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Customer Service Representative

Location:
Newnan, GA
Posted:
October 12, 2014

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Resume:

Mary Wood

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

acgckr@r.postjobfree.com

Phone: 404-***-****

Medical charge entry/coding specialist

Multi-talented professional with a background in promoting a positive

customer service experience and managing office related duties. Broad

medical experience that includes billing, medical chart creation, HIPPA

rules, insurance verification and scheduling.

Related Courses & Systems:

Medical Terminology Anatomy & Physiology

Performance Improvement Microbiology

Healthcare Management Coding & Classification (ICD-9, ICD-10, CPT &

Pharmacology HCPCS)

Legal Aspects in Healthcare Healthcare Statistics

HIT computer systems 3M Encoder, Solocom & QuadraMed Coding Systems

Medical billing and reimbursement

Professional Experience

Greenway Health 01/2013-

present

Medical charge entry and coding specialist

Entered CPT, ICD-9, and HCPCS codes into PrimeSuite software. Achieved

effective communication with 9 doctor's offices to ensure claims were sent

out in a 48 hour turn-around time frame.

Key Results:

. Reduced insurance claim denials by correcting wrong and deleted codes

to maintain successful clean claim rates.

. Researched and assigned appropriate CPT, HCPCS, and ICD-9 codes for

physician and hospital services.

. Assessed coding tool program Code it Right to ensure CPT codes were

entered in RVU order and to check for NCCI Correct Coding Initiatives

edits which do not allow certain CPT codes to be billed together on

the same date of service.

. Applied the appropriate modifiers and insurance modifiers such as the

TH modifier for Medicaid claims for reimbursement.

Tanner Medical Center

08/2012-12/2012

Health Information Technology Practicum Student

Performed basic Health Information Technician tasks that included release

of information, medical record audits, clinical coding, scheduling and

patient registration at Tanner Hospital.

Key Results:

. Used Meditech software to audit patient's charts to confirm that all

scanned documents were accounted for on the EMR.

. Completed indexing and batching of patient medical records while

organizing RACs for Medicare Reimbursement.

. Utilized Craneware software to check areas that needed attention on

the charge master such as wrong CPT and ICD-9 codes.

. Identified release of information and HIPPA requirements for patient's

medical record

West Georgia Technical College

2008-Present

Adult Education Teacher Assistant

Assisted with proctoring exams and monitoring student improvement for the

General Educational Development Program at West Georgia Technical College.

Provided additional support for lead teachers that include counseling,

tutoring, managing classroom grades and other administrative duties.

Key Results:

. Earned State of Georgia TABE (Test of Adult basic Education) Test

Certification.

. Identified long term goals and performance improvement opportunities

for the program.

. Created an alternative filing system that manages student records

while increasing productivity.

Goose and Gander Learning Center

2001-2008

Lead Teacher

Provided quality supervision and basic early childhood educational training

for toddlers. Responsible for training new employees and staff members in

accordance to state standards.

Key Results:

. Helped develop exploratory learning objectives.

. Served on team that brain stormed new ideas for transforming

children's lives and learning abilities.

. Motivated students with daily lessons that made education an adventure

instead of a chore.

. Assessed student's needs and created individualized learning programs.

State farm Insurance Inc.

2000-2001

Customer Service Representative

Demonstrated excellent customer service skills by addressing complaints and

promoting the company's services. Conducted daily bank deposits.

Responsible for protecting customer's private information and trusted with

large cash transactions.

Key Results:

Developed streamlined procedures that decreased labor time and eliminated

redundancies.

Coordinated multitasking office duties to better accommodate customers.

Adhered to state regulations and achieved new skills as new laws came into

effect.

Expressed company policies as related to accidents and disasters.

Education

West Georgia Technical College

January 17, 2013

Associate of Applied Science Degree in Health Information Technology

Certifications

RHIT 2014

Awards

President's list

Academic Achievement Award

Professional Organizations

AHIMA



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