Obtain employment as a Billing and Coding Specialist, utilizing extensive knowledge of medical terminology, insurance policies, knowledge of CPT, HCPCS, and ICD-10-CM coding, and Electronic Data Interchange.
Proficient in medical terminology, physiology and human anatomy, knowledge of ICD-10-CM/PCS, HCPCS, & CPT coding, familiar with NCCI Edits, NCDs, and LCDs. Collection and accounting of patients, insurance companies, TPAs, Billing and coding requirements pertaining to Medicare, Medicaid, Tricare, Worker’s Compensation, and commercial payers. Payment and remit posting, appeals, and denials. Understanding of EDI HIPAA 5010 requirements and usage. Use of Epic, Citrix, Medtech, Springcharts, Emdeon, Relay Health(ePremis), and Microsoft Office software.
Certified Billing and Coding Specialist (CBCs)
Certified Medical Administrative Assistant (CMAA)
Certified Electronic Health Record Specialist (CEHRs)
The Privacy Rule and Health Care Practice Certificate of Completion
Precision Machining Technology Program Certificate of Completion
Seco Milling Principles Certificate of Completion
Manufacturing Technology Program Certificate of Completion
Clifton Cleaners June 2018 – Current
Part-time. Inspect and assemble customer orders.
Premier Physicians March 2016 – September 2016
Billing and Coding Specialist
Reviewed documentation, entered data, and submitted professional charges to appropriate entities. Corresponded with Doctors and staff for utilization and organization of billing. Worked COBs, rejections, and insurance denials. Reconciled outstanding accounts. Provided customer service and entered payments.
Aerotek – The Cleveland Clinic Main Campus July 2015 – March 2016 Internal Med/Infectious Disease/IMPACT Professional Fee Coder
Reviewed clinical information for reimbursement, research, and compliance. Identified and applied diagnosis codes, CPT codes, and modifiers as appropriate. Ensured billing discrepancies were corrected. Compared and reconciled patient schedules/registration to billing and medical record documentation for accurate charge submission, processed professional charges, and facility charges. Investigated and resolved charge errors. Worked denials, and appeals. Communicated with providers and other support staff. Resolved Customer service issues relating to coding and reimbursement.
MSN Healthcare Solutions – Lorain, Ohio August 2014 – July 2015
Radiology/Pathology Billing Specialist
Tickler representative, demographics, patient accounts, charge posting, corrected coding and billing errors, processed clean claims, EDI representative (clearing house rejections and Payor IDs), denials and appeals.
Practice Management Consultants - Rocky River, Ohio Fall 2013
180 Hour Externship – Behavioral Health
Entered provider and patient data, verified patient eligibility and benefits; collect, post, and managed account payments, corrected and resubmitted claims to payors.
Polaris Career Center
Middleburg Heights, Ohio
Medical Billing & Coding
University Of Phoenix Online
Associate of Arts, Health Care Administration/ Medical Records
2008 - 2012