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Manager Medical

Location:
Oak Park, IL
Salary:
OPEN
Posted:
July 29, 2014

Contact this candidate

Resume:

CHRISTOPHER S. JOHNSON

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

Oak Park, IL 60304

Cell: 708-***-**** Home: 708-***-****

Email: *******@*****.***

CAREER SUMMARY

Healthcare Billing and Coding professional with 15 years of experience in Cardiology, and General Surgery Departments,

within a Physician’s Practice, and Hospital environments. Specialty training in Medical Terminology, CPT, ICD – 9 CM

Coding, Coding Practicum, CCS Prep, CCA Prep, Medical Billing & Coding Specialist.

COMPUTER SKILLS AND SYSTEMS:

Proficient in EPIC, MEDITECH, 3M CODING, ATHENA, CRANEWARE, MEDICAL MANAGER, SOARIAN, IDX,

NDAS, ECARE, GPMS, CYCLOGIC, MEDI PAC, ACCUMAIL billing and coding.

Software Application: MS-Word, MS-Excel, MS-Office Outlook, Power Point, Lotus Notes

Operating Systems: Windows

ACCOMPLISHMENTS:

• Member of the Rush University Transplant Team Advisory Council.

• Employee of the Year (2003) in Rush University Cardiologists.

• Developed a tracking system for the missing encounters and increased efficiency in entering the charges on timely

manner which substantial increased revenue for the department.

• Designed and organized filing system for the Transplant Department, which smoothed the work flow process and helped

to retrieve the files quickly.

PROFESSIONAL EXPERIENCE

NORWEGIAN AMERICAN HOSPITAL, Chicago, Illinois May 2012 thru Mar 2014

Worked for Norwegian American Hospital thru CFS Temp Agency Mar 2011 thru May 2012

Physician Coder

Responsible for coding the physician billing for Inpatient and Outpatient and Physician Specialty Center.

• Transcribe the surgical procedures from physician’s reports in General Surgery and OB-Gynecology, Neurology, Podiatry,

ENT, Wound Clinic, Home Health, Nursing Homes, Hospitalist and other Departments.

• Provide medical coding for the Physicians in the Women’s Health Center, Physician Specialty Podiatry, Otolaryngologist

and other specialties.

FRESENIUS MEDICAL CARE, Westchester, Illinois Sept 2010 thru Feb 2011

Patient Accounts Representative

Responsible for Aging Account Receivables collections from Commercial Insurances.

• Assigned to Chicago Billing Group, processed Denials, Appeals, Recoupment’s and Claim Responses for Humana,

Advocate, HMO and other commercial insurances. UB-04 Claims were sent to Primary & Secondary Insurances.

RUSH UNIVERSITY TRANSPLANT, Chicago, Illinois Mar 2006 thru Dec 2009

Billing & Coding Coordinator

Responsible for data processing of all the charge entry and coding for the Rush University Transplant, University

Nephrologists, University Hepatologists,Vascular Access and other Satellite offices.

• Handled Outpatient & Inpatient charges for the Transplant, Nephrologists, Hepatologists, Vascular Access, and Rush

University Transplant Downers Grove Office & Rush Oak Park Hospital Office.

• Processed Transplant surgery charges for Kidney, Liver, Pancreas, Biopsies and other diagnostic surgical procedures.

• Processed charges for the procurement of organs and generated the invoices for the outside OPO sites.

• Organ Acquisition charges for the Transplant and Hospital Billing charges for the Transplant Surgeons.

• Converted Procedures Codes for NSQIP, Department of Quality Improvement.

• Collected the co pays from the Clinic Front Office Coordinators and balanced the amount and deposited at Rush

University Main Cashier’s Office and the same was entered into a Monthly Deposit Log sheet.

• Worked on Vyridian Revenue Management (Rush out source billing department) weekly grids on denials.

• Updated Charge Review Work queue on a weekly basis on pending charges pertaining to patient’s insurances, referring

physicians and coordination of benefits.

• Coordinated with the Doctor’s pertaining to the transplants operative reports and followed up with the Manager, Health

Information Management, and Medical Records.

• Reconciled on a monthly basis with the Liver and Kidney Coordinators, Data Administrator, Finance Manager, Clinical

Manager, Operational Manager & Transplant Administrator, for the Month End closing.

CHRISTOPHER S. JOHNSON PAGE 2

ILLINOIS STATE POLICE, Joliet, Illinois Jan 2006 to Mar 2006

Intermittent Clerk

• Obtained the criminal history record information and updated the same in the Illinois State Police and Chicago Police

Service Departmental records.

REVENUE CYCLE SOLUTIONS, Westchester, IL Feb 2005 to Jan 2006

Patient Account Associate

• Processed the Commercial Insurances, Medicare and Medicaid follow-up for Presbyterian Health Services, Physicians

Billing Services & Mercy Hospital Medical Center.

CLAIM STRATEGIES, INC., Oak Brook, Illinois Oct 2004 to Jan 2005

Medical Insurance Collection Specialist

• Assigned to University of Chicago Physicians Group, processed the Commercial Insurances collection.

Claims Associate

• Assigned to Advocate MSO, processed Denial and Claim Responses for Humana, HMO and Commercial Insurances.

Medical Insurance Coder

• Assigned to ECB Billing processed Emergency Room Billing and Coding for Hinsdale & La Grange Hospitals.

RUSH UNIVERSITY CARDIOLOGISTS, Chicago, Illinois June 1999 to Dec 2003

Billing Analyst

Responsible for data processing of all Rush office visit services, monthly Blood Labs, Holter Monitors, Echoes and Infusion

Clinic with IDX & GPMS software.

• Handled coding for office visits, monthly Blood Labs, Holter Monitors and Hospital in-patients Cardiology Rounds List.

• The Rounds List responsibilities included updating the in-patients transfers, discharges and adding new admissions for

Cardiology Physicians by using PCIS & Hospital Census and Registration.

• Responsible for the billing and insurance coding conversion and data processing of the in-patients Hospital Rounds List

for the Cardiology Department.

• Reviewed and verified all Physicians’ coding for accuracy and to confirm the correct CPT-4 & ICD-9 CM codes with the

individual physicians.

• Performed Alpha Numeric checks on all office visits with Alpha II coding software.

• Audited office visits and tracked the missing encounter forms.

• Confirmed the office visit for correct billing by reviewing and verifying the medical charts of the patients which ensured

accuracy.

• Contacted patients to complete the proper referring Doctor and hospital/clinic information.

• Attained the referring physicians’ UPIN number and address by researching the Internet and calling the physician’s office

to confirm the correct information.

• Followed-up in-patient appointments referrals for Physicians at the office/clinic site.

• Effectively answered patients’ calls related to medical billing and general information of the clinic.

EDUCATION:

Certified Medical Billing & Coding Specialist, NHA, New Jersey, U.S.A.

Master of Arts, Osmania University, Hyderabad, A.P., India

(Credentials equivalency certified by Educational Credentials Evaluators Inc., Milwaukee, Wisconsin).

Post – Graduate in Tourism & Travel, State Technical Education Board Hyderabad, A.P., India

(Credentials equivalency certified by Educational Credentials Evaluators Inc., Milwaukee, Wisconsin).

Bachelor of Law (Discontinued), Osmania University, Hyderabad, A.P., India.

Continued Education at Rush University Medical Center:

• Medical Terminology

• Introduction to CPT 4 Coding

• Introduction to ICD –9-CM Coding

• Coding Practicum

• Certified Coding Specialist Prep

• Certified Coding Associate Prep

• Eligible to appear for AHIMA CCA / CCS Examination

CHRISTOPHER S. JOHNSON PAGE 3



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