medical coder, CPC CPC-H

Valerie Battle Borders, CPC-H, CPC

**** * **** ** #**, Tampa Florida 33615

813-***-**** home#; 813-***-**** cell#; ***********@*****.***

E D UCAT IO N:

H illsborough Community College - A.A.

Degree in Liberal Arts 2001 and Health Information –Medical Coder Certificate 2007

Certified Professional Coder (CPC)-2005 &

Certified Professional Coder-Hospital- CPC-H-2004 through American Academy of Professional Coders

WORK EXPER I E NCE:

Medical Billing Solutions: Surgery Pa rtners. Tampa Florida September 2005-

P resent

Coding M anager (2008-P resent)

Coding Supervisor (2007-2008)

Lead Coder (2005-2006)

Coder (2005)

Responsibility includes: A uditing/Educating/Overseeing 6 coders for Surgery Partners, MBS. Code/Audit all H IGH

DOLLAR DME implants Cases. Educate/Communicate all changes, updates to CEO, Physicians, facility

administrators and coders for 13 Ambulatory Surgery Centers, 4 Pain management offices, 1 MRI facility, 1 Physical

T herapy center and 10 Anesthesia Professional centers. We code anesthesia, pain management, orthopedics,

ophthalmology, podiatry, general surgery, plastic surgery, laboratory, radiology, physical therapy, E/M, office and

hospital consults. We code CPT, ICD-9CM, HCPCS, and Volume 3 Procedure codes utilizing TruCode, Supercoder and

E ncoderPro.com to verify LCDs, cross codes and CCI edits .

T eam Health Radiology, Tampa Florida April 2005-August

2005

Radiology Coder

Responsibility included: Medical Coder for several Radiologists in the state of Georgia, Florida, Indianapolis,

Tennessee, Ohio, Michigan, and New Jersey for hospital and physicians. Responsible for reporting all CPT and ICD9

codes. P rocessed and worked coding error denials.

U nited Healthcare, O ldsmar Florida Dec.2004-April-2005

Auditor/Claims P rocessor

Responsibility included: Processing, adjusting medical claims. Audit coding based on medical records review and

appeals.

Tampa Bay Women’s Healthcare Alliance, Tampa Florida Dec.2002-Dec.2004

A/R Representative

Responsibility included: Medical billing for OBGYN practice to all carriers. Resolve all medical coding issues.

Appealed underpayments and contract issues. Appling contractual adjustments, refunds and payment posting for 54

OBGYN physicians within the Tampa Bay Area.

Quest Diagnostic, Tampa Florida Dec.1999-Dec.2002

I nsurance Specialist

Responsibility included: Medical Billing for Laboratory Practice to various carriers for all 50 states. Reviewed medical

results for clients. Charge entry of CPT and ICD-9CM codes. Refunds and Adjustments. Processed Explanation of

benefits for all carriers. Customer Service and Quality Assurance. Promoted to Insurance Specialist after a year.

Responsible for researching coding and billing. Sending out 2nd to 3rd level appeals. Worked with Provider relations on

major contract issues.

Moffitt Cancer Center, Tampa Florida Dec.1999-Oct.1998

Medical Records Team Lead

Responsibility included: Leader of medical records and medical release of information departments. Assembled,

A nalyzed, and Audit charts. Worked with Physicians to get proper signatures and document charts. Supervised

Medical Records department of 12 employees. Training, updating and keeping everyone HIPPA compliance.

Physician Resource Network, Tampa Florida Jun.1996-Dec.1999

Collector

Responsibility include: Billing, basic CPT coding for Cardiologist. Processed Explanation of benefits, refunds and

Adjustment. Responsible for writing appeals on timely filing, coding, and contract issues. Responsible for obtaining

referrals prior to patient visits.

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