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CPC

Location:
Brookhaven, PA
Posted:
August 07, 2014

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Resume:

Michelle Freeman

***

* ****** ***, **********, **

***** ****: 610-***-**** -

Cell: 484-***-**** :

**********@*****.***

Career Overview

Well-qualified and

Articulate Certified

Professional Coder

looking for a challenging

and rewarding career

using my knowledge and

resources acquired

through my 10 years of

experience and

education. Very

ambitious and always

striving to better myself.

As a quality-focused

professional I have

achieved many career

goals. I consider myself

an asset to any

corporation willing to give

me the opportunity to

prove myself.

Skill Highlights

wledge • Meets/exceeds goals

• Cerner software knowledge • Self-starter

• HIPAA compliance • Attention to detail

• Microsoft Office skills • Computer Proficiency

• Physician billing • Organizational Skills

0• Current

Procedural

Terminology

(CPT)

0• Medical

terminology

Core Accomplishments

0• Certified

Professional

Coder through

AAPC.

0• Earn by

yearly

Continuin

g

Educatio

n Units

yearly by

attending

seminars,

education

al

sessions

offered

through

my

employer

as well as

audio

conferenc

es.

Professional Experience

Professional Fee

Abstractor

April 2008 to Current

A.I. DuPont Hospital for

Children/ Nemours –

Wilmington, Delaware

Responsible to abstract

inpatient charts for

physician based services.

Currently specializing in but

not limited to

Hematology/Oncology

Services, General Pediatric

Services and Emergency

Medicine Services .

Abstracting the progress

notes written by the

attending physician and

assigning the appropriate

E/M codes based on their

documentation. Also,

abstracting any and all

procedures done by

physician, ex Lumbar

Punctures, Moderate

Sedation, Splints etc. This

facility is also a teaching

facility, so I am responsible

to understand the rules

when residents and

students document charts.

Maintain an open

relationship with the

physicians which consist of

sending emails informing

the physicians of any and

all missing documentation

that may have hindered

their billing or lowered their

level of service. Also,

participating in education

sessions, seminars and

audio conferences as well

as attending physician

meetings monthly.

Billing Coordinator/ CPC

February 2003 to March

2008

Rose Tree Medical –

Media, Pennsylvania

Responsible for all medical

coding and charge entry for

this eight doctors

practice.Various place of

service settings including:

Office, Hospital, Nursing

Home, Assisted Living,

Skilled Nursing and House

Calls . Knowledge of the

ICD-9 and CPT codes as

well as insurance company

policies and procedures.

Created and researched

reports for rejected claims

and A/R follow-up.

Generated monthly aging-

A/R reports for physicians.

Responsible for verifying

patient insurance eligibility,

depositing any and all

monies paid by the patients

as well as insurance

companies. Oversaw

accounts payable for the

physician fees to the

various nursing homes they

serviced. Physician

credentialing performed for

all new physicians hired.

Senior Accounts Receivable Representative

October 2001 to February 2003

Crozer Keystone Health System – Chester, Pennsylvania

Perform account follow-up on aged reports for specific physician offices. Specializing in all Insurances,i.e. Medicare,

PPO, HMO, Medicaid, Auto Insurance and Workers Compensation Insurance. Reviewing and correcting all itemized

bills for accuracy and appropriateness of charges base on CPT coding, ICD-9 coding and Third Party regulations and

requirements. Responsible for the training of new employees on their specific job. Available to answer and resolve job

related issues . Successful completion of new hire training manual. Processing insurance rejections in accordance with

billing policies, procedures and guidelines. Special Project work including charge entry, entering patient charges

correctly according to CPT and ICD-9 regulations. Participated on the Medic upgrade/testing team for our network.

Responsible for input and testing of the medic software system for upgrading purposes as well as HIPPA regulations.

Identify any accounts, which may require a write-off or referral to collection agencies, reporting any such accounts to

both the Patient Accounting Manager and the appropriate Practice Administrator. Customer Service calls, resolving

patient as well as insurance company billing issues. Investigation of all credit balances. Open and route incoming mail,

distributing correspondence and other material to departmental staff. Perform clerical duties such as answering

telephones, faxes and inter-office mail

Education

Delaware County Community College 2002

Media, PA, USA

Medical Coding and Billing

Coursework Complete

Completed course program for Medical Coding and Billing including Medical Terminology, Medical Coding and Billing

and Advanced Medical Coding and Billing courses. Received 4.0 GPA at course completion. These courses prepared

me for the CPC examination.

The Chubb Institute 1998

Springfield, PA, USA

Computer Technical Support

Certification/Diploma

Earned Certification/Diploma in Computer Technical Support Program. Excellent attendance and GPA while

working 40 hours a week.

Neumann College 1996

Aston, PA, USA

Nursing

Nursing Major. Earned two years worth of credits towards degree. Deans List.



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