Manager High School

Confidential User

Email: abqrsq@r.postjobfree.com

Address: Address Withheld

City: dundalk

State: MD

Zip: 21221

Country: USA

Phone: 443-***-****

Skill Level: Experienced

Salary Range: $45,000

Primary Skills/Experience:

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Educational Background:

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Job History / Details:

Resume of: Melissa Kiss CPC Dundalk, MD 21222 443-***-****

Professional Experience:

02/12-Present University of Maryland CBO Coding Specialist I

Experience with ICD 9, CPT, HCC and HCPCS coding and their guidelines. Knowledge of medical auditing for accurate coding.

Knowledge of HIPPA rules and regulations.

Complete Coding from physician's inpatient and outpatient encounter charts using ICD 9 codes, and CPT as well as HCPS codes as needed. Aurora, RealMed, Epic and Citrix software for efficient data input and researching Researching patient charts for accuracy of physician documentation to ensure coding is compliant with coding guidelines and regulations. Working with Physicians to make sure medical records are documented or amended with payable diagnosis codes, relating to Medicare and other payer guidelines. Communicating with management and staff to make sure there is a steady work flow. Communicating with physicians head staff to make sure all encounters are submitted to me for coding and entered in a timely manner to meet month end expectations. Review all inquiries from the billing staff regarding coding corrections or payer specific coding corrections and correcting them in a timely manner. Daily encounters coded are 500-1000 05/07-02/12 Mercy Medical Center A.R specialist Responsible for the performance of timely, accurate and appropriate responses to phone inquiries from members, providers, insurance plans and or concerned parties, documenting accounts and to manage accurately any correspondence received concerning the disposition of the claims for the hospital I represent. This includes documentation and management of files CPT and ICD-9 coding for accuracy, legality, and reimbursement, research of denied, rejected, and improperly paid claims Reviewed and analyzed various reports, including AR analysis and productivity reports and reviews with Manager Meet with payer representative for review reimbursement issues on at least quarterly basis. Knowledge of ICD-9 and CPT coding and guidelines Was responsible for serving as a team member of a receivables processing unit for multiple entities and establish relationships at all facilities familiar with each institution's computer environment and payer contracts Provided superior services of accounting principles that directly impact the account receivables. Assist with training of new hire and existing staff to insure proper collection and other required procedures within the accounting department. 01/06-04/07 Civic development group Administrative Assistant Entered employee time daily for accurate payroll Clerical filing of employee's files and evaluations Answered phones for call center Created daily spreadsheets with Excel for the day's productivity of call center Conducted floor meetings for the floor manager and their staff Basic office up keep for a steady workflow for lead team members Reviewed all disciplinary actions from managers and filed into employees files along with following through with the actions of the write up's 06/04-12/05 Genesis Health Care Cromwell Center Activity Assistance Was responsible for daily activity and recreational therapy with the elderly of the Dementia/Alzheimer's unit Daily communication and planning and coordinating of information flow within the dementia/Alzheimer's unit Conducted weekly activity and recreational therapy project for the patients aboard within the units Updated family members and management with the assigned activity that was given for the units Helped patients to remember and to maintain a routine on a day to day basis, reminisce & performance to keep their minds active Performed other responsibility assigned by department manager and supervisor. Planned the daily activity and recreational therapy on Microsoft word and submitted to management for approval Perform variety administrative duties. Transporting patient to and from daily activity's, rooms & dining area Perform other responsibilities provided by the department manager-supervisor. Education: 2011 Certified Professional Coder Coding Academy of America 2001 High School Diploma Overlea High School, Baltimore MD Professional Memberships AAPC Skills: Excel-Spread Sheeting Microsoft Outlook Data Entry 40 WPM 11,100 KPH

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