Medical High School
Resume:
Susan Hansen
Email: abpbh2@r.postjobfree.com
Address:
City: Wilmington
State: NC
Zip: 28404
Country: USA
Phone: 910-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Inpatient and outpatient records coding specialist with ICD-9, and CPT. Familiar with commercial and private insurance carriers.Seeking a position of responsibility.
Educational Background:
High School Dipolma from Cherry Hill High School East, Cherry Hill NJ 1/2001 to 6/1976 (general studies)
High School Dipolma from Cherry Hill High School East, Cherry Hill NJ 1/2001 to 10/2012
Job History / Details:
Professional Summary
Inpatient and outpatient records coding specialist with ICD-9, and CPT. Familiar with commercial and private insurance carriers.Seeking a position of responsibility.
Licenses
CPC/CPC-H Certification
currently expired
Skill Highlights
CPT and HCPCS coding
Internal medicine billing
Interpreting instruction
Quality assessment of coded data
HIPAA compliance
Medical billing software
Strong work ethic
Leadership skills
Strong attention to detail
Multi-tasking
Customer service
Office support (phones, faxing, filing)
Excellent verbal communication
Maintains strict confidentiality
Knowledge of HMOs, Medicare and Medicaid
OB-GYN, surgery, gastro, ENT, ortho experience
Knowledge of anatomy/physiology
Billing and collection procedures expert
Composed and professional demeanor
Resourceful and reliable worker
Professional Experience
Current to 10/22/2012 12:00:00 AM
Galligan family Chiropractic Wilmington, NC
Billing clerk
Precisely completed appropriate claims paperwork, documentation and system entry.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Thoroughly reviewed remittance codes from EOBS/AR's.
This has been a very part time position
October 2004 to March 2005
Wilmington Surgcare Wilmington, Inc
Coding clerk
Compiled necessary documents for surgical billing packages.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Resigned from position when I was diagnosed with cancer
September 2002 to October 2004
Dr Michael Reed OB/GYN Wilmington, NC
Office manager
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Updated patient financial information to guarantee accuracy.
Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Compiled and tracked outstanding balances owed to medical facilities.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Precisely completed appropriate claims paperwork, documentation and system entry.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Researched questions and concerns from providers and provided detailed responses.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Dr Reed relocated to Omaha Nebraska, very suddenly.
March 2002 to October 2004
Sina Surgical Wilmington, NC
Coding and Billing, Accounts receivable
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Updated patient financial information to guarantee accuracy.
Compiled and tracked outstanding balances owed to medical facilities.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Precisely completed appropriate claims paperwork, documentation and system entry.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Compiled necessary documents for surgical billing packages.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Thoroughly reviewed remittance codes from EOBS/AR's.
Posted charges, payments and adjustments.
Applied payments, adjustments and denials into medical manager system.
Submitted refund requests for claims paid in error.
Carefully prepared, reviewed and submitted patient statements.
Diligently filed and followed up on third party claims.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
I was laid off due to physician financial difficulty
March 1998 to September 2004
New Hanover Medical Group Wilmington, NC
Data Processing Supervisor
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Compiled necessary documents for surgical billing packages.
Performed qualitative analysis of records to ensure accuracy, internal consistency and correlation of recorded data.
Researched questions and concerns from providers and provided detailed responses.
Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
I was on the internal Compliance coordinator CommitteeAppropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
Posted charges, payments and adjustments.
Applied payments, adjustments and denials into medical manager system.
Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
Maintained strict patient and physician confidentiality.
Resourcefully used various coding books, procedure manuals and on-line encoders.
I resigned from NHMG, to advance my career as office manager for Dr. Reed
Education and Training
2002 American association of professional coders Wilmington, NC
CPC certification correct procedure coder
My certificate is currently expired, but am willing, and able to retest as necessary for employment
1976 Cherry Hill High School East Cherry Hill, NJ
High School Diploma
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