In patient coding
Resume:
SANDRA STERLING, COC
Houston, TX 77015
ac7akt@r.postjobfree.com
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
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