Medical Coder

Areliours Allen, CPC

**S*** Ivy Lane Apt **C * Willowbrook, IL 60527 * 773-***-**** * *********@*****.***

Professional Objective

To support the successful growth within a healthcare setting as a Coding Specialist that will allow me to use my acquired skills and experiences.

Qualifications Summary

Proficient in ICD-10, ICD-9, CPT, PCS, DSM-IV, HCPCS, billing, and coding guideline

Strong knowledge of Medical Terminology, and Anatomy and Physiology

Knowledgeable in all aspects of insurance including Medicare, Medicaid, and other third-party payers

Data entry skills, 45 wpm, 10 key calculator, Microsoft Word, Excel, and Power Point

Cerner, 3M, 3M 360, Epic, Centricity, Medisoft, NDAS, Provider Connect, Citrix-Star Navigator, E-Rin, and MEDI-IEC System

Experience

Remote Coding Specialist nThrive 2015-2018

Assigned ICD-10-CM, ICD-10-PCS and/or CPT codes, as appropriate, for Ancillary, Emergency Department, Same Day Surgery, and Observation services using Epic EMR system with the assistance of the 3M encoder

Responsible for correcting NCCI edits and coding errors

Queried providers as needed to ensure coding and documentation compliance

Maintained a 95% accuracy rate and achieving productivity goals

Remote Coding Specialist Medix 2015-2017

Performed outpatient coding for the PCG Clinic at University of Chicago Medical Center

Demonstrated knowledge and ability to assign ICD-9 and ICD-10 codes to the highest specificity ensuring that diagnostic codes and documentation support the visit encounter

Queried providers as needed to ensure coding and documentation compliance

Maintained a 95% accuracy rate and daily production of greater than 55-65 charts per day

Coding Specialist Children’s Surgical Foundation 2014-2015

Performed outpatient and inpatient coding and billing functions for Lurie Children’s Hospital Surgeons

Audited, assigned, and sequenced codes based on documentation, in accordance with coding guidelines

Queried and worked closely with providers to educate and ensure understanding of documentation and coding guidelines

Entered charges into billing system and correct errors related to coding

Responsible for working weekly denials in conjunction with the AR follow up team

Biller/Coder Mercy Hospital & Medical Center 2010-2014

Abstracted pertinent information from medical records to assign the appropriate ICD-9 and HCPCS codes

Reviewed patient encounter forms to ensure accuracy and completeness prior to inputting charges; taking the necessary action to correct the encounter forms by contacting the therapist

Verified patients’ insurance coverage

Prepared and submitted 60 to 75 Medicaid claims directly to HFS while maintaining 97% accuracy

Followed up on unpaid claims within standard billing cycle timeframe

Completed case opening/registration process and revised every six months through Provider Connect

Education

University of Phoenix 2013

Bachelor’s Degree-Healthcare Administration/Health Information Systems GPA: 3.6

Taylor Business Institute 2009

Associates Degree-Medical Billing Specialist GPA: 4.0

Certification

AAPC: Certified Professional Coder (CPC) 2013

AHIMA: Certified Coding Specialist (CCS) 2015

References are available upon request

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