Peggy Price, RMC

**** *********

St. Louis MO, **115

314-***-**** // 314-***-****

acp0lb@r.postjobfree.com

Objective:

To obtain a position as a Medical coder and Biller where I can utilize my exceptional educational and work

experience as well as a strong skill set.

Work Experience:

Medical Coder and Biller:

Jefferson Healthcare Center Private Practice, St. Louis Mo (2002-Present)

Responsible for coding for the doctor office utilizing HCPCS II, CPT and ICD 9 code sets

Scheduled patient’s appointments for the doctor office. Verified all Medical Insurance

Completed registration quickly and cordially for all new patients. Called in patients prescriptions on behalf of

the physician. Acquired all insurance authorization, referrals and pre-certifications for any test ordered by the

physician. Acted as a liaison between the insurance companies, billers and third party payers in resolving

billing and reimbursement accuracy. Ensured timely and accurate charge submission through electronic charge

capture, including the billing and accounts receivables (BAR) system and clearing house. Consistently

informed patients of their financial responsibilities prior to services being rendered. Remain up-to-date with all

insurance requirements, including the details of patient responsibilities, fee for service and managed care plans.

Performed quality control of the data entry system to verify that claims and payments were received.

Monitored email to ensure inquiries were addressed. Sorted and filed loose papers /correspondence in patient’s

files. Medical Records

Skills and Achievements:

Proficient in MS Word, Excel and office, Proficient in outpatient coding, Effective communication and

interpersonal skills, Strong knowledge of Anatomy & Medical Terminology, Extremely knowledgeable in ICD-

9-CM, CPT, HCPCS II & ICD-10-CM code sets

Education:

The Medical Management Institute (MMI)

Registered Medical Coder (RMC) Certification (February 2005-Present) Annual 50 question renewal exam on

coding updates

RMC-update January 2015

ICD-10-CM Online Training Program completed on May 2014, ICD-10 Overview & Implementation Planning,

ICD-10 Documentation Changes & Requirements, Coding for ICD-10-CM Anatomy & Physiology

Final 50 Question Exam

Advance E&M, Inpatient Coding, PQRS is here to Stay, Patient Protection & Affordable Care Act,

Understanding the OIG Compliance Requirement and Security Risk Assessment

St. Louis College of Health Careers-4488 West Pine

PMB Course from August 2002 to May 2003. Certificate of Graduation in Professional Medical Billing. GPA

3.99

References upon request

Contact this candidate