Tammy Anthony, CPC

Fairburn, GA *****

770-***-****

OBJECTIVE: Medical Coder position

PROFESSIONAL EXPERIENCE:

Patient Account Rep/Medical Coder Multi-Specialty Physician Group

Emory Healthcare / The Emory Clinic Decatur, GA 1/2012 - Present

Resolve any issues delaying payment including identifying claims requiring appeals to unbundle

procedures, diagnosis and CPT code errors making the appropriate correction by reviewing medical notes

then refiling claims to the appropriate insurance carrier. Follow up on unpaid medical claims and denials

compiled from an AR spreadsheet. Contact insurance carriers (Medicaid, Amerigroup, Peach state,

Wellcare) to determine status of claim payment. Forwarding EOBs to 2ndry carriers, answers

correspondence/telephone calls from insurance companies . Multi-Specialty physician group.

MICROSOFT WORD & EXCEL (working knowledge)

GE CENTRICITY, IDX, ISUITE, CLAIM LOGIC, INSURANCE PAYER WEBSITES

Medical Insurance Biller/Collector

Southeastern Gynecologic Oncology at St. Joseph’s Medial Group Atlanta, GA 11/2004 – 1/2012

I specialize in billing and collections for Government payers (Medicare, Medicaid and Tricare). Enter and

bill all Medicaid charges on the online web portal for processing. Work directly with the precertification

and preauthorization team to ensure the necessary precerts were obtained for billing. Rebill and

followed-up on unpaid medical claims. Receive and review EOB denials. Make the necessary

corrections to claims such as CPT/ICD codes by reviewing the medical notes, adding modifiers,

generating appeals for reconsideration to insurance carriers for payment. Work from a monthly accounts

receivable report. Obtain and maintain monthly AR collection goal. Multi-Specialty physician

group

Medial Insurance Collector

PAPP CLINIC, Newnan, GA 10/1999-11/2004

Follow up on any unpaid medical claims. Contact insurance carriers (Medicare, Medicaid, United

Healthcare, BCBS and others) to determine status of claim payment. Resolve any issues delaying

payment including identifying claims requiring appeals to unbundle procedures by adding modifiers,

reviewing physician notes to make corrections to CPT/ICD9 coding errors then rebilling claims.

Forwarding EOBs to 2ndry carriers, answers correspondence/telephone calls from insurance companies.

EDUCATION:

CPC (Certified Professional Coder) - AAPC

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