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Medical Administrative Assistant

Location:
Lewisville, TX
Posted:
August 09, 2014

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Resume:

SHANTATE ONEY

*** **** **** ** *** ***, Lewisville, Texas 75057 ? H: 972-***-**** ?

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

PROFESSIONAL SUMMARY

I am Medical Coder with over 5 years' experience in hospital and nursing

facilities. I am accurate and detail-oriented with knowledge of benefits,

eligibility and appeals. Efficient Medical Administrative Assistant

skilled in

tackling administrative and patient-oriented tasks in a fast-paced

environment. Organized Medical Records

Clerk with the ability to readily adapt to changing environments and

demands.

SKILLS

Medical terminology expert Inpatient records coding proficiency

Understanding of ICD-9 and ICD-10 DRG and PC grouping

Understanding of CPT and HPCS Understands insurance benefits

Resourceful and reliable worker

Billing and collection procedures expert Close attention to detail

Records management professional Office support (phones, faxing,

filing)

Hospital inpatient and outpatient records Excellent verbal

communication

WORK HISTORY

Remote Medical Coder Inpatient, 07/2012 to 3/2014

Pyramid Healthcare Solutions- Nationwide

Perform coding services for outpatients and inpatients

Process claims as many as 200 in a day

Enter charges, payments and insurance information in preset coding software

Manage preparation of patient and insurance refunds

Manage insurance appeals and clearing existing accounts receivables

Accurately coding inpatient conditions and procedures as documented in the

ICD-9-CM Official Guidelines for Coding and Reporting, utilizing the

required UHDDS definitions to arrive at the most appropriate MS-DRG

assignment.

Charge Entry Coding Specialist, 05/2011 to 07/2012

Concentra - Addison, TX

Coded inpatient charts at a rate of number per hour or number per day.

Precisely completed appropriate claims paperwork, documentation and system

entry.

Correctly coded and billed medical claims for various hospital and nursing

facilities.

Thoroughly researched newly identified diagnoses and/or medical procedures

to expand skills and

knowledge.

Professionally and courteously verified appointment times with patients.

Assisted in the maintenance of medical charts and/or electronic medical

record (filing, Op Reports, test

results, home care forms).

Adeptly managed a multi-line phone system and pleasantly greeted all

patients.

Entered orders into the EMR system efficiently and without errors.

Diligently filed and followed up on third party claims.

Coded APV charts at a rate of number per hour.

MEDICAL RECORDS CODER 2, 04/2009 to 05/2011

Methodist Charlton Medical Center - Dallas, TX

Prepared billing correspondence and maintained database to organize billing

information.

Printed and reviewed monthly patient aging report and solicited overdue

payments.

Accurately posted surgeries, hospital visits and payments for assigned

carriers.

Compiled and tracked outstanding balances owed to medical facilities.

Responded to correspondence from insurance companies.

Conscientiously reviewed medical record information to identify appropriate

coding based on CMS HCC

categories.

Researched CPT and ICD-9 coding discrepancies for compliance and

reimbursement accuracy.

EDUCATION

Associate of Arts:

Electronic Medical Records, Current

University of Phoenix

CERTIFICATIONS

Microsoft Office Specialist (MOS) Certificate

Certified Professional Coder



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