Staten Island, New York 10304
Mobile : 347-***-****
OBJECTIVE: Coding and medical billing for over ten years has grounded me in the healthcare field. As a Certified Professional Coder I strive to deliver the highest accuracy of coding and maximizing my revenue. I look to assist in the development, review and assessment of a company’s goals for success.
Healthcare Associates in Medicine, P.C.
09/17- Current Staten Island, New York
Analyze accounts receivable and correct all problems
Initiate appeals of denials of payment for services
Thorough knowledge concerning patient confidentiality and HIPAA rules
Met all productivity and collection goals including dollars collected and accounts handled
Educating coding requirements to improve coding quality to maximize revenue
Audit reviews for documentation and sharing of information with other departments
Research and reconciliation of denied claims for reimbursement.
Use strong analytical skills to collect, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.
Posting of payment, adjustment and recoupment transactions.
Coordinate with other coding staff to ensure reportable services are captured and assigned.
Good ability to interpret rules and regulations set by Medicaid, Medicare and commercial payors
Pedia-Care Physicians, PLLC
07/10 – 12/15 Brooklyn, New York
Coder/ Billing Manager
Assign appropriate CPT codes, ICD and modifiers
Compose claims files and submit to clearinghouse, handling rejections and acceptance reports.
Ensure accurate resolution of claims held due to edits, charge errors and/or reimbursement conflicts
Follow claims cycle
Coordinate and manage claims projects
Track payer revenue performance
Identify trends and further review
Maximize reimbursement from 3rd party insurers
Perform software updates/upgrades and daily maintenance on workstations and SQL server
SFTP interfacing with third parties
POS system management
Monitor insurance verifications, referrals and authorizations
Post payments, adjustments and write-offs
Follow-up and collection of overdue AR accounts
Maintain up to date expertise and knowledge of healthcare billing laws, regulations and developments
Create reports from various data extraction
Evaluate payer updates and recommend improvements to achieve more positive results
Prepare documents for audits/chart review
Communicate and supply charge capture
Code documents using CPT, HCPCS and ICD-10
Marine Park Pediatrics
03/07 – 05/09 Brooklyn, NY
Ensured the cleanliness, sanitation and maintenance of all exam rooms and equipment.
Proficient in computer usage and knowledge of various applications (e.g. MS Excel, MS Word, MS PowerPoint, Medware, and Versaform)
Gathered and assessed office needs and developed functional specifications for improving protocol.
Demonstrated efficient handling of administrative duties (scheduling appointments, maintaining medical records, and insurance verification)
Helped implement practice’s quality assurance and control program. Efforts ensured compliance with HIPAA, CLIA and OSHA regulations
Performed daily Quality Control on various machines including calibration with controls.
Taking patient medical histories and vital signs, performing venipunctures, injections and various diagnostic procedures and ancillary tests (e.g., immunoassays, hematology, urinalysis, and chemistry analysis)
Knowledgeable in medical terminology, disease processes and pharmacology.
Verifying insurance and navigating insurance websites.
College of Staten Island, Staten Island, NewYork 09/15-01/19
Completion of Associates of Arts and Science
Member of Verrazano Program for Academic Excellence
Member of the LGBT and Psychology Club
Certified Professional Coder - AAPC
Franklin Career Institute, Brooklyn, New York 09/05 - 06/07
Nationally Certified Clinical Medical Assistant – Graduated June 2007