SHELLY ST. HILL

abg539@r.postjobfree.com

916-***-****

Summary of Qualifications

• Five years medical coding and auditing experience

• Two years medical claims billing and follow up experience

• Working knowledge of medical diagnostic and procedural terminology

• Extensive knowledge of CPT-4, ICD-9 and HCPCS codes

• Detail-oriented, accurate and consistent

Professional Experience

USCB Inc., Sacramento, CA (UC Davis Medical Center) March 2009 – present

Patient Biller

• Research UC Davis AR reports to determine appropriate action

• Follow up on claims billed to private insurance, HMO, GMC and Workers

Compensation

• Communicate with insurance companies via phone, fax and e-mail

• Write appeal letters; assemble medical records and other documentation for appeals

• Interpret contracts for proper reimbursement

• Audit, research and adjust accounts, follow up on denials

Progressive Insurance, Albany, NY January 2003 – February 2008

Medical Coder II

• Investigate bill payments for reconsideration/disputes apply interest if applicable

• Verify documentation against claim for medical necessity and identify discrepancies

• Abstract codes from Outpatient records for auto accident encounters to ensure correct

reimbursement

• Assign proper codes using my knowledge, classification manuals, and CPT-4 & ICD-9

coding books

King Brothers Building, Delmar, NY December 1998 – January 2003

Bookkeeper

• Calculate, post and distribute employee payroll

• Manage A/P and A/R, as well as weekly, monthly and quarterly billing

• General ledger postings

Education

Diploma, Medical Insurance Billing and Coding, Heald College, Rancho Cordova, CA

2008

A.A.S., Accounting, Hudson Valley Community College, Troy, NY 1999

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