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Medical Coder/Billing

Yonkers, NY
March 29, 2019

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Rajiv Thomas

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

Yonkers, NY ****3



I am seeking a position with a progressive, reputable medical care facility with a focus on utilizing my education and training in medical billing and coding.

Qualification Summary

● ICD-10 Coding.

● Knowledge of medical terminology and human anatomy.

● Knowledge of CPT, E&M, HCPCS and diagnosis and procedure coding

● Able to perform charge review, claim submission, claim follow-up, payment posting and patient statements.

● Knowledge of preparing appropriate claim documents.

● Medicare, Medicaid & third party billing

● Ability to work and communicate in a positive, efficient and cooperative manner.

● HIPAA Compliant

● Proficient in Microsoft Office

May 2017 - Present

AMC, Westwood NJ - Medical Billing/Coding Specialist

● Managed a large portfolio of workers comp, no fault, denied and rejected claims for hospitals and physician groups to resolve payment denials

● Reviewed EOBs, UBO4, CMS1500, CPT/ICD10/E&M codes to understand details for rejections, payment and denials

● Performed all relevant duties involved with reconciling payments, appeals process, A/R follow-up along with knowledge of managed care guidelines and the follow up of all denied and underpaid claims.

● Handled all incoming/outgoing phone calls to patients and insurance carriers.

● Adhered to all HIPAA and confidentiality requirements with the responsible use of confidential information and company standards of compliance with policies and procedures.

● Proficient in Navinet, Nthrive and Foxpro

January 2005 - July 2015

RG Ltd Imports, Yonkers NY - Office Manager

● Handled 50+ customers per day, giving detailed, personalized, friendly and polite service to ensure customer retention and satisfaction.

● Possessed excellent customer service skills with customers regularly commending on received support.

● Performed basic accounting functions including cash reconciliations, wire transfers, and daily/weekly/monthly P&L reports

February 2001 - December 2005

Titan Capital, New York City - Equity Trader

● Developed daily trading strategies according to dynamic market conditions

● Trained new traders on the basics of market surveillance, stock picking and trade execution

● Certified series 7, 63, and 55 licenses.


December 2000- December 2002

Lehman College, Bronx

December 2015- December 2016

Roxbury Institute of Medical Management, Queens NY CPC in process

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