Manager Medical

Maria L. Forgione, CPC

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

Northford, CT 06472

203-***-**** (h) **********@***.***

OBJECTIVE: To secure a position in remote medical coding or billing

utilizing coding certification, medical terminology knowledge and

billing knowledge, and experience from the medical field.

EDUCATION:

Albertus Magnus College, New Haven, CT

B.A. Communications, December 1999. Cumulative GPA: 3.54

EXPERIENCE:

Yale University, New Haven, CT

July 2006 - March 2009

Account Assistant IV/Coder, Diagnostic Radiology

. Certified Professional Coder, worked remotely.

. Coded radiology reports daily; CT Scans, MRIs, plain films,

ultrasound, PET scans, mammography and breast exams, and nuclear

cardiac exams.

. Responsible for analyzing un-billable radiology reports as

identified in the CodeRyte system by coder. Reviewed un-billable

reports for appropriate action of either returning to

Radiologist for documentation and/or technologist for scheduling

errors. This task is approximately 150 reports per week.

. Responsible for managing and coding addendum and pending queues

in CodeRyte when processing un-billable reports. Reviewed queues

daily determining either release report for coding or deleting

if duplicate via addendum queue.

. Worked under the general direction of the Clinical Practice

Manager and Head Coder, provided IDX and administrative support

for the practice management section of the department. Based on

the knowledge of coding requirements and regulations, did

analyses, interpreted and communicated current practice issues

and trends impacting on the ability to maximize clinical

revenues.

. Responsible for receiving clinical encounter forms, reviewing

for completeness, entering charges into the IDX system and

working the missing charges report with follow up with clinic

provider and staff as needed.

. Responsible for monthly reporting for the un-billable reports

activity. Monitor by radiologists and type of return for review

by YDR Administration and YNHH. Worked with Head Coder

identifying documentation education patterns by Radiologist

and/or coder.

. Experience with IDX, SDK, CodeRyte system, EnCoder Pro.

Dr. Nkemakonam Ikekpeazu, General Surgeon, West Haven, CT

December 2004 - June 2006

Office Manager/ Billing Manager

. Coded surgical reports and office visits.

. Transcription of office surgeries and office visits.

. Entered and maintained patient demographics, charges for

surgeries and office visits.

. Responsible for accounts receivable.

. Communicated referring providers to create and maintain

efficient and cohesive relationships.

. Supervised all staff and coordinated all employees scheduling.

. Experience with Medisoft.

American Cancer Society, Meriden, CT

November 2003 - December 2004

Development Associate

. Entered data and provided all support for three Relays for Life.

. Maintained and tracked accounts payable information for Income

Development Department in Meriden, CT office.

Connecticut Gastroenterology Consultants, P.C., New Haven, CT

November 2000 - November 2003

Insurance Coordinator

. Responsible for pre-certification of outpatient procedures.

. Entered and maintained billing information for eight doctors in

Medical Manager.

. Followed up on insurance companies for accounts managed.

. Communicated with doctors on a regular basis in order to create

and maintain more productive billing methods.

. Responsible for A/R of Anthem Blue Cross. Brought A/R down

$10,000 in one month.

Connecticut Medical Claims Management, Inc., Guilford, CT

August 1997 - November 2000

Account Manager/Assistant Account Manager

. Entered and maintained billing information for several area

doctors using ProMed & Medical Manager.

. Followed up with insurance companies on outstanding claims for

accounts managed.

. Communicated regularly with staff of various clients to create

and maintain efficient and cohesive relationships.

. Submitted HCFAs and electronic claims to insurance companies.

Skills and Abilities:

. Well- developed computer skills with proficiency in MS Word and

Excel, Powerpoint and Microsoft Office Live.

. Effective oral and written communication skills.

. Advanced charge entry skills.

. Excellent organizational and analytical skills.

. Ability to work effectively as a team member.

. Ability to work, plan, research and conduct projects with

minimal supervision.

. Ability to organize and prioritize workload to manage multiple

tasks and meet deadlines.

. Knowledge of ICD-9 and CPT-4 coding systems, medical terminology

and computerized patient information systems.

. CPC certified

REFERENCES:

Available upon request.

Contact this candidate