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