Resume

Sign in

In patient coding

Location:
Houston, TX
Salary:
$44,000
Posted:
October 05, 2018

Contact this candidate

Resume:

SANDRA STERLING, COC

*** *********** ***

Houston, TX 77015

ac7akt@r.postjobfree.com

832-***-****

EDUCATION

ULTIMATE MEDICAL ACADEMY

Associate in Science Degree – Medical Billing & Coding, 01/2015 (GPA: 3.98)

Medical Billing & Coding Diploma, 07/2014 (GPA: 4.00)

AAPC National COC Certification 5/2018

I am a very detailed and organized person. I can work in a team or individually. I am AAPC COC, Certified and I am responsible for assigning specific codes to particular medical treatments at various health care facilities. These codes are used to bill insurance companies so they get reimbursed for treating the patients.

I have extensive knowledge base in Research and Writing Skills, Analyzing and Solving Issues, Business

Completed an intensive, accredited training program which included:

Anatomy and Physiology, Disease Processes, Surgical Procedures, Life Cycle of an Insurance Claim, Health Care Settings, Health Care Payers, Procedure and Diagnosis Coding from Medical Records, Reimbursement Systems, Keyboarding, Word Processing, Medical Practice Management Systems and Life Skills for Success

PROFESSIONAL EXPERIENCE

DR. MICHAEL STAVINOHA, Houston, TX Sep 2017-to present

Certified Coding/Billing Specialist

Coding Colonoscopies and EGD

Code pathology reports

Schedule procedures with the surgery center

Medical Coding/Billing of claims, payer experience in claim process, coding

reimbursement

Verify insurance benefits

Educate patients on their responsibilities of deductibles, co-insurance and out of pocket

E/M for outpatients and in patients

Obtain pre certs for all requiring procedures

Collect patient responsibility

In/Out patient coding, auditing experience on charts for correct diagnosis

ENFINA EMERGENCY ROOM, Houston, TX Jul 2006 – Aug 2017

Reimbursement/Coding/Billing Specialist

Provide administrative support to physician practices.

Scheduled ER physicians for our clinics based in Houston, San Antonio, Beaumont and Dallas areas.

Answered 250 inbound calls per day using a multi-line phone computerized phone system

Enter refund checks, to patients and the insurance carrier via spreadsheet and separated EOB forms and patient payments.

E/M coding for out patient

Medical billing/coding for Emergency Room Department

Collect co pays, co- insurance, and deductibles.

Insurance verification, Collect patient responsibility

Outpatient coding, auditing charts for correct ICD-10 diagnosis and CPT codes for all

Procedures and services performed.

Maintains the confidentiality of patient records and procedures

Skills in interpreting, understanding and regulations following professional standard

practices,

ROSE DIAGNOSTIC CENTER, Houston, TX Apr 1999-June 2006

Radiology Assistant/Coding/Billing Specialist

Identified and resolved patient billing issues and coded surgical procedures

Medical coding and billing for Radiologist

Hung mammography and diagnostic films for the radiologist to read.

Processed pathology reports; downloaded mammogram and diagnostic reports.

Received Employee of the Month recognition.

Pulled films for scheduled appointments.

Insurance verification, pre-certs and authorizations for procedures

Collect co pays, coinsurance, deductibles

E/M coding for out patient

JOHN R SCHMITT, MD, Houston, TX Mar 1984 – Mar 1999

Front Desk Associate

Answer phone

Schedule appointments/procedures

Verify insurance

Precept procedures

Collect co-payments/deductibles/co-insurance

File all insurance claims

E/M coding for in patient/out patient

Billing/coding of claims

Claim follow-up

Post payments

Daily bank deposits

In patient coding, chart auditing experience, supply correct ICD-9/ICD-10 for all diagnosis

Outpatient coding, auditing charts for correct ICD-10 diagnosis and CPT codes.

For all procedures and services performed.

TECHICAL EXPERTISE:

Microsoft Excel, Outlook, Word, PenRad; Aria, NextGen, HealthFusion, MDSuite, Perp, EMR AXIA, Eclinicals, GCP, Seasoft, E-Clinicals



Contact this candidate