** ********* *** ************, ** ***** • 770-***-**** • ***************@*****.***
Shayla Roberts
Certified Professional Coder
A skilled certified coder credentialed through the AAPC with 4 years of working knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third party payer requirements regarding coding and billing. Extensively knowledgeable in human diseases, pharmacology and medical terminology.
Professional Experience
August 2017- Present Harbin Clinic Rome, GA
Certified Coding Analyst
Harbin Clinic is the largest privately owned multispecialty medical clinic with more than 140 doctors from 35 different specialties.
Proficient skills in the execution of facility coding, physician coding, outpatient coding and inpatient hospital coding procedures.
Inspiring abilities in the operation of Athena systems and Microsoft oriented software applications such as Excel, Word and PowerPoint.
Knowledgeable in different areas like Pharmacology, Anatomy & Physiology, Advanced Medical Terminology, and knowledge of utmost quality related to medical coding methods and guidelines, including ICD-10, HCPCS, and CPT-4.
Sustaining the accuracy of data inserted in the company software and proficiency of 500+ claim corrections per month and ability to communicate in a professional manner.
October 2013- August 2017 Northside Medical Specialists Canton, GA
Billing Manager
Looking after the common office duties such as processing deposits, making payments, etc.
Prepare and review patient statements and resolve patient issues regarding billing and charges.
Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.
Process and follow up on payer denials, consulting with the patient and/or their family as needed.
Post insurance and patient payments in a timely manner.
Abstracting and entering claim information, submitting claims to insurance and following up with insurance carriers on rejected and unpaid claims.
Qualifications
Experience in outpatient E/M, outpatient and inpatient hospital and facility coding.
Familiar with state, commercial and private insurance carriers and their policies
Proficient with Microsoft Office Suite
Professional appearance and demeanor
Solid communication skills both written and verbal
Ability to be resourceful and proactive in dealing with issues that may arise
Ability to organize, multitask, prioritize and work under pressure
Proficient in AMS, Athena Net and eClinical Works EMR systems
Resourceful, reliable and detail oriented
Education
May 2008- July 2015 Chattahoochee Technical College Marietta, GA
Healthcare Assistant Certificate
CPC Certification Accredited by AAPC
ICD-10-CM Proficiency Certification Accredited by AAPC
References
References are available on request.