Post Job Free

Resume

Sign in

Medical Quality Assurance

Location:
Saint Petersburg, FL, 33705
Posted:
October 06, 2010

Contact this candidate

Resume:

ASHLEY BEACHUM **** **TH STREET SOUTH ST. PETE, FL 33705

(cpc, cBCs) HOME: 727-***-****

CELL: 727-***-****

abj19n@r.postjobfree.com

Certified professional coder

MEDICAL OFFICE MANAGEMENT ---DATA ENTRY (65WPM) ---HCPCS

CODING ---MICROSOFT OFFICE

CPT/ICD-9 CODING ---INSURANCE PROCESSING

INSURANCE VERIFICATION

MRA CODING ---EMR BILLING

EDUCATION

Hillsbourgh Community College - 2010 - Present

Health Information Management in a Medical office

Excelisor Technical Institute June 2009 - August 2010

Certified Professional Coder, CPC 2010

AAPC : License#01163098

Florida Career College June 2008 - Mar 2009

Certified Medical Billing and Coding Specialist, CMBCS 2009

NHA: License#255-6410

High School Diploma, DIXIE HOLLINS HIGH SCHOOL - Kenneth City, FL 33788

Professional Experience

CLAIMS RESOLUTION CENTER - PASADENA, FL

QUALITY ASSURANCE SPECIALIST, 2008 to 2010

Auditing doctors' patients' charts for various Oncology practices worldwide

to assure neither drugs nor office visits were sent to insurance company

under billed. Skills include:

* CPT/ICD and HCPCS CODING

* SEARCHING FOR BILLED CODINGS AND VARIOUS MEDICAL SYSTEMS

* PROVIDING AUDITORS WITH APPROIXATE PATIENT CHARTS TO AUDIT OR CODE.

* NAVIGATING THROUGH VARIOUS SYSTEMS TO LOCATE PATIENT INFOMRATION

* NAVIGATING THROUGH VARIOUS SYSTEMS TO VERIFY THAT CORRECT SERVICE CODES

HAVE BEEN BILLED CORRECTLY.

* SCANNING PATIENTS CHARTS INTO THE SYSTEM TO BE REVIEWED BY AUDITOR TO

CHECK FOR UNDERBILLED AND OVERBILLED CHARGED

* VERIFYING ALL DOCUMENTATION IS NOTED IN PATIENTS CHARTS FOR THE SERVICES

BILLED

CLAIMS RESOLUTION CENTER- PASADENA, FL

MEDICAL COLLECTOR, 2007-2008

* CONTACTING THIRD PARTY INSURANCE COMPANIES REGARDS DENIED MEDICAL CLAIMS

* SUBMITTING MEDICAL CLAIMS TO INSURANCE COMPANIES TO OBTAIN PAYMENTS FOR

SERVICES

* SUBMITTING MEDICAL DOCUMENTATION AND PROOF OF TIMELY FILING WITH DENIED

CLAIMS

* POSTING PAYMENTS TO PATIENTS ACCOUNT FOR PAID SERVICES RENDERED

SKILLS/Medical Programs : Medi-soft, Medical Manager, AS- 400, Next-Gen,

Perfect Care, Medinformax, Pulse, Centricity, Med-Anywhere, Mysis Tiger,

Intergy, and DOS

Tranings: Certified Professional Coder Boot Camp - 2010

REFERENCES UPON REQUEST



Contact this candidate