MARIA COPPOLA, CPC

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

Tampa, FL 33624 abioq2@r.postjobfree.com 813-***-**** / cell

MEDICAL CODING / BILLING

...Proficient in planning and executing projects in time-critical

environments...

Confident, articulate, and results-oriented professional offering strong

skills in medical insurance coding. Enthusiastic with a proven track record

of prioritizing work flow, meeting deadlines, establishing and maintaining

superior quality control standards, and contributing to the attainment of

corporate objectives. Proficient in medical coding using CPT4, ICD-9-CM,

and HCPCS, word processing, and 10-key by touch. Detail-oriented organized

team player; reliable and

loyal with an exceptional work ethic. Computer literate: Microsoft Word,

Excel, Outlook and Internet.

EDUCATION

CPC attained through the AAPC September 2006

CONCORDE CAREER INSTITUTE, Tampa, FL

Coursework: May 2004

? Medical Terminology and Anatomy ? CPT, ICD-9-CM, and HCPCS Coding

WILLIAM PATERSON UNIVERSITY, Wayne, NJ Bachelor of Arts

PROFESSIONAL BACKGROUND

NATIONAL SOURCING, INC. July 2008 - September 2010

A nationwide healthcare services company

Outpatient Medical Coder - CPC/Contractor for Macdill AFB

Review Electronic Health Records to ensure accuracy in coding. Capture all

diagnosis and procedures using the most current ICD-9, CPT, HCPCS, and DoD

coding guidelines. Code an average of 125 encounters per day while

maintaining an accuracy rate of 95%. Request clarification from providers

when treatment rendered is not clear. Provide training to physician and

nursing staff as needed to ensure compliance with documentation

requirements and to improve the overall quality of data. Coding review

areas consist of Mental Health, Family Medicine, Pediatrics, Nutritional

Medicine, GYN and Ophthalmology.

TRISTAR MANAGED CARE March 2008 - June 2008

Remote bill review for Workers' compensation claims

Sr. Technical Billing Analyst - CPC

Review provider appeals received on CMS-1500 and UB-4 claim forms. Apply

any changes and/or corrections sent in by the provider. Determine if all

charge lines have been processed and paid in accordance with CPT coding

rules, CCI edits, and state fee schedules.

COVENTRY HEALTH CARE (formerly CONCENTRA), Tampa, FL April 2004 - March

2008

High volume production environment in workers' compensation bill review

Technical Claims Specialist - CPC

Secondary bill review for E/M, Physical Therapy and Chiropractic CPT codes

submitted by the providers. Audit each claim to determine if the

documentation submitted supports what has been billed on the claim form.

Make recommendations for allowances according to CPT coding rules, CCI

edits, and state fee schedule guidelines. Review Appeals to determine if an

additional allowance is due based upon new documentation, which may have

been submitted.

Appeal Specialist

Analyze provider appeals received from previously reviewed CMS-1500 and UB-

4 claims. Apply any changes and/or corrections submitted. Determine if

all charge lines have been processed and paid in accordance with all coding

rules, state fee schedules and individual account guidelines, including

correct PPO reductions. Review invoices submitted for implant charges

against operative reports to determine proper reimbursement.

Bill Review Auditor

Process workers' compensation CMS-1500 and UB-4 claims utilizing CPT, ICD-

9, HCPCS, DRG, Revenue and

Charge-master codes. Resolve bill errors to ensure proper allowances have

been made to the provider.

Contact this candidate