Customer Service Medical

CARMELA DAVIS-HARRIS

**** ***** ******** ** • ANTIOCH 94531

925-***-**** • *********@*****.***

Summary of Qualifications

• Medical coder for over 8 years in a hospital setting

• 14 years billing experience in hospital and physician setting with Medicare, Medical and Commercial

claims

• Knowledgeable of all aspects of denial management and collections

• Processed all payer claims following the timely filing guidelines

• Previously sent claims to secondary payer with EOB

• Aware of Revenue cycle management and the impact on claims processing

• Excellent ability to navigate patients charts and interact with medical databases

• Committed to strict patient confidentiality and strong working knowledge of HIPAA compliance

• Technical skills: ICD-9, CPT & HCPCS coding, EPIC and Quantim, and Microsoft software

• Trained in ICD-10 through Precyse University

Professional Experience

Alta Bates Summit Medical Center, Oakland, California

Coder, April 2005 – November 2013

• Processed 225 accounts per day at a 95% accuracy rate and met productivity goals

• Prioritized reports by highest dollar for the greatest impact on finance

• Maintained good relationships with Billing, Customer service, Physicians and other departments I

corresponded with in processing accounts for coding

• Managed accounts for three campuses and set new priorities daily while attending seminars and

training sessions

Alta Bates Summit Medical Center, Oakland, California

Biller, February 2003 – April 2005

• Processed claims for Medicare, Medi-cal and Commercial vendors

• Processed claims electronically

• Managed claims using Medi.com software to meet productivity goals

• Worked from daily, incomplete, held, reject and T-status reports

• Audited adjustments and late charges

• Updated skilled nursing facility claims as well as in hospital rehab accounts monthly

Education

University of Phoenix, Tempe, Arizona

Associate of Arts in Healthcare Administration, Concentration in Health care Management, November

2014 – Present

Los Medanos College, Antioch, California

Courses of study

• Medical Terminology- Completed

• Microsoft Excel- Completed

• Business English- Completed

Additional Information

Certifications: Certified Professional Coder (AAPC) 03/15, Shining star award for excellence, ABSMC

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