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Medical Coder CPC

Location:
Blytheville, AR, 72315
Posted:
October 04, 2013

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Resume:

OBJECTIVE

TERESA

To obtain a position in the medical field that will allow me to use my knowledge

CLARK of medical office procedures and medical billing and coding.

EXPERIENCE

**** ***** ******

Blytheville, AR 72315

Insurance Consultant, HealthOne

870-***-**** Blytheville, AR Present July 2008

● Responsible for accurate coding and abstracting of clinical information

************@*****.*** from medical records

● Knowledge of medical terminology

● Accurately assign ICD 9 codes and CPT codes

● Bill insurance claims automated and manually using HCFA 1500

forms and UB 92 and UB04 forms

● Sequence diagnosis and procedures

● Follow hospital coding guidelines

● Three years use of 3M encoder

● Identify issues resulting in non payment of claims due to internal and

external issues.

● Apply insurance payments from checks EFT’s.

● Help front office when needed checking patients charts and file back

when needed, balancing money at the end of day, updating patient

information as well as insurance verification, and answer phones.

● Performed medical coding and billing functions using CPT and ICD

codes.

● Processed insurance claims using the system.

● Assembled, filed and retrieved medical charts.

● Analyzed patient charts to research deficiencies.

● Verified insurance coverage, and updated electronic computer files

and patients’ charts.

● Print UBs and itemized bills.

● Conduct field reports on patients.

● Admitted patients to the hospital.

● Registered patients for outpatient services.

● Merged patient charts.

● Faxed paperwork to correct party.

● Assisted medical staff with treating patients.

● Properly code diagnosis.

● Monitor unpaid claims.

● Monitor third party records.

● Resubmit claims.

● Prepare and submit claims electronically and by paper.

● Answer questions from patients, staff and insurance companies.

● Identify and resolves patients billing complaints.

● Evaluate patient financial status and establish budget payment plans.

● Follows and report status of delinquent accounts.

● Prepare information for collection agencies.

● Perform various collection actions.

● Correct and resubmit claims to third party.

● Prepare daily deposit.

● Adhere to HIPPA guidelines and regulations.

● Maintain supporting documentation of files.

● Receive and receipt cash payments.

● Balance daily batches.

● Prepare documentation for legal inquiries, litigation and court

appearances.

● Enter invoices into account payable system.

● Prepare and issue checks.

● Collect delinquent payments.

● Initiates claims against estates for unpaid accounts.

Quality Assurance, Tenaris

Blytheville, AR June 2008 June 2003

● Measure pipe.

● Check pipe for inside and outside mistakes.

● Conduct hourly checks on pipe.

● Size cut off saw.

● Kick pipe up on table.

● Clean up machine after shift.

● Mark pipe for mistakes.

● Paint the end of pipe.

EDUCATION

Ashworth College

Medical Coding and Billing March 2013 January 2013

● Graduated.

● Received CPC and RHIT certification.

Arkansas Northeastern College

Office Technology May 2003 June 2001

● Made the Dean’s List all four semesters.

SKILLS

● Trilingual (English, Spanish and French).

● Can type 90 words a minute.

● Extensive experience with Microsoft Office (2003, 2007, 2010, 2013)

● Advance use of 3M encoder’

REFERENCES

Available upon request.



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