating Paper Claims and transmitting electronic media claims Entering Patients information and procedure charges Collecting payments and checks Entering Patients and Insurance payments Coordinating with insurance carriers for the payments Generating Quarterly and Monthly Reports Entering appointments and making remainder calls Verifying Insurance information Follow-up with denied and rejected claims Experience in HMO, PPO, Auto and Worker's Comp Insurances.
Involved in Front Desk activities.
Adobe Illustrator, Adobe Photoshop, Adobe Photo shop, AR, balance, Billing, Cardiology, CPT coding, CPT, documentation, Electronic Medical Records, Graphic Design, HTML, ICD-10, ICD-9, Insurance, JAVA Script, keyboard, Mac, Medical Billing, Medical Terminology, Medisoft, MS Excel, Excel, Office, Windows NT, MS word, Microsoft Word, Network, Operating Systems, Oracle 7, Coding, Programming, RDBMS, Reporting, Self-motivated, seminars, surgery, phone, Typing, unique, urgent care, Visual Basic 5.0, Web Design, web development, websites, Web site, well organized