senior medical records coder and biller resume example with 14+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
, , 100 Montgomery St. 10th Floor
:
Summary
Inpatient and outpatient records coding specialist with ICD-9, ICD-10 and ASC coding expertise. Familiar with commercial and private insurance carriers. Seeking position of increased responsibility and authority. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations. Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules.
Skills
Data entry
Insurance billing
Friendly, positive attitude
Data management
Problem resolution
Medical record security
Healthcare claim coding
Education and Training
Dalton State CollegeDalton, GAExpected in ā ā:Early Childhood Education - GPA:
Kaplan UniversityDavenport, IAExpected in 12/2011 ā āCCA Certification:Medical Coding And Billing - GPA:
Experience
Camp Recovery - Senior Medical Records Coder and Biller Riverdale, GA, 04/2017 - Current
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Verified final claim submissions by comparing account charges with documentation.
Used Excel and Word to record weekly statements, including expenditures and balances.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Quickly responded to staff and client inquiries regarding CPT codes.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Increased office organization by developing filing system and customer database protocols.
Handled scheduling and managed timely and effective allocation of resources and calendars.
Conferred with business leaders to evaluate needs and strategize operational improvements to boost productivity.
Maintained office supplies inventory by checking stock and ordering new supplies as needed.
Liaised with customers, addressed inquiries, handled meeting requests and answer billing questions to provide outstanding customer care.
Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
Oversaw digital patient charting, including data entry and administrative duties regarding insurance, billing and accounts receivable.
Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.
Organized patient files and streamlined operations to improve efficiency.
Oversaw day-to-day office operations, including receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
Supported office needs including taking messages, scanning documents and routing business correspondence.
Verified insurance eligibility for patients by calling appropriate parties.
Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Reviewed and submitted workers' compensation claims for remittance.
Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
Elliot Health System - Medical Records Coder Remote Or Manchester, NH, 01/2012 - 04/2017
Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
Quickly responded to staff and client inquiries regarding CPT codes.
Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Communicated with healthcare personnel, including practitioners to promote accuracy.
Hamilton Medical Center - Admissions Registrar City, STATE, 08/2006 - 01/2012
Completed secretarial tasks such as faxing, bookkeeping and accurate document filing.
Helped patients with admissions process and adhered to state and federal laws.
Handled insurance claim duties and verified that each met standards of admissions.
Managed patient appointments, check-in procedures and invoices.
Spoke to patients upon arrival to determine if personal data or insurance information had changed.
Scheduled patient appointments and specific treatments.
Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
Created and maintained accurate and confidential patient files according to regulatory mandates.
Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
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