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Billing/Coding

Location:
Covington, GA
Posted:
June 21, 2014

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Resume:

Jeannette Baptiste, CPC *** Creek Way Conyers, GA.

***** 678-***-****

jonashae@yahoo.c

om

Summary of Qualifications

Results-oriented Certified Professional Coder/ Medical Billing Professional with 10

plus years’ experience in medical claims examining, medical claims processing, medical

collection, business administration, relationship management, and customer service.

Highly skilled in performing coder duties pertinent to ICD-9, CPT, HCPCS and DRG

standards and techniques. Strong proficiency of physician coding, in and outpatient

coding as well as facility.

Lexicode, Forest Park, Ga. 2013 to 2014

Remote E/D & OutPatient Coder

Reviews, analyzes, and codes medical record documentation to include, but not limited

to, medical diagnostic and procedural information for ED/Physicians submit correct ICD-

9 and /or ID-10 and CPT codes. Reviews documentation for medical necessity. Abstracts

information, as appropriate. Audits orders and claims before submission for entirety and

accuracy and to minimize claim denials. Assesses records and prepares reports.

Merge: Dekalb Medical Physicians Group, Decatur, Ga. 2013 to 2014

Patient Account Representative

• Manage outpatient coding for medical centers registered with the hospital.

• Process a minimum of 100 claims a day conforming to ICD-9 and CPT standards

and techniques.

Rockbridge Family Medicine, Stone Mountain, Ga. 2012 to 2013

Medical Billing&Coding/Collection Specialist

• Improved revenue for most recent provider over 32% with same patient load.

Ensure 300 claims daily are entered and submitted with 48 hours of receipt using

EMR. Accurately apply payments to patient accounts.

• Post and reconcile insurance and patient payments. Research and resolve incorrect

payments, EOB rejections, and other issues with outstanding accounts. Retrieve

Electronic Remittance Advice (ERA's) Insure office practices are in compliance

with HIPAA regulations.

Family Care Clinic Pediatrics, Norcross, Ga. 2007 to 2011

Billing/Coding Specialist

• Executed all aspects of medical billing.

• Accomplished electronic filing of daily office visits 70-100 claims to all

Commercial Insurance companies including Medicaid; CMO Commercial Plans

transmit through McKesson system.

• Analyzed and resubmit any denied claims in a timely manner.

• Post-insurance and patient payments totaling over $150,000 weekly.

• Assist front office staff with daily functions; manage AR report starting at

$500,000 and achieve the goal of reducing AR to $180.000 on a weekly basis.

Gwinnett Health System, Lawrenceville, Ga. 2004 to 2007

Patient Account Representative

• Performed day to day functions associated with coding, abstracting and revenue

cycle.

• Reviewed patient records for proper documentation.

• Assigned ICD-9-CM codes for procedures and diagnoses.

• Entered and verified abstract data elements.

• Reviewed and resolved claim issues captured in CLAIMS edits and the clearing

house.

• Performed billing and coding procedures for outpatient Professional-Fees

services.

Licenses and Certifications

AAPC- Certified Professional Coder



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