Medical Billing

Tonya Aghughu

**** ******* *** ** ********* Fl, 678-***-****, ****************@*****.***

Skills summary: Experienced medical biller/coder with more than 10 years experience in billing, coding, project management, and A/R collections.

Extremely knowledgeable Medical billing and coding guidelines and billing and collections techniques. Proficient in the use (ICD-9, CPT-4,

HCPCS, and DRG s) codes, and payer web portals. Extensive experience in physician coding as well as inpatient hospital coding, outpatient coding,

and ambulatory surgery facility coding. I also have strong knowledge of Anatomy & Physiology, Advanced Medical Terminology, Psychology, and

Pharmacology. Efficient in using MS Office Software, including MS WORD, EXCEL, POWER POINT, in addition to various medical software

systems. Posse effective communication and interpersonal skills that make me to be a valuable team player. Certified Biller/Coder: Working toward

CPC.

Employment History

Medical Coder, biller & Collections, Comprehensive Medical GRP. 03/03–11/05

Lead Biller/Training Asst., Med Quest Associate 08/01-02/03

Front Office Manager, MedStop Medical Center 12/00-04/01

Medical Claims & Billing Specialist, Rex Hospital Systems 04/98-12/00

Cardiac Surgery, Greenville Memorial Hospital 12/96-12/97

Hospital Billing Clerk& In Pt claims specialist Richland Memorial Hospital 02/95-12/96

Professional Skills

•Microsoft Office •Typing (40 wpm) •Medical Soft wear

•Microsoft Windows •Office Procedures •Front office Management

•CPT and ICD-9 Coding •Claims audit /review •Customer Service Skills

•Medical Billing •Microsoft Excel •Medical Records Keeping

•Electronic Claims filing •Medical Terminology •Medical Records Audit

•On-line claims filing. •Accounts Receivable

•Insurance Collections •10 Key

Education

• Midlands Technical College, Columbia SC: Medical Office Management

G.P.A. 3.85/Attendance 100%

• Wake Technical College NC : advanced Billing and Coding for Hospital and Physician Coders

• Chattahoochee Technical College: Medical Billing and Coding

• Member AAPC since 2001

Employment Skills

•Highly experience in ICD-9 and CPT billing and coding •Delegated responsibilities to employees to meet practice needs

•Medical Billing and A/R Collections •Experienced in Coding directly from patient Medical record,

•Ability to work in a fast-paced atmosphere progress notes, path reports and operative notes

•Developed and maintained excellent customer relations •Well versed in a verity of medical soft ware

•Diplomatically resolved customers complaints on as-needed •Teaching & Training of Physicians and staff Members

basis •Ability to readily mastered new soft ware systems

•Accurately calculated and made daily deposits of up to Medicaid, Medicare, and workers compensation experience.

$20,000 Assisted in the development of a system to acquire patient

•Responsible for Payer claims over 100,000.00 or more medical record information necessary for the resolution of

•Motivated and supervised front office staff employees reimbursement issues with third party payers from our external

•Reviewed claims for billing and coding errors before practices

submitting to billers to bill

Tonya Aghughu Pg2

Work History Detail

03/2009-11/2009 Children’s Healthcare of Atlanta. Atlanta GA.

Inpatient Coder Level 2 Coded all types of patient medical charts. Day surgery, GI, Orthopedic, Cardiac surgeries,

Inpatient Stays, Observations stays And ER services Facility only.

03/2003-11/2005 Comprehensive Medical GRP. Smyrna, GA.

Medical reimbursement/Coder & Payment poster Rep. Responsible for posting all insurance payments from all payers

including government payers Like Medicare and Medicaid. A/R follows up on all unpaid services for all payers by

addressing and if needed correcting any or all of the following: incorrect coding, documentation or patient

demographic information. Obtained precertification and preauthorization of all medical services that required it.

Surgery scheduling for in patient surgeries Responsible for accurately coding and billing all in-patient and

out–patient orthopedic surgeries performed by our physicians. Filed claim forms for all payers including

Workers comp, Medicaid and Medicare. Worked Collections on A/R reports for all payer from 30 to 120

days outstanding. Maintained excel spreadsheet displaying reimbursement for procedures preformed On a

monthly basis. This position required that I have a clear understanding of billing guidelines for all privet,

state, and government payers and an understanding of the reimbursement process required for

adjudication. Review and audit patient accounts for billing errors and over bills for the purposes of education and

training in office staff.

08/01-02/03, Med quest Associate Alpharetta GA

Lead Biller/Coding Educator. Responsible for accurately coding and billing all in-patient and out–patient radiology

services performed by our physicians. Filed claim forms for all payers including Workers comp, Medicaid and

Medicare. Worked Collections on A/R reports for all payers from 30 to 120 days outstanding. Maintained excel

spreadsheet displaying reimbursement for procedures performed on a monthly basis. This position required that I have

a clear understanding of billing guidelines for all privet, state, and government payers and an understanding of the

reimbursement process required for adjudication.

12/00-04/01MedsStop Medical Center Wake forest N.C

Medical Coding/Asst Office Manager.

Filing of electronic and paper claims, Payment posting, assisted in< Responsible for training of all new front office

employees instrumental in the development of Front office policy and procedures assisting in speedy profitability.

Employment Brake: My husband past away in late January 2001 and I needed to take some time for bereavement.

04/1998-12/2000 Rex Hospital Systems CBO, Raleigh NC.

Medical coding/Reimbursement Specialist

Performing outpatient coding for Rex Hospital Physician medical centers

Responsible for accurately coding and billing physician procedures for both Hospitals in and out -patient services.

Posting of all Payments collected Patient payments as well as third party payments using EOBS.

Assisted in the development of a system to acquire patient medical record information necessary for the resolution of

reimbursement issues with third party payers from our external practices.

02/1995-12/1996 Richland Memorial Hospital

Hospital Billing Clerk/Front Desk Reception, .Billing and Coding of services with ICD-9, CPT-4, and HCPCS Level II

and III codes, processing 60 to 90 claims daily while maintaining 95% accuracy and achieving productivity goals.

Utilizing HBOC software and input information into computerized patient record system (CPRS). Duties also included

handling wide variety of medical claims including physical therapies, Orthopedics, Radiology, ENT, primary care and

psychiatry visits, dental, eye/vision, surgeries, diagnostic testing, ER, and E&M. Permanently complied with PA

regulations and JCAHO requirements for coding

Tonya AghughuPg3

Specialties

• Oncology 3-5 years billing and coding admissions/encounters involving Chemotherapy, Immunotherapy and

radiation therapy.

•Radiology3-5 years coding outpatient and inpatient radiologic services.

•Orthopedics3-10 years coding procedures from medical records for E/M services.

•Cardiology 3-5 years medical records coding for procedures and E/M services.

• Pediatrics3-5 years Coding E/M services and outpatient procedures.

• 3-5 years Inpatient ICU and CCU Medical record coding

Contact this candidate