CPC
Resume:
Bridget Ortega CPC, CMA (AAPC), CPT
Berwyn, IL 60402
Phone: 708-***-****
Email: ***************@*****.***
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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