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CPC

Location:
Berwyn, IL
Posted:
July 10, 2014

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Resume:

Bridget Ortega CPC, CMA (AAPC), CPT

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

Berwyn, IL 60402

Phone: 708-***-****

Email: acexfj@r.postjobfree.com

Objective

In search for an opportunity where I can utilize my abilities, within an organization that offers room for growth.

Education

Robert Morris College

Associates in Applied Science

Degree in Allied Health

Major in Medical Assisting

Awards, Fellowships, Grants

John Q. Adams Honor Award

Positions Held

08/2006-Present, Coder

Medical Billing Specialist

Code to the highest specificity for Anesthesia, Pain Management and E/M services

Educate providers on correct coding guidelines, policies and audits

Identify coding problems that could stagger collections

Data entry and payment posting

Train the coding staff

Act as a liaison between, Patient Accounts Secretaries and Follow up Representatives on denial

research due to coding issues

Verify patient eligibility & insurance benefit coverage through ECARE & C-Snap

04/2012-4/2013, Lead Coder

McKesson

Appended both Professional and Technical fee services to E/M visits

Performed Quality Assurance Audits

Assisted in Creating Pathways

Lead the EDGE compliance committee

Assisted with creating curriculum and instructing CORE (AAPC based Coding Class)

Indexed Anesthesia records

09/2012-01/2013, Coder

AdvantEdge Healthcare Solutions

Coded to the highest specificity for Anesthesia, Pain Management and E/M services

Identify coding issues that have the potential to stagger collections

Perform E/M Audits

03/2012-09/2012, Instructor

Computer Systems Institute

Instruct an AHIMA based curriculum on Medical Coding & Billing

Instruct on Law & Ethics in Health care

Instruct Medical Assistant administrative courses

Provide extra assistance, resources and time to ensure all participants understand the course concepts and are

able to meet rigorous organizational standards

Ensure all administrative functions are accurately completed on time

10/2004-08/2006, Senior Coder

Orland Primary Care Specialist

Coded to the highest specificity for Pediatric, Internal medicine, Radiology, SNF, CLIA waved Pathology

services and Hospital services

Maintained and updated fee schedules

Obtained reimbursement through clean claim submission, while adhering to managed healthcare policies and

procedures

Educated providers on correct coding guidelines and policies

Registered patients and Scheduled Appointments

Verified patient eligibility & insurance benefit coverage through ECARE & C-Snap

01/2004-10/2004, Coder

Healthcare Information Services, LLC

Coded to the highest specificity for Diagnostic Radiology and Anesthesia services

Obtained reimbursement through clean claim submission, while adhering to managed healthcare policies and

procedures

04/2003-11/2003, Patient Account Manager & Team Lead

KLO Professional Billing, Inc.

Managed a staff of 3

Coded to the highest specificity for Internal Medicine, Chemical Dependency, Obstetrics and Pediatric

services

Managed Accounts Receivables and Accounts Payables

Data entry of patient demographics and charges

Audited & analyzed physicians services and then advised the physician on how to financially enhance his/her

practice

Verified patient eligibility & insurance benefit coverage through ECARE & C-Snap

Obtained reimbursement through clean claim submission, while adhering to managed healthcare policies and

procedures

02/2001-4/2003, Patient Account Manager

Specialized Medical Billing

Managed Accounts Receivables and Accounts Payables for three clients

Data entry of patient demographics and charges

Coded to the highest specificity for Internal Medicine, Rheumatology, Physical Therapy and Anesthesia

Obtained reimbursement through clean claim submission, while adhering to managed healthcare policies and

procedures

Maintained and updated fee schedule

Audited & analyzed the physicians services and then advised the physician on how to financially enhance

his/her practice

Verified patient eligibility & insurance benefit coverage through ECARE & C-Snap

Balanced each client daily and deposited their patient & insurance payments

Trained the administrative staff for the Internal Medicine and Rheumatology clients

Professional Organizations & Certifications

American Association of Professional Coders, CPC Certification No. 0008238

American Association of Medical Assistants, CMA Certification No. 74700

National Phlebotomy Association, CPT Certification No. 07-0489Y97

Computer & Software Skills

Type 65 WPM

Excel Lytec Zotec Traknet Encoder

Power Point Data Breeze GE ACM nAbleMD

Microsoft MedisoftAppmed Plus Patient Keeper

NexGen Meditech Epic Citrix



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