Remote Medical Coding
Resume:
Malina Opp, CPC
Fort Worth, TX **123
Email:************@*****.***
Career Summary
I have an extensive background in medical billing and coding; over 20 years in billing. I did a little coding during that time but really began coding over 5 years ago and have been certified for over 3 years now. I currently hold my CPC certification; and I have strong leadership skills with supervisory/management experience. I love the work I do and take great pride in it.
Work History
2017-Present Ciox Health (formerly ArroHealth)
Coding Specialist
Reviews, analyzes, and codes diagnostic information in a patient’s medical record based on client specific guidelines (HCC and/or CCC) for the project. Ensure compliance with established ICD-9/10 CM, DRGs coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Adhere to the official CMS or project specific coding guidelines.
2013-2017 eDirect Medical Billing Services Billing Manager
Coding and Billing of professional Orthopaedic charges, surgeries, including in office surgeries and daily clinic charges. Supervising and monitoring the work activities of billers and medical coders, reviewing the patient's medical data for accuracy, providing financial counseling, maintaining records of medical billing, developing process for collection and billing of medical claims, handling rejected and delinquent medical claims, conducting monthly medical billing audits, performing insurance claim follow up, analyzing billing process, providing training to newly hired billing staff, coordinating with insurance companies at the time of medical billing, maintaining accounts ledger, assisting and providing guidelines to the staff in completing billing work flow, managing electronic application and cash billing, and developing policies and procedures of the medical department. Review accounts for accuracy and follow-up. Prepare monthly reports-financials, trends/issues with insurance, as well as staffing issues, monthly training when necessary of policies and procedures. Review adjustment and refund requests for accuracy, as well as Collection and Bad Debt reporting. Send weekly emails to providers with coding changes/corrections with educational information as to why change and/or correction made.
2011-2013 RC Billing SR. AR Specialist
Daily follow-up of outstanding medical claims with payers, medical claim denial resolution, and medical claim appeals. Work entire AR report (credit balances, current and past due balances), work all incoming correspondence, such as submitting op report and various other records required to get claims paid, complete and process my own appeals. Complete insurance and patient refunds, submit appropriate adjustments as necessary. Take insurance and patient calls when necessary, contact insurance companies on regular basis for claim status.
2009-2010 Family Medicine Practice (Dr. Keith Lamy)
Biller
Coding & charge entry, track and review superbills daily. Review and work all bad debt accounts, and send accounts to collections when necessary. Post patient and insurance payments. Work all denials, file appeals when necessary. Fill out insurance forms. Counsel patients regarding their balance and set up payment plans when appropriate.
2007-2009 McBride Clinic Orthopedic Hospital Oklahoma City, OK
Business Office Supervisor
Oversee the day to day billing and receipts for patient hospital accounts. Train all new employees, review accounts for correct receipt posting (Insurance and Patient payments). Take care of all incoming patient complaints, via email, telephone or in person. Review and work all Bad Debt accounts. Compile monthly Bad Debt report. File appeals on accounts when necessary. Compile daily and monthly collection spreadsheets, as well as various other reports. Handle all patient questions and/or complaints. Charge entry, and/or removal or corrections when necessary. Work credit balance report. Work closely with the Physician’s office as well as Anesthesiologist’s office and other vendors.
Education
AAPC-CPC Certification
AAPC-Certified ICD-10 Proficient
Austin Community College
ICD-9, Francis Tuttle-2007
CPT Coding, Francis Tuttle-2007
Medical Terminology-Francis Tuttle-2007
Business Management, University of Phoenix
Basic Studies, Oklahoma State University-OKC
Basic Studies/Medical Terminology, Oklahoma City Community College
Skills/Training/Certification(s)
CPC Certification, Medical Terminology Certificate, Member of the Hospital Employee Council, Microsoft Word, Excel, Outlook, some PowerPoint. Quicken and Quick Books. Payroll and Benefits, Collections Law, Oklahoma and Texas Workers Compensation Fee Schedule(s). As well as Medicare and Medicaid guidelines. January 2014 and January 2016-attended Karen Zupko Conference
Software
CUBBS, Medisoft, Mysis/Tiger, RemitData, Allscripts Payer Path, AllMeds, APME, Supercoder, Centricity, Availity, Find-a-Code
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